Interoception in anxiety and depression

By Martin P. Paulus, Murray B. Stein. Brain Structure and Function, 2010

878 citations recorded by the source corpus.

We review the literature on interoception as it relates to depression and anxiety, with a focus on belief, and alliesthesia. The connection between increased but noisy afferent interoceptive input, self-referential and belief-based states, and top-down modulation of poorly predictive signals is integrated into a neuroanatomical and processing model for depression and anxiety. The advantage of this conceptualization is the ability to specifically examine the interface between basic interoception, self-referential belief-based states, and enhanced top-down modulation to attenuate poor predictability. We conclude that depression and anxiety are not simply interoceptive disorders but are altered interoceptive states as a consequence of noisily amplified self-referential interoceptive predictive belief states.

Subfields: Experimental and Cognitive Psychology, Psychiatry and Mental health, Philosophy

View Paper: https://www.semanticscholar.org/paper/75187f133e0ea5f2e76854f040afd7fc201dc764

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In Experimental and Cognitive Psychology

In Psychiatry and Mental health

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Citations in the corpus

Knowing your own heart: distinguishing interoceptive accuracy from interoceptive awareness. (2015, positive): “It has been suggested that individuals ho are prone to anxiety show an altered interoceptive predicion signal, through which they manifest a heightened discrepancy chology 104 (2015) 65–74 between observed and expected bodily states (Paulus & Stein, 2006, 2010).”
The Multidimensional Assessment of Interoceptive Awareness (MAIA) (2012, background): “It appears from these findings that trait anxiety is associated with aspects of body awareness, as would be expected given the inverse relationship between anxiety intensity and the ability to respond positively to sensations in and experience of the body among individuals with anxiety [37].”