Jenkinson Paul M, Fotopoulou Aikaterini, Ibañez Agustin, Rossell Susan
Faculty of Psychology, Counselling and Psychotherapy, The Cairnmillar Institute, Melbourne, Australia.
Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
EClinicalMedicine. 2024 May 31;73:102673. doi: 10.1016/j.eclinm.2024.102673. eCollection 2024 Jul.
Research has examined the relationship between interoception and anxiety, depression, and psychosis; however, it is unclear which aspects of interoception have been systematically examined, what the combined findings are, and which areas require further research. To answer these questions, we systematically searched and narratively synthesised relevant reviews, meta-analyses, and theory papers (total n = 34). Existing systematic reviews and meta-analyses (anxiety n = 2; depression n = 2; psychosis n = 0), focus on cardiac interoceptive accuracy (heartbeat perception), and indicate that heartbeat perception is not systematically impaired in anxiety or depression. Heartbeat perception might be poorer in people with psychosis, but further evidence is needed. Other aspects of interoception, such as different body systems and processing levels, have been studied but not systematically reviewed. We highlight studies examining these alternative bodily domains and levels, review the efficacy of interoception-based psychological interventions, and make suggestions for future research.
Wellcome Trust UK.
研究已经探讨了内感受与焦虑、抑郁和精神病之间的关系；然而，尚不清楚内感受的哪些方面得到了系统研究，综合研究结果是什么，以及哪些领域需要进一步研究。为了回答这些问题，我们系统检索并叙述性综合了相关综述、荟萃分析和理论论文（共34篇）。现有的系统综述和荟萃分析（焦虑相关2篇；抑郁相关2篇；精神病相关0篇）关注心脏内感受准确性（心跳感知），并表明在焦虑或抑郁中，心跳感知并未受到系统性损害。精神病患者的心跳感知可能较差，但还需要更多证据。内感受的其他方面，如不同身体系统和处理水平，已被研究，但未进行系统综述。我们重点介绍了研究这些替代性身体领域和水平的研究，综述了基于内感受的心理干预的效果，并对未来研究提出了建议。
英国惠康信托基金会。
