Interoception and Mental Health: A Roadmap

Sahib S. Khalsa(Laureate Institute for Brain Research), Ralph Adolphs(California Institute of Technology), Oliver G. Cameron(University of Michigan), Hugo Critchley(University of Sussex), Paul W. Davenport(University of Florida), Justin S. Feinstein(Laureate Institute for Brain Research), Jamie D. Feusner(University of California, Los Angeles), Sarah N. Garfinkel(University of Sussex), Richard D. Lane(University of Arizona), Wolf Mehling(University of California, San Francisco), Alicia E. Meuret(Southern Methodist University), Charles B. Nemeroff(University of Miami), Stephen Oppenheimer(Johns Hopkins University), Frederike H. Petzschner(University of Zurich), Olga Pollatos(Universität Ulm), Jamie L. Rhudy(University of Tulsa), Lawrence P. Schramm(Johns Hopkins University), W. Kyle Simmons(Laureate Institute for Brain Research), Murray B. Stein(University of California San Diego), Klaas Ε. Stephan(University of Zurich), Omer Van den Bergh(KU Leuven), Ilse Van Diest(KU Leuven), Andreas von Leupoldt(KU Leuven), Martin P. Paulus(Laureate Institute for Brain Research), Vivien Ainley(KU Leuven), Obada Al Zoubi(KU Leuven), Robin L. Aupperle(KU Leuven), Jason A. Avery(KU Leuven), Leslie C. Baxter(KU Leuven), Christoph Benke(KU Leuven), Laura A. Berner(KU Leuven), Jerzy Bodurka(KU Leuven), Eric Breese(KU Leuven), Tiffany A. Brown(KU Leuven), Kaiping Burrows(KU Leuven), Yoon‐Hee Cha(University of Miami), Ashley N. Clausen(KU Leuven), Kelly T. Cosgrove(KU Leuven), Danielle C. DeVille(KU Leuven), Laramie E. Duncan(KU Leuven), Patrice Duquette(KU Leuven), Hamed Ekhtiari(KU Leuven), Thomas Fine(KU Leuven), Bart N. Ford(KU Leuven), Indira García‐Cordero(KU Leuven), Diamond Gleghorn(KU Leuven), Y. Güereca(KU Leuven), Neil A. Harrison(KU Leuven), Mahlega S. Hassanpour(KU Leuven), Tanja Hechler(KU Leuven), Aaron S. Heller(KU Leuven), Natalie Hellman(KU Leuven), Beate M. Herbert(KU Leuven), Behnaz Jarrahi(KU Leuven), Kara L. Kerr(KU Leuven), Namik Kirlić(KU Leuven), Megan Klabunde(KU Leuven), Thomas E. Kraynak(KU Leuven), Michael Kriegsman(KU Leuven), Juliet L. Kroll(KU Leuven), Rayus Kuplicki(KU Leuven), Rachel C. Lapidus(KU Leuven), Trang T. Le(Laureate Institute for Brain Research), Kyle Logie Hagen(KU Leuven), Ahmad Mayeli(KU Leuven), Amanda J. Morris(KU Leuven), Nasir H. Naqvi(KU Leuven), Kristina Oldroyd(KU Leuven), Christiane A. Pané‐Farré(KU Leuven), Raquel Phillips(KU Leuven), Tasha Poppa(KU Leuven), Willliam Potter(KU Leuven), Maria Puhl(KU Leuven), Adam Safron(KU Leuven), Margaret Sala(KU Leuven), Jonathan Savitz(KU Leuven), Heather A. Saxon(KU Leuven), Will Schoenhals(KU Leuven), Colin Stanwell-Smith(KU Leuven), Adam R. Teed(KU Leuven), Yuri Terasawa(KU Leuven), Katie Thompson(KU Leuven), Marisa Toups(KU Leuven), Satoshi Umeda(KU Leuven), Valerie Upshaw(KU Leuven), Teresa A. Victor(KU Leuven), Christina E. Wierenga(KU Leuven), Colleen Wohlrab(KU Leuven), Hung‐Wen Yeh(KU Leuven), Adrián Yoris(KU Leuven), Fadel Zeidan(KU Leuven), Vadim Zotev(KU Leuven), Nancy Zucker
Biological Psychiatry Cognitive Neuroscience and Neuroimaging
December 28, 2017
10.1016/j.bpsc.2017.12.004
Cited by 1,419Open Access
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Abstract

Interoception refers to the process by which the nervous system senses, interprets, and integrates signals originating from within the body, providing a moment-by-moment mapping of the body's internal landscape across conscious and unconscious levels. Interoceptive signaling has been considered a component process of reflexes, urges, feelings, drives, adaptive responses, and cognitive and emotional experiences, highlighting its contributions to the maintenance of homeostatic functioning, body regulation, and survival. Dysfunction of interoception is increasingly recognized as an important component of different mental health conditions, including anxiety disorders, mood disorders, eating disorders, addictive disorders, and somatic symptom disorders. However, a number of conceptual and methodological challenges have made it difficult for interoceptive constructs to be broadly applied in mental health research and treatment settings. In November 2016, the Laureate Institute for Brain Research organized the first Interoception Summit, a gathering of interoception experts from around the world, with the goal of accelerating progress in understanding the role of interoception in mental health. The discussions at the meeting were organized around four themes: interoceptive assessment, interoceptive integration, interoceptive psychopathology, and the generation of a roadmap that could serve as a guide for future endeavors. This review article presents an overview of the emerging consensus generated by the meeting.

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