Interoception and Obsessive-Compulsive Disorder: A Review of Current Evidence and Future Directions

Disrupted interoceptive processes are present in a range of psychiatric conditions, and there is a small but growing body of research on the role of interoception in obsessive-compulsive disorder (OCD). In this review, we outline dimensions of interoception and review current literature on the proce...

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Main Authors: Laura B. Bragdon, Goi Khia Eng, Amanda Belanger, Katherine A. Collins, Emily R. Stern
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686482/full
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author Laura B. Bragdon
Laura B. Bragdon
Goi Khia Eng
Goi Khia Eng
Amanda Belanger
Amanda Belanger
Katherine A. Collins
Katherine A. Collins
Emily R. Stern
Emily R. Stern
author_facet Laura B. Bragdon
Laura B. Bragdon
Goi Khia Eng
Goi Khia Eng
Amanda Belanger
Amanda Belanger
Katherine A. Collins
Katherine A. Collins
Emily R. Stern
Emily R. Stern
author_sort Laura B. Bragdon
collection DOAJ
description Disrupted interoceptive processes are present in a range of psychiatric conditions, and there is a small but growing body of research on the role of interoception in obsessive-compulsive disorder (OCD). In this review, we outline dimensions of interoception and review current literature on the processing of internal bodily sensations within OCD. Investigations in OCD utilizing objective measures of interoception are limited and results mixed, however, the subjective experience of internal bodily sensations appears to be atypical and relate to specific patterns of symptom dimensions. Further, neuroimaging investigations suggest that interoception is related to core features of OCD, particularly sensory phenomena and disgust. Interoception is discussed in the context of treatment by presenting an overview of existing interventions and suggesting how modifications aimed at better targeting interoceptive processes could serve to optimize outcomes. Interoception represents a promising direction for multi-method research in OCD, which we expect, will prove useful for improving current interventions and identifying new treatment targets.
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spelling doaj.art-f5fdab0d4248458b9bc1460792be64502022-12-21T18:48:08ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-08-011210.3389/fpsyt.2021.686482686482Interoception and Obsessive-Compulsive Disorder: A Review of Current Evidence and Future DirectionsLaura B. Bragdon0Laura B. Bragdon1Goi Khia Eng2Goi Khia Eng3Amanda Belanger4Amanda Belanger5Katherine A. Collins6Katherine A. Collins7Emily R. Stern8Emily R. Stern9Department of Psychiatry, New York University School of Medicine, New York, NY, United StatesNathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesDepartment of Psychiatry, New York University School of Medicine, New York, NY, United StatesNathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesDepartment of Psychiatry, New York University School of Medicine, New York, NY, United StatesNathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesNathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Psychiatry, New York University School of Medicine, New York, NY, United StatesNathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, United StatesDisrupted interoceptive processes are present in a range of psychiatric conditions, and there is a small but growing body of research on the role of interoception in obsessive-compulsive disorder (OCD). In this review, we outline dimensions of interoception and review current literature on the processing of internal bodily sensations within OCD. Investigations in OCD utilizing objective measures of interoception are limited and results mixed, however, the subjective experience of internal bodily sensations appears to be atypical and relate to specific patterns of symptom dimensions. Further, neuroimaging investigations suggest that interoception is related to core features of OCD, particularly sensory phenomena and disgust. Interoception is discussed in the context of treatment by presenting an overview of existing interventions and suggesting how modifications aimed at better targeting interoceptive processes could serve to optimize outcomes. Interoception represents a promising direction for multi-method research in OCD, which we expect, will prove useful for improving current interventions and identifying new treatment targets.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686482/fullobsessive-compulsive disorderinteroceptionsensory phenomenadisgustevidence-based treatment
spellingShingle Laura B. Bragdon
Laura B. Bragdon
Goi Khia Eng
Goi Khia Eng
Amanda Belanger
Amanda Belanger
Katherine A. Collins
Katherine A. Collins
Emily R. Stern
Emily R. Stern
Interoception and Obsessive-Compulsive Disorder: A Review of Current Evidence and Future Directions
Frontiers in Psychiatry
obsessive-compulsive disorder
interoception
sensory phenomena
disgust
evidence-based treatment
title Interoception and Obsessive-Compulsive Disorder: A Review of Current Evidence and Future Directions
title_full Interoception and Obsessive-Compulsive Disorder: A Review of Current Evidence and Future Directions
title_fullStr Interoception and Obsessive-Compulsive Disorder: A Review of Current Evidence and Future Directions
title_full_unstemmed Interoception and Obsessive-Compulsive Disorder: A Review of Current Evidence and Future Directions
title_short Interoception and Obsessive-Compulsive Disorder: A Review of Current Evidence and Future Directions
title_sort interoception and obsessive compulsive disorder a review of current evidence and future directions
topic obsessive-compulsive disorder
interoception
sensory phenomena
disgust
evidence-based treatment
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.686482/full
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