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Psychological interventions for interoception in mental health disorders: A systematic review of randomized-controlled trials

Heim, Nikolas; Bobou, Marina; Tanzer, Michal; Jenkinson, Paul M; Steinert, Christiane; Fotopoulou, Aikaterini; (2023) Psychological interventions for interoception in mental health disorders: A systematic review of randomized-controlled trials. Psychiatry and Clinical Neurosciences , 77 (10) pp. 530-540. 10.1111/pcn.13576. Green open access

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Abstract

Disturbed interoception (i.e., the sensing, awareness, and regulation of internal body signals) has been found across several mental disorders, leading to the development of interoception-based interventions (IBIs). Searching PubMed and PsycINFO, we conducted the first systematic review of randomised-controlled trials (RCTs) investigating the efficacy of behavioural IBIs at improving interoception and target symptoms of mental disorders in comparison to a non-interoception-based control condition [CRD42021297993]. Thirty-one RCTs fulfilled inclusion criteria. Across all studies, a pattern emerged with 20 (64.5%) RCTs demonstrating IBIs to be more efficacious at improving interoception compared to control conditions. The most promising results were found for post-traumatic stress disorder, irritable bowel syndrome, fibromyalgia and substance use disorders. Regarding symptom improvement, the evidence was inconclusive. The IBIs were heterogenous in their approach to improving interoception. The quality of RCTs was moderate to good. In conclusion, IBIs are potentially efficacious at improving interoception for some mental disorders. In terms of symptom reduction, the evidence is less promising. Future research on the efficacy of IBIs is needed. This article is protected by copyright. All rights reserved.

Type: Article
Title: Psychological interventions for interoception in mental health disorders: A systematic review of randomized-controlled trials
Location: Australia
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/pcn.13576
Publisher version: https://doi.org/10.1111/pcn.13576
Language: English
Additional information: © 2023 The Authors. Psychiatry and Clinical Neurosciences published by John Wiley & Sons Australia, Ltd on behalf of Japanese Society of Psychiatry and Neurology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: body awareness, interoception, interoception-based interventions, mental disorders, randomised-controlled trial
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10175009
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