Department of Psychiatry, Geneva University Hospital, Geneva, Switzerland.
Mental Health Services of the Capital Region of Denmark, Center for Eating and Feeding Disorders Research, Psychiatric Centre Ballerup, Ballerup, Denmark.
Eur Eat Disord Rev. 2024 May;32(3):417-430. doi: 10.1002/erv.3049. Epub 2023 Nov 27.
OBJECTIVE: A deficit in interoception - the ability to perceive, interpret and integrate afferent signals about the physiological state of the body - has been shown in Anorexia Nervosa (AN), and linked to altered hunger sensations, body dysmorphia, and abnormal emotional awareness. The present high-density electroencephalography (hdEEG) study aims to assess cardiac interoception in AN and to investigate its neural correlates, using an objective neurophysiological measure. METHOD: Heartbeat-evoked potentials (HEPs) were computed from 5 min of resting-state EEG and electrocardiogram (ECG) data and compared between individuals with AN (N = 22) and healthy controls (HC) (N = 19) with waveform, topographic, and source imaging analyses. RESULTS: Differences in the cortical representation of heartbeats were present between AN and HC at a time window of 332-348 ms after the ECG R-peak. Source imaging analyses revealed a right-sided hypoactivation in AN of brain regions linked to interoceptive processing, such as the anterior cingulate and orbitofrontal areas. CONCLUSIONS: To the best of our knowledge, this is the first study using hdEEG to localise the underlying sources of HEPs in AN. Results point to altered interoceptive processing during resting-state in AN. As our participants had a short duration of illness, this might not be the consequence of prolonged starvation. Interventions targeted at interoception could provide an additional tool to facilitate recovery.
目的:内脏感知能力——即感知、解释和整合有关身体生理状态的传入信号的能力——在厌食症(AN)中表现出缺陷,并与改变的饥饿感、身体畸形和异常的情绪意识有关。本高密度脑电图(hdEEG)研究旨在使用客观的神经生理学测量方法评估 AN 中的心脏内脏感知,并探讨其神经相关性。
方法:从 5 分钟的静息状态脑电图和心电图(ECG)数据中计算心跳诱发电位(HEPs),并通过波形、地形图和源成像分析比较 AN 患者(N=22)和健康对照组(HC)(N=19)之间的差异。
结果:在 ECG R 波后 332-348ms 的时间窗口中,AN 与 HC 之间存在心跳皮层代表的差异。源成像分析显示,在 AN 中,与内脏感知处理相关的大脑区域(如前扣带回和眶额区域)存在右侧激活不足。
结论:据我们所知,这是第一项使用 hdEEG 定位 AN 中 HEPs 潜在源的研究。结果表明,AN 在静息状态下的内脏感知处理发生改变。由于我们的参与者患病时间较短,这可能不是长期饥饿的结果。针对内脏感知的干预措施可能为促进康复提供一个额外的工具。
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