Leech Kelly, Stapleton Peta, Patching Alan
School of Psychology, Bond University, Gold Coast, QLD, Australia.
Front Psychiatry. 2024 May 22;15:1355442. doi: 10.3389/fpsyt.2024.1355442. eCollection 2024.
The concept of interoception has existed since the beginning of the 1900s. It is suggested that humans can observe feelings arising from the body that allows them to develop a sense of their emotional status and physical condition. The term interoceptive awareness appears to originate with clinicians working with individuals who had experienced trauma, in particular Post Traumatic Stress Disorder (PTSD). The purpose of this scoping review was to provide an overview of the existing literature surrounding the combination of these two themes: interoceptive awareness and PTSD. A total of 226 articles were initially screened and 52 articles were retained for comprehensive review. Nine articles were excluded, resulting in 43 studies included in the review. The review aimed to answer: (a) how is interoceptive awareness defined? (b) how is interoceptive awareness measured? (c) what is the function of interoceptive awareness? (d) is there/what is the relationship between interoceptive awareness and PTSD? The scoping review identified nine terms that are used synonymously throughout the literature surrounding interoceptive awareness and PTSD, and three primary ways in which interoceptive awareness is measured in relation to PTSD. The primary function documented was the role interoceptive awareness played in an individual's ability to regulate their emotions, and the most common and compelling function emerging was the association with emotion regulation. The evidence supports the utilisation of a definition of interoceptive awareness to include one that includes the quality of cognitive appraisal and focuses on the adaptive mindful approach to internal physical sensations as opposed to the heightened ruminative self-focus. Limitations and future research are suggested.
内感受的概念自20世纪初就已存在。有人认为，人类能够察觉到身体产生的感觉，从而形成对自身情绪状态和身体状况的认知。“内感受性觉知”这一术语似乎源于治疗受过创伤的个体，尤其是创伤后应激障碍（PTSD）患者的临床医生。本范围综述的目的是概述围绕内感受性觉知和创伤后应激障碍这两个主题结合的现有文献。最初共筛选出226篇文章，保留52篇进行全面综述。排除9篇文章，最终纳入综述的有43项研究。该综述旨在回答：（a）内感受性觉知是如何定义的？（b）内感受性觉知是如何测量的？（c）内感受性觉知的功能是什么？（d）内感受性觉知与创伤后应激障碍之间是否存在关系/是什么关系？该范围综述确定了在围绕内感受性觉知和创伤后应激障碍的文献中同义使用的9个术语，以及与创伤后应激障碍相关的测量内感受性觉知的三种主要方式。记录的主要功能是内感受性觉知在个体情绪调节能力中所起的作用，最常见且引人注目的功能是与情绪调节的关联。证据支持采用一种内感受性觉知的定义，该定义包括认知评估的质量，并侧重于对内部身体感觉的适应性正念方法，而非增强的反刍性自我关注。文中还提出了局限性和未来研究方向。
