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Anterior insular cortex mediates bodily sensibility and social anxiety
Open accessAbstract
Studies in psychiatry and cognitive neuroscience have reported an important relationship between individual interoceptive accuracy and anxiety level. This indicates that greater attention to one's bodily state may contribute to the development of intense negative emotions and anxiety disorders. We hypothesized that reactivity in the anterior insular cortex underlies the intensity of interoceptive awareness and anxiety. To elucidate this triadic mechanism, we conducted functional magnetic resonance imaging (fMRI) and mediation analyses to examine the relationship between emotional disposition and activation in the anterior insular cortex while participants evaluated their own emotional and bodily states. Our results indicated that right anterior insular activation was positively correlated with individual levels of social anxiety and neuroticism and negatively correlated with agreeableness and extraversion. The results of the mediation analyses revealed that activity in the right anterior insula mediated the activity of neural correlates of interoceptive sensibility and social fear. Our findings suggest that attention to interoceptive sensation affects personality traits through how we feel emotion subjectively in various situations.
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“Studies indicate that socially anxious individuals pay more attention to their internal bodily sensations, resulting in enhanced interoceptive sensibility (Terasawa et al. 2013) and accuracy (Stevens et al. 2011; see Garfinkel et al. 2015, for the distinction between facets of interoception).”
From Interpersonal Physiological Synchrony During Dyadic Joint Action Is Increased by Task Novelty and Reduced by Social Anxiety (2025) · cites this paper as Terasawa et al. 2013
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“Other research has shown that activation of the anterior insula is associated with anxiety level (Terasawa et al., 2013; Mallorquí-Bagué et al., 2014).”
From Mindfulness, Interoception, and the Body: A Contemporary Perspective (2019) · cites this paper as Terasawa et al., 2013
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Metadata
- Authors
- Terasawa, Y., Shibata, M., Moriguchi, Y., & Umeda, S.
- Affiliations
- Japan Society for the Promotion of Science (JP)
- Keio University (JP)
- Venue
- Social Cognitive and Affective Neuroscience
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-09-13
- Volume
- 8
- Issue
- 3
- Pages
- 259-266
- ISSN
- 1749-5016 (ISSN-L)
- 1749-5024
- PMC
- PMC3594729
- OpenAlex
- W2097538354
- Cited by
- 224
- References
- 68
- Citations by year
- 2026: 8 · 2025: 19 · 2024: 35 · 2023: 17 · 2022: 13 · 2021: 10 · 2020: 17 · 2019: 16 · 2018: 20 · 2017: 14 · 2016: 9 · 2015: 23 · 2014: 16 · 2013: 6
- FWCI
- 10.28
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Social Cognitive and Affective Neuroscience (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Keio University
- Ministry of Education, Culture, Sports, Science and Technology
- Japan Society for the Promotion of Science (23330201, 23700318, 24120518, 21330168, 24330210, 23390192)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- anterior insula, interoceptive awareness, interoceptive accuracy, social anxiety, social fear, personality traits, neuroticism, agreeableness, extraversion, affective dispositions, mediation analysis
- MeSH terms
- Adult, Analysis of Variance, Anxiety, Awareness, Brain Mapping, Cerebral Cortex, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Oxygen, Surveys and Questionnaires, Reaction Time, Sensation, Social Behavior, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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