上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2022, Vol. 42 ›› Issue (5): 660-666.doi: 10.3969/j.issn.1674-8115.2022.05.015

• 综述 • 上一篇    下一篇

基于心跳知觉的内感知研究进展

梁宇璇1(), 李春波1,2()   

  1. 1.上海交通大学医学院附属精神卫生中心，上海 200030
    2.上海交通大学心理与行为科学研究院，上海交通大学脑科学与技术研究中心，中国科学院脑科学与智能技术卓越创新中心，上海 200030
  • 收稿日期:2022-01-06 接受日期:2022-05-06 出版日期:2022-05-28 发布日期:2022-05-28
  • 通讯作者: 李春波 E-mail:19834519049@163.com;licb@smhc.org.cn
  • 作者简介:梁宇璇（1997—），女，硕士生；电子信箱：19834519049@163.com。
  • 基金资助:
    国家重点研发计划(2018YFC2001605);上海市精神心理临床医学研究中心(19MC1911100)

Progress of interoception based on heartbeat perception

LIANG Yuxuan1(), LI Chunbo1,2()   

  1. 1.Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
    2.Institute of Psychology and Behavioral Science, Shanghai Jiao Tong University; Brain Science and Technology Research Center, Shanghai Jiao Tong University; Center for Excellence in Brain Science and Intelligence Technology (CEBSIT), Chinese Academy of Science, Shanghai 200030, China
  • Received:2022-01-06 Accepted:2022-05-06 Online:2022-05-28 Published:2022-05-28
  • Contact: LI Chunbo E-mail:19834519049@163.com;licb@smhc.org.cn
  • Supported by:
    National Key R&D Program of China(2018YFC2001605);Clinical Research Center of Shanghai Mental Health Center(19MC1911100)

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摘要：

早期经典的一些情绪理论中，心理学家JAMES提出情绪是对身体生理变化的知觉，即生理变化（如心跳加快）先于恐惧、紧张等情绪产生。之后有研究者将人体对其身体内部生理信号（如心跳、呼吸、胃肠蠕动等）的感知能力定义为内感知。其中心跳知觉的行为学评估受到广泛关注。目前较为公认的观点认为内感知可从准确性、敏感性、意识三大维度进行测量；多个研究表明内感知同情绪体验强度高度相关，且在患有焦虑障碍、抑郁障碍、精神分裂症等精神障碍的临床群体中，亦可观察到内感知的变化。借助功能磁共振成像等技术，研究者发现大脑岛叶可能为内感知过程的中枢，这同情绪体验的活动脑区有重叠，为情绪理论提供了神经解剖学证据。近年来，越来越多的研究聚焦于内感知领域。国内已发表的相关综述大多侧重于心理学方面，尚缺乏内感知紧密联系临床的综述发表。该文就基于心跳知觉的内感知维度、测量方法、研究技术及其在临床上的相关研究进行综述，并对内感知的研究方向进行了展望。

关键词: 内感知, 心跳知觉, 内感知准确性, 内感知敏感性, 岛叶, 精神障碍

Abstract:

In some early classical emotional theories, psychologist JAMES has proposed that emotions are the perception of physiological changes in the body, i.e., physiological changes (such as rapid heartbeat) occur before emotions such as fear and tension. Later, researchers defined the human body's ability to perceive internal physiological signals (such as heartbeat, breathing and gastrointestinal peristalsis) as interoception, in which behavioral evaluation of heartbeat perception has received extensive attention. At present, it is generally accepted that interoception can be measured in three dimensions, i.e., accuracy, sensitivity and awareness. Several studies have shown that interoception is highly correlated with the intensity of emotional experience, and the changes in interoception can also be observed in the clinical groups suffering from anxiety disorder, depression disorder, schizophrenia and other mental disorders. Using functional magnetic resonance imaging and other techniques, the researchers has found that the insula may be the center of interoception, which overlaps with the active brain regions of emotional experience, providing the neuroanatomical evidence for the emotional theory. Recently, more and more studies focus on the field of interoception, but the published domestic reviews mostly concentrated on psychology without connection with clinical practice. Therefore, this paper comprehensively reviews the interoceptive dimensions, measurement methods, research techniques and clinical researches based on heartbeat perception, and prospects the research directions of interoception.

Key words: interoception, heartbeat perception, interoceptive accuracy, interoceptive sensitivity, insular, mental disorder

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