Computational Models of Interoception and Body Regulation
Open accessAbstract
To survive, organisms must effectively respond to the challenge of maintaining their physiological integrity in the face of an ever-changing environment. Preserving this homeostasis critically relies on adaptive behavior. In this review, we consider recent frameworks that extend classical homeostatic control via reflex arcs to include more flexible forms of adaptive behavior that take interoceptive context, experiences, and expectations into account. Specifically, we define a landscape for computational models of interoception, body regulation, and forecasting, address these models' unique challenges in relation to translational research efforts, and discuss what they can teach us about cognition as well as physical and mental health.
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Allostatic regulations can be expressed in an extended predictive coding framework, where the brain constantly generates and updates not only a model of the external environment, but also of the organism state.
“Allostatic regulations can be expressed in an extended predictive coding framework, where the brain constantly generates and updates not only a model of the external environment, but also of the organism state 207 (Figure 4C).”
From Interoceptive rhythms in the brain (2023) · cites this paper as [207]
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Birba, A., Santamaría-García, H., Prado, P., Cruzat, J., Ballesteros, A. S., Legaz, A., Fittipaldi, S., Duran-Aniotz, C., Slachevsky, A., Santibañez, R., et al. (2022) · Biological Psychiatry · doi:10.1016/j.biopsych.2022.02.955 · Cited by 70 · see citing works
Rebollo, I., & Tallon-Baudry, C. (2022) · The Journal of Neuroscience · doi:10.1523/jneurosci.1285-21.2021 · Cited by 46 · see citing works
Interoceptive technologies for psychiatric interventions: From diagnosis to clinical applications
Schoeller, F., Horowitz, A. H., Jain, A., Maes, P., Reggente, N., Christov-Moore, L., Pezzulo, G., Barca, L., Allen, M., Salomon, R., et al. (2024) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105478 · Cited by 42 · see citing works
Rhesus monkeys have an interoceptive sense of their beating hearts
Charbonneau, J. A., Maister, L., Tsakiris, M., & Bliss-Moreau, E. (2022) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2119868119 · Cited by 35 · see citing works
Intrinsic timescales and predictive allostatic interoception in brain health and disease
Ibanez, A., & Northoff, G. (2024) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105510 · Cited by 36 · see citing works
Hazelton, J. L., Carneiro, F., Maito, M., Richter, F., Legaz, A., Altschuler, F., Cubillos-Pinilla, L., Chen, Y., Doherty, C. P., Baez, S., et al. (2025) · Biological Psychiatry · doi:10.1016/j.biopsych.2024.10.013 · Cited by 21 · see citing works
Allostatic-interoceptive anticipation of social rejection
Migeot, J., Hesse, E., Fittipaldi, S., Mejía, J., Fraile, M., García, A. M., García, M. D. C., Ortega, R., Lawlor, B., Lopez, V., et al. (2023) · NeuroImage · doi:10.1016/j.neuroimage.2023.120200 · Cited by 15 · see citing works
Unveiling the interoception impairment in various major depressive disorder stages
Zhou, H., Liu, J., Wu, Y., Huang, Z., Wang, W., Ma, Y., Zhu, H., Zhou, Z., Wang, J., & Jiang, C. (2024) · CNS Neuroscience & Therapeutics · doi:10.1111/cns.14923 · Cited by 13 · see citing works
Allostatic interoception and brain health: From neurodegeneration to social adversities
Migeot, J., & Ibáñez, A. (2025) · Encyclopedia of the Human Brain · doi:10.1016/b978-0-12-820480-1.00025-5 · Cited by 10 · see citing works
- Authors
- Petzschner, F. H., Garfinkel, S. N., Paulus, M. P., Koch, C., & Khalsa, S. S.
- Affiliations
- University of Zurich (CH)
- Brighton and Sussex Medical School (GB)
- Laureate Institute for Brain Research (US)
- Corresponding author
- Petzschner, Frederike H.
- Venue
- Trends in Neurosciences
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 44
- Issue
- 1
- Pages
- 63-76
- ISSN
- 0166-2236 (ISSN-L)
- PMC
- PMC8109616
- OpenAlex
- W3114806425
- Cited by
- 227
- References
- 35
- Citations by year
- 2026: 42 · 2025: 44 · 2024: 49 · 2023: 31 · 2022: 35 · 2021: 20 · 2020: 6
- FWCI
- 3.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Trends in Neurosciences (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (K23MH112949)
- National Institute of General Medical Sciences (1P20GM121312)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Embodied and Extended Cognition
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- interoception, body regulation, homeostasis, computational model, adaptive behavior, expectations, forecasting, reflex arc, cognition, mental health, physical health
- MeSH terms
- Cognition, Computer Simulation, Forecasting, Humans, Interoception
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