Diminished Interoceptive Accuracy in Attention-Deficit/Hyperactivity Disorder: A Systematic Review.

IF 2.9 2区心理学 Q2 NEUROSCIENCES

Psychophysiology Pub Date : 2025-02-01 DOI:10.1111/psyp.14750

Alisha M Bruton, Laura Levy, Navdeep Kaur Rai, Dana Dharmakaya Colgan, Jeanette M Johnstone

{"title":"Diminished Interoceptive Accuracy in Attention-Deficit/Hyperactivity Disorder: A Systematic Review.","authors":"Alisha M Bruton, Laura Levy, Navdeep Kaur Rai, Dana Dharmakaya Colgan, Jeanette M Johnstone","doi":"10.1111/psyp.14750","DOIUrl":null,"url":null,"abstract":"<p><p>Interoception is the perception of one's internal physiological state. Altered interoception may play a role in the pathogenesis of attention-deficit/hyperactivity disorder (ADHD). We reviewed the literature on interoception and ADHD symptoms (inattention, hyperactivity/impulsivity, executive function, emotional dysregulation) in individuals with and without the disorder. Studies included assessments of interoception and ADHD symptoms in (1) individuals with/without diagnoses of ADHD or (2) the general population. Interoception assessments included objective measures (heartbeat-tracking test) and self-report questionnaires. The literature search included the PubMed/MEDLINE, PsychINFO, CINAHL and Scopus databases. A protocol was prospectively registered in the PROSPERO database (CRD #42022351726); the PRISMA guidelines directed reporting. The Newcastle-Ottawa scale was adapted to evaluate study quality. Of 636 articles identified, 17 articles (based on 18 studies) met inclusion criteria. Five studies compared interoception in participants with/without ADHD, and three found that interoception was reduced in participants with ADHD. One study compared interoception between presentations of ADHD, finding no differences. Twelve studies assessed the association of ADHD symptoms and interoception in the general population. Overall, results suggested that interoception is reduced in individuals who reported higher symptoms of inattention, hyperactivity, impulsivity, emotional dysregulation, and executive dysfunction. Studies were of moderate quality; issues included small sample sizes and inadequate reporting. Individuals with ADHD may have decreased interoception compared to individuals without. Interoception is negatively associated with ADHD symptoms in the general population. Interventions focused on improving interoceptive abilities may provide an avenue for ADHD treatment. Future work should consider the role of culture in interoception.</p>","PeriodicalId":20913,"journal":{"name":"Psychophysiology","volume":"62 2","pages":"e14750"},"PeriodicalIF":2.9000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842156/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychophysiology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1111/psyp.14750","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NEUROSCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Interoception is the perception of one's internal physiological state. Altered interoception may play a role in the pathogenesis of attention-deficit/hyperactivity disorder (ADHD). We reviewed the literature on interoception and ADHD symptoms (inattention, hyperactivity/impulsivity, executive function, emotional dysregulation) in individuals with and without the disorder. Studies included assessments of interoception and ADHD symptoms in (1) individuals with/without diagnoses of ADHD or (2) the general population. Interoception assessments included objective measures (heartbeat-tracking test) and self-report questionnaires. The literature search included the PubMed/MEDLINE, PsychINFO, CINAHL and Scopus databases. A protocol was prospectively registered in the PROSPERO database (CRD #42022351726); the PRISMA guidelines directed reporting. The Newcastle-Ottawa scale was adapted to evaluate study quality. Of 636 articles identified, 17 articles (based on 18 studies) met inclusion criteria. Five studies compared interoception in participants with/without ADHD, and three found that interoception was reduced in participants with ADHD. One study compared interoception between presentations of ADHD, finding no differences. Twelve studies assessed the association of ADHD symptoms and interoception in the general population. Overall, results suggested that interoception is reduced in individuals who reported higher symptoms of inattention, hyperactivity, impulsivity, emotional dysregulation, and executive dysfunction. Studies were of moderate quality; issues included small sample sizes and inadequate reporting. Individuals with ADHD may have decreased interoception compared to individuals without. Interoception is negatively associated with ADHD symptoms in the general population. Interventions focused on improving interoceptive abilities may provide an avenue for ADHD treatment. Future work should consider the role of culture in interoception.

查看原文本刊更多论文

注意缺陷/多动障碍的内感受准确性降低：一项系统综述。

内感受是对一个人内在生理状态的感知。内感受改变可能在注意缺陷/多动障碍（ADHD）的发病机制中起作用。我们回顾了内感受和ADHD症状（注意力不集中、多动/冲动、执行功能、情绪失调）在患有和不患有该疾病的个体中的文献。研究包括评估(1)有/没有诊断为ADHD的个体或(2)一般人群的内感受和ADHD症状。内感受评估包括客观测量（心跳跟踪测试）和自我报告问卷。文献检索包括PubMed/MEDLINE、PsychINFO、CINAHL和Scopus数据库。在PROSPERO数据库中前瞻性地注册了一个协议（crd# 42022351726）；PRISMA准则指导报告。采用纽卡斯尔-渥太华量表评价研究质量。在纳入的636篇文章中，17篇（基于18项研究）符合纳入标准。五项研究比较了有/没有多动症的参与者的内感受，其中三项发现有多动症的参与者的内感受减少了。一项研究比较了ADHD表现之间的内感受，没有发现差异。12项研究评估了普通人群中ADHD症状和内感受的关系。总的来说，结果表明，在报告注意力不集中、多动、冲动、情绪失调和执行功能障碍等症状较高的个体中，内感受能力降低。研究质量中等；问题包括样本量小和报告不充分。与没有多动症的人相比，患有多动症的人可能有更少的内感受。在一般人群中，内感受与ADHD症状呈负相关。专注于提高内感受能力的干预措施可能为ADHD治疗提供一条途径。未来的工作应该考虑文化在内感受中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Psychophysiology 医学-神经科学

CiteScore

6.80

自引率

8.10%

发文量

225

审稿时长

2 months

期刊介绍： Founded in 1964, Psychophysiology is the most established journal in the world specifically dedicated to the dissemination of psychophysiological science. The journal continues to play a key role in advancing human neuroscience in its many forms and methodologies (including central and peripheral measures), covering research on the interrelationships between the physiological and psychological aspects of brain and behavior. Typically, studies published in Psychophysiology include psychological independent variables and noninvasive physiological dependent variables (hemodynamic, optical, and electromagnetic brain imaging and/or peripheral measures such as respiratory sinus arrhythmia, electromyography, pupillography, and many others). The majority of studies published in the journal involve human participants, but work using animal models of such phenomena is occasionally published. Psychophysiology welcomes submissions on new theoretical, empirical, and methodological advances in: cognitive, affective, clinical and social neuroscience, psychopathology and psychiatry, health science and behavioral medicine, and biomedical engineering. The journal publishes theoretical papers, evaluative reviews of literature, empirical papers, and methodological papers, with submissions welcome from scientists in any fields mentioned above.