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Eine veränderte Interozeption ist ein zentrales Korrelat der Anorexia nervosa (AN) und stellt einen potentiellen Ansatz in der Genesung der AN dar. Erste Ergebnisse zur Wirksamkeit von Yoga als körperorientierte Methode in der Therapie der AN sind vielversprechend. Dennoch liegen bislang unzureichende empirische Befunde bezüglich der Frage vor, auf welche Weise Yoga-Strategien und Yoga-Elemente wie Körperhaltungen, Entspannungs-, Atem-, und Meditationsübungen eingesetzt werden sollten. Vor diesem Hintergrund führten wir eine qualitative Pilotstudie mit einer Stichprobe von n=6 Patientinnen mit AN durch, die sich im Anschluss an eine klinische stationäre Behandlung in einer pädagogisch-therapeutischen Facheinrichtung der Jugend- und Eingliederungshilfe (SGB VIII/XII) befanden. Die Studienteilnehmerinnen erhielten eine einstündige Hatha-Yoga-Intervention über mindestens 12 Wochen. Nach der Yoga-Intervention wurden ½- bis 1-stündige halbstrukturierte Leitfadeninterviews zu den Erfahrungen mit den verwendeten Yoga-Strategien durchgeführt. Die Interviews wurden mittels Grounded Theory ausgewertet. Auf der obersten Analyseebene wurden 4 Kategorien differenziert: Angaben 1) zum Beschwerdebild der Studienteilnehmerinnen, 2) zu als hilfreich erlebten Elementen des therapeutischen Rahmens, 3) zu als hilfreich erlebten Yoga-Strategien sowie 4) zu subjektiv wahrgenommenen Konsequenzen der Yoga-Strategien. Bezüglich der als hilfreich erlebten Yoga-Strategien ergaben die Analysen 4 Subkategorien: Merkmale 1) der Bewegungselemente, 2) der Meditations- und Atemübungen, 3) der Entspannungsübungen sowie 4) allgemeine Hinweise zur Durchführung. Die Ergebnisse geben erste Hinweise für die Konzeption von Yoga in der Therapie der AN und zu potentiellen Wirkmechanismen. Weiterführende qualitative sowie quantitative Studien zu u. a. Wirksamkeit, Kontraindikationen oder Mediator- sowie Moderatorvariablen sind erforderlich, um das Potenzial von Yoga in der Therapie der AN noch besser bewerten zu können.
The ability to cognitively regulate emotional responses to aversive events is essential for mental and physical health. One prerequisite of successful emotion regulation is the awareness of emotional states, which in turn is associated with the awareness of bodily signals [interoceptive awareness (IA)]. This study investigated the neural dynamics of reappraisal of emotional responses in 28 participants who differed with respect to IA. Electroencephalography was used to characterize the time course of emotion regulation. We found that reappraisal was accompanied by reduced arousal and significant modulation of late neural responses. What is more, higher IA facilitated downregulation of affect and was associated with more pronounced modulation of underlying neural activity. Therefore, we conclude that IA not only advances the consolidation of somatic markers required for guiding individual behaviour but also creates processing advantages in tasks referring to these bodily markers.
Keeping the breath in mind
(2021)
Scientific interest in the brain and body interactions has been surging in recent years. One fundamental yet underexplored aspect of brain and body interactions is the link between the respiratory and the nervous systems. In this article, we give an overview of the emerging literature on how respiration modulates neural, cognitive and emotional processes. Moreover, we present a perspective linking respiration to the free-energy principle. We frame volitional modulation of the breath as an active inference mechanism in which sensory evidence is recontextualized to alter interoceptive models. We further propose that respiration-entrained gamma oscillations may reflect the propagation of prediction errors from the sensory level up to cortical regions in order to alter higher level predictions. Accordingly, controlled breathing emerges as an easily accessible tool for emotional, cognitive, and physiological regulation.
Introduction:
Decision making results not only from logical analyses, but seems to be further guided by the ability to perceive somatic information (interoceptive accuracy). Relations between interoceptive accuracy and decision making have been exclusively studied in adults and with regard to complex, uncertain situations (as measured by the Iowa Gambling Task, IGT).
Methods:
In the present study, 1454 children (6-11 years) were examined at two time points (approximately 1 year apart) using an IGT as well as a delay-of-gratification task for sweets-items and toy-items. Interoceptive accuracy was measured using a child-adapted version of the Heartbeat Perception Task.
Results:
The present results revealed that children with higher, as compared to lower, interoceptive accuracy showed more advantageous choices in the IGT and delayed more sweets-items, but not toy-items, in a delay-of-gratification task at time point 2 but not at time point 1. However, no longitudinal relation between interoceptive accuracy and decision making 1 year later could be shown.
Discussion:
Results indicate that interoceptive accuracy relates to decision-making abilities in situations of varying complexity already in middle childhood, and that this link might consolidate across the examined 1-year period. Furthermore, the association of interoceptive accuracy and the delay of sweets-items might have implications for the regulation of body weight at a later age.
Interoception is an often neglected but crucial aspect of the human minimal self. In this perspective, we extend the embodiment account of interoceptive inference to explain the development of the minimal self in humans. To do so, we first provide a comparative overview of the central accounts addressing the link between interoception and the minimal self. Grounding our arguments on the embodiment framework, we propose a bidirectional relationship between motor and interoceptive states, which jointly contribute to the development of the minimal self. We present empirical findings on interoception in development and discuss the role of interoception in the development of the minimal self. Moreover, we make theoretical predictions that can be tested in future experiments. Our goal is to provide a comprehensive view on the mechanisms underlying the minimal self by explaining the role of interoception in the development of the minimal self.
"BreaThink"
(2021)
Cognition is shaped by signals from outside and within the body. Following recent evidence of interoceptive signals modulating higher-level cognition, we examined whether breathing changes the production and perception of quantities. In Experiment 1, 22 adults verbally produced on average larger random numbers after inhaling than after exhaling. In Experiment 2, 24 further adults estimated the numerosity of dot patterns that were briefly shown after either inhaling or exhaling. Again, we obtained on average larger responses following inhalation than exhalation. These converging results extend models of situated cognition according to which higher-level cognition is sensitive to transient interoceptive states.