How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder

Depersonalization-Derealization Disorder (DD) typically manifests as a disruption of body self-awareness. Interoception - defined as the cognitive processing of body signals - has been extensively considered as a key processing for body self-awareness. In consequence, the purpose of this study was t...

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Autores principales: Sigman, Mariano, Bekinschtein, Tristán Andres
Publicado: 2014
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Acceso en línea:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_19326203_v9_n6_p_Sedeno
http://hdl.handle.net/20.500.12110/paper_19326203_v9_n6_p_Sedeno
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spelling paper:paper_19326203_v9_n6_p_Sedeno2023-06-08T16:31:24Z How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder Sigman, Mariano Bekinschtein, Tristán Andres adult article body mass case report cognition controlled study demography depersonalization derealization disorder dissociative disorder emotion emotional processing empathy functional connectivity functional magnetic resonance imaging Heartbeat Detection Task human interoception male nervous system parameters neuropsychological test questionnaire self report social aspect somatosensory disorder symptom task performance young adult brain case control study connectome depersonalization heart rate interoception pathophysiology psychology Brain Case-Control Studies Connectome Depersonalization Emotions Empathy Heart Rate Humans Interoception Male Young Adult Depersonalization-Derealization Disorder (DD) typically manifests as a disruption of body self-awareness. Interoception - defined as the cognitive processing of body signals - has been extensively considered as a key processing for body self-awareness. In consequence, the purpose of this study was to investigate whether there are systematic differences in interoception between a patient with DD and controls that might explain the disembodiment symptoms suffered in this disease. To assess interoception, we utilized a heartbeat detection task and measures of functional connectivity derived from fMRI networks in interoceptive/exteroceptivo/mind-wandering states. Additionally, we evaluated empathic abilities to test the association between interoception and emotional experience. The results showed patient's impaired performance in the heartbeat detection task when compared to controls. Furthermore, regarding functional connectivity, we found a lower global brain connectivity of the patient relative to controls only in the interoceptive state. He also presented a particular pattern of impairments in affective empathy. To our knowledge, this is the first experimental research that assesses the relationship between interoception and DD combining behavioral and neurobiological measures. Our results suggest that altered neural mechanisms and cognitive processes regarding body signaling might be engaged in DD phenomenology. Moreover, our study contributes experimental data to the comprehension of brain-body interactions and the emergence of self-awareness and emotional feelings. © 2014 Sedeño et al. Fil:Sigman, M. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Fil:Bekinschtein, T.A. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. 2014 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_19326203_v9_n6_p_Sedeno http://hdl.handle.net/20.500.12110/paper_19326203_v9_n6_p_Sedeno
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic adult
article
body mass
case report
cognition
controlled study
demography
depersonalization derealization disorder
dissociative disorder
emotion
emotional processing
empathy
functional connectivity
functional magnetic resonance imaging
Heartbeat Detection Task
human
interoception
male
nervous system parameters
neuropsychological test
questionnaire
self report
social aspect
somatosensory disorder
symptom
task performance
young adult
brain
case control study
connectome
depersonalization
heart rate
interoception
pathophysiology
psychology
Brain
Case-Control Studies
Connectome
Depersonalization
Emotions
Empathy
Heart Rate
Humans
Interoception
Male
Young Adult
spellingShingle adult
article
body mass
case report
cognition
controlled study
demography
depersonalization derealization disorder
dissociative disorder
emotion
emotional processing
empathy
functional connectivity
functional magnetic resonance imaging
Heartbeat Detection Task
human
interoception
male
nervous system parameters
neuropsychological test
questionnaire
self report
social aspect
somatosensory disorder
symptom
task performance
young adult
brain
case control study
connectome
depersonalization
heart rate
interoception
pathophysiology
psychology
Brain
Case-Control Studies
Connectome
Depersonalization
Emotions
Empathy
Heart Rate
Humans
Interoception
Male
Young Adult
Sigman, Mariano
Bekinschtein, Tristán Andres
How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder
topic_facet adult
article
body mass
case report
cognition
controlled study
demography
depersonalization derealization disorder
dissociative disorder
emotion
emotional processing
empathy
functional connectivity
functional magnetic resonance imaging
Heartbeat Detection Task
human
interoception
male
nervous system parameters
neuropsychological test
questionnaire
self report
social aspect
somatosensory disorder
symptom
task performance
young adult
brain
case control study
connectome
depersonalization
heart rate
interoception
pathophysiology
psychology
Brain
Case-Control Studies
Connectome
Depersonalization
Emotions
Empathy
Heart Rate
Humans
Interoception
Male
Young Adult
description Depersonalization-Derealization Disorder (DD) typically manifests as a disruption of body self-awareness. Interoception - defined as the cognitive processing of body signals - has been extensively considered as a key processing for body self-awareness. In consequence, the purpose of this study was to investigate whether there are systematic differences in interoception between a patient with DD and controls that might explain the disembodiment symptoms suffered in this disease. To assess interoception, we utilized a heartbeat detection task and measures of functional connectivity derived from fMRI networks in interoceptive/exteroceptivo/mind-wandering states. Additionally, we evaluated empathic abilities to test the association between interoception and emotional experience. The results showed patient's impaired performance in the heartbeat detection task when compared to controls. Furthermore, regarding functional connectivity, we found a lower global brain connectivity of the patient relative to controls only in the interoceptive state. He also presented a particular pattern of impairments in affective empathy. To our knowledge, this is the first experimental research that assesses the relationship between interoception and DD combining behavioral and neurobiological measures. Our results suggest that altered neural mechanisms and cognitive processes regarding body signaling might be engaged in DD phenomenology. Moreover, our study contributes experimental data to the comprehension of brain-body interactions and the emergence of self-awareness and emotional feelings. © 2014 Sedeño et al.
author Sigman, Mariano
Bekinschtein, Tristán Andres
author_facet Sigman, Mariano
Bekinschtein, Tristán Andres
author_sort Sigman, Mariano
title How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder
title_short How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder
title_full How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder
title_fullStr How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder
title_full_unstemmed How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder
title_sort how do you feel when you can't feel your body? interoception, functional connectivity and emotional processing in depersonalization-derealization disorder
publishDate 2014
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_19326203_v9_n6_p_Sedeno
http://hdl.handle.net/20.500.12110/paper_19326203_v9_n6_p_Sedeno
work_keys_str_mv AT sigmanmariano howdoyoufeelwhenyoucantfeelyourbodyinteroceptionfunctionalconnectivityandemotionalprocessingindepersonalizationderealizationdisorder
AT bekinschteintristanandres howdoyoufeelwhenyoucantfeelyourbodyinteroceptionfunctionalconnectivityandemotionalprocessingindepersonalizationderealizationdisorder
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