Interoception, emotion and brain: new insights link internal physiology to social behaviour. Commentary on:
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In this issue, Terasawa and colleagues used functional neuroimaging to test for common neural substrates supporting conscious appraisal of subjective bodily and emotional states and explored how the relationship might account for personality and experience of anxiety symptoms. Their study highlights a role for the same region of anterior insula cortex in appraisal of emotions and bodily physiology. The reactivity of this region also mediated the relationship between 'bodily sensibility' and social fear, translating a cognitive representation of subjective physical state into an individual personality trait that influences social interaction. The task used by Terasawa and colleagues taps into conscious aspects to the expression of this dynamic. These findings add to increasing evidence for the role of anterior insula as the interface between physiologically driven internal motivational states, emotional awareness and interpersonal behaviour.
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A prominent and widely accepted model articulates and measures interoceptive ability along three psychological dimensions: accuracy, sensibility, and awareness.
“In the last decade, a prominent and widely accepted model emerged within interoception research [25,26], which articulates and measures interoceptive ability along three psychological dimensions: accuracy, sensibility, and awareness.”
From Interoceptive Ability and Emotion Regulation in Mind–Body Interventions: An Integrative Review (2024) · cites this paper as [25]
The “MULTIPLE ELEMENTS OF INTEROCEPTION” section and Figure 1 distinguish self-reported sensibility, objective detection accuracy, and metacognitive awareness, and suggest ways to assess each. The paper does not establish that this three-part model was already widely accepted; it says few studies had examined the distinctions together and that the facets needed further characterization. Page numbers are unavailable in our copy. (LLM, conf=0.83)
Experimental — accuracy not yet measuredBoth interoceptive signals and the cognitive evaluation of the internal and external environment are recognized as contributing to an emotional experience.
“Both interoceptive signals and the cognitive evaluation of the internal and external environment are recognized as contributing to an emotional experience (15–17).”
From Group Mindfulness-Integrated Cognitive Behavior Therapy (MiCBT) Reduces Depression and Anxiety and Improves Flourishing in a Transdiagnostic Primary Care Sample Compared to Treatment-as-Usual: A Randomized Controlled Trial (2022) · cites this paper as [15]
The opening passage says bodily arousal can contribute to emotional feelings, and ‘Interoceptive Representation and the Neural Substrates of Emotions’ links cognitive evaluation of bodily state with appraisal of one’s own emotion (page unavailable). ‘The Relationship Between Interoception and Cognition’ discusses integrating external and internal signals for learning and behavioural choice, but does not clearly say that cognitive evaluation of the external environment contributes to emotional experience. (LLM, conf=0.82)
Experimental — accuracy not yet measured
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Pain Asymbolia as Depersonalization for Pain Experience. An Interoceptive Active Inference Account
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Interoceptive Ability and Emotion Regulation in Mind–Body Interventions: An Integrative Review
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Emotions in motion: myofascial Interoception
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The Relationship Between Interoception and Metacognition: A Pilot Study
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Functional neuroanatomy of interoceptive processing in children and adolescents: a pilot study
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The missing pieces in the scientific study of bodily awareness
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Interoception and Psychopathology
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Self-citation
- Authors
- Garfinkel, S. N., & Critchley, H. D.
- Affiliations
- Brighton and Sussex Medical School (GB)
- Venue
- Social Cognitive and Affective Neuroscience
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-03-01
- Volume
- 8
- Issue
- 3
- Pages
- 231-234
- ISSN
- 1749-5016 (ISSN-L)
- 1749-5024
- PMC
- PMC3594730
- OpenAlex
- W2128270727
- Semantic Scholar
- 342359c0175e90ac03340c94e1fae8e4fee2fd2e
- Cited by
- 386
- References
- 45
- Citations by year
- 2026: 25 · 2025: 34 · 2024: 47 · 2023: 29 · 2022: 26 · 2021: 39 · 2020: 33 · 2019: 26 · 2018: 31 · 2017: 27 · 2016: 32 · 2015: 23 · 2014: 12 · 2013: 2
- FWCI
- 16.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Social Cognitive and Affective Neuroscience (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Sussex
- Medical Research Council
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Embodied and Extended Cognition
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- interoception, emotions, social fear, anxiety, personality traits, emotional awareness, neural correlates, social behavior
- MeSH terms
- Anxiety, Awareness, Cerebral Cortex, Female, Humans, Male, Sensation, Social Behavior
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