Interoception: Where do we go from here?
- PMID: 37082986
- PMCID: PMC10798007
- DOI: 10.1177/17470218231172725
Interoception: Where do we go from here?
Abstract
In recent years, there has been a significant rise in interest in interoception, the processing of internal bodily signals. This interest has been coupled by increased concerns regarding the measurement and conceptualisation of interoception. Focusing on cardiac interoceptive accuracy, I outline what I believe to be the most pressing issues in the field of interoception-specifically the continued reliance on the heartbeat counting task. I then provide an overview of what I believe to be more general limitations concerning how we measure and conceptualise individual differences in interoception and suggestions for a way forward. Specifically, I believe that by moving beyond single measurements, establishing optimal levels of interoceptive accuracy, and refocusing from accuracy to propensity, we may be able to uncover the real-life relevance of interoceptive abilities.
Keywords: Interoception; body perception; interoceptive accuracy; interoceptive awareness.
Conflict of interest statement
Declaration of conflicting interestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr Murphy has completed paid consultancy work for Zavfit and the Ripple Effect for work on mental health and wellbeing.
Similar articles
-
The relationship between heartbeat counting and heartbeat discrimination: A meta-analysis.Biol Psychol. 2020 Oct;156:107949. doi: 10.1016/j.biopsycho.2020.107949. Epub 2020 Sep 7. Biol Psychol. 2020. PMID: 32911018
-
Classifying individual differences in interoception: Implications for the measurement of interoceptive awareness.Psychon Bull Rev. 2019 Oct;26(5):1467-1471. doi: 10.3758/s13423-019-01632-7. Psychon Bull Rev. 2019. PMID: 31270764 Free PMC article. Review.
-
'Bodily precision': a predictive coding account of individual differences in interoceptive accuracy.Philos Trans R Soc Lond B Biol Sci. 2016 Nov 19;371(1708):20160003. doi: 10.1098/rstb.2016.0003. Epub 2016 Oct 10. Philos Trans R Soc Lond B Biol Sci. 2016. PMID: 28080962 Free PMC article.
-
Interoceptive influences on peripersonal space boundary.Cognition. 2018 Aug;177:79-86. doi: 10.1016/j.cognition.2018.04.001. Epub 2018 Apr 11. Cognition. 2018. PMID: 29655026
-
Towards a psychophysics of interoceptive processes: the measurement of heartbeat detection.Philos Trans R Soc Lond B Biol Sci. 2016 Nov 19;371(1708):20160015. doi: 10.1098/rstb.2016.0015. Epub 2016 Oct 10. Philos Trans R Soc Lond B Biol Sci. 2016. PMID: 28080972 Free PMC article. Review.
Cited by
-
Do expectations shape interoceptive perceptions across body domains? A sham EMF study to test the predictive processing theory.Int J Clin Health Psychol. 2025 Jul-Sep;25(3):100609. doi: 10.1016/j.ijchp.2025.100609. Epub 2025 Jul 18. Int J Clin Health Psychol. 2025. PMID: 40727578 Free PMC article.
-
Cross-Cultural Adaptation and Psychometric Validation of the Body Perception Questionnaire-Short Form (BPQ-SF) Among Chinese Patients With Coronary Heart Disease.Int J Methods Psychiatr Res. 2025 Sep;34(3):e70035. doi: 10.1002/mpr.70035. Int J Methods Psychiatr Res. 2025. PMID: 40856367 Free PMC article.
-
Interoceptive attention and mood in daily life: an experience-sampling study.Philos Trans R Soc Lond B Biol Sci. 2024 Aug 26;379(1908):20230256. doi: 10.1098/rstb.2023.0256. Epub 2024 Jul 15. Philos Trans R Soc Lond B Biol Sci. 2024. PMID: 39005033 Free PMC article.
-
Enhancing interoceptive sensibility through exteroceptive-interoceptive sensory substitution.Sci Rep. 2024 Jun 27;14(1):14855. doi: 10.1038/s41598-024-63231-4. Sci Rep. 2024. PMID: 38937475 Free PMC article.
-
Gender Differences in the Association Between Anxiety and Interoceptive Insight.Eur J Neurosci. 2025 Jan;61(1):e16672. doi: 10.1111/ejn.16672. Eur J Neurosci. 2025. PMID: 39804235 Free PMC article.
References
-
- Adams K. L., Edwards A., Peart C., Ellett L., Mendes I., Bird G., Murphy J. (2022). The association between anxiety and cardiac interoceptive accuracy: A systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews, 140, Article 104754. - PubMed
-
- Ainley V., Tsakiris M., Pollatos O., Schulz A., Herbert B. M. (2020). Comment on “Zamariola et al. (2018), Interoceptive Accuracy Scores are Problematic: Evidence from Simple Bivariate Correlations”—The empirical data base, the conceptual reasoning and the analysis behind this statement are misconceived and do not support the authors’ conclusions. Biological Psychology, 152, Article 107870. - PubMed
-
- Brener J., Kluvitse C. (1988). Heartbeat detection: Judgments of the simultaneity of external stimuli and heartbeats. Psychophysiology, 25(5), 554–561. - PubMed
-
- Brener J., Liu X., Ring C. (1993). A method of constant stimuli for examining heartbeat detection: Comparison with the Brener-Kluvitse and Whitehead methods. Psychophysiology, 30(6), 657–665. - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources