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精神疾病中的内感受功能障碍与改善内感受的非侵入性神经调节

Interoceptive Dysfunction in Psychiatric Disorders and Non-invasive Neuromodulation for Improving Interoception.

作者信息

Cui Huiru, Wang Jijun, Li Chunbo

机构信息

Neuromodulation Center, Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.

Nantong Fourth People's Hospital and Nantong Brain Hospital, Nantong, 226000, China.

出版信息

Neurosci Bull. 2025 Jun 19. doi: 10.1007/s12264-025-01432-1.

Abstract

Dysfunction of the interoceptive system is recognized as an important component of clinical symptoms, including anxiety, depression, psychosis, and other mental disorders. Non-invasive neuromodulation is an emerging clinical intervention approach, and over the past decade, research on non-invasive neuromodulation aimed at regulating interoception has rapidly developed. This review first outlines the pathways of interoceptive signals and assessment methods, then summarizes the interoceptive abnormalities in psychiatric disorders and current studies for non-invasive neuromodulation targeting interoception, including intervention modes, target sites, interoceptive measures, and potential neurobiological mechanisms. Finally, we discuss significant research challenges and future directions.

摘要

内感受系统功能障碍被认为是临床症状的重要组成部分,包括焦虑、抑郁、精神病及其他精神障碍。非侵入性神经调节是一种新兴的临床干预方法,在过去十年中,旨在调节内感受的非侵入性神经调节研究迅速发展。本综述首先概述内感受信号的传导途径和评估方法,然后总结精神疾病中的内感受异常以及目前针对内感受的非侵入性神经调节研究,包括干预模式、靶点、内感受测量方法和潜在的神经生物学机制。最后,我们讨论了重大的研究挑战和未来方向。

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