Interoception, mindfulness and touch: A meta-review of functional MRI studies

Casals-Gutiérrez, Sergi; Abbey, Hilary

doi:10.1016/j.ijosm.2019.10.006

Cited by 31 publications

(22 citation statements)

References 117 publications

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“…These self-report findings are also supported by neuroscientific studies that have found evidence for increased insular activation, the brain region associated with interoception [ 10 , 31 , 32 ], after an MBI in a general population [ 33 ] and in mindfulness meditators [ 34 ]. A recent meta-review on the topic confirms these findings by showing that, across various systematic reviews, the insular cortex is the brain area most consistently activated by both interoception and mindfulness [ 35 ]. Conversely, studies assessing other facets of interoception have found weak or no associations between mindfulness and interoceptive accuracy and detection [ 36 , 37 ].…”

Section: Introductionmentioning

confidence: 88%

Mindfulness-Based Interventions and Body Awareness

Pérez-Peña

Notermans²,

Desmedt

et al. 2022

Brain Sciences

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Body awareness (BA) has long been proposed as a working mechanism of mindfulness-based interventions (MBIs), yet research on the mediating role of BA is scarce. Hence, the present study assesses the impact of an 8-week MBI on self-reported and indirect measures of BA, investigates the potential mediating role of BA in the relationship between an MBI and symptomatology, evaluates the impact of an MBI on important psychological processes (i.e., experiential avoidance, rumination, self-efficacy, and self-discrepancy), and explores whether these variables act alongside BA in mediating the relationship between an MBI and symptomatology. A non-randomized controlled trial was conducted with 148 participants (n = 89 in the MBI group; n = 59 in the control group) who completed questionnaires assessing BA and the above-mentioned psychological processes before and after an MBI. A sub-sample of participants (n = 86) completed a task that evaluates BA indirectly. Results showed a significant effect of MBI on the self-reported BA but not on the indirect measure of BA. The MBI significantly reduced symptomatology, and this effect was mediated by regulatory and belief-related dimensions of BA. Multiple mediator models showed a significant mediation via various pathways involving improved BA and various transdiagnostic psychological processes.

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Section: Introductionmentioning

confidence: 88%

Mindfulness-Based Interventions and Body Awareness

Pérez-Peña

Notermans²,

Desmedt

et al. 2022

Brain Sciences

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“…A recent review of functional magnetic resonance imaging research offers insight on the impact of combined hands-on therapy and mindfulness-based approaches on central sensitization and interoceptive shortfall conditions [ 24 ]. The interoceptive paradigm for osteopathy [ 25 ] reinforces the need for new approaches guided by practitioner [ 26 ] and patient mindfulness [ 27 , 28 ].…”

Section: Resultsmentioning

confidence: 99%

Patient Active Approaches in Osteopathic Practice: A Scoping Review

Lunghi¹,

Baroni²,

Amodio

et al. 2022

Healthcare

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Background: In the field of manual therapies there is a growing interest in moving from passive hands-on approaches to patient active approaches. In the osteopathic field there are both active and passive methods described as integrated in the process of care. However, this prospective linkage has not been formally explored and is not well shared in the community of practice. The present review aims to appraise the relevant literature on the functioning and principles of Patient active osteopathic approaches (PAOAs) and explore a prospective model for selecting the different types of PAOA, highlighting their integration into patient management strategies. Methods: A scoping review was conducted to analyze the relevant literature on the functioning and the different principles of PAOA and to obtain a comprehensive perspective on the phenomenon. Results: The eligible articles provide insights into the mechanisms of functioning and principles of application of active approaches to be integrated with hands-on approaches. These results provide new insights into the relevance of PAOA to clinical practice. Conclusions: The proposal, emerging from the review, may promote discussions in the community of practice and provide a road map for research towards achieving an evidence-based structure for PAOA.

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“…Research demonstrates that the cognitive status of the osteopath (focusing attention on touch vs. audition) influences the subject’s functional connectivity patterns involving brain correlates that process the interoceptive and attentional value of touch (the insula, posterior cingulate cortex, and right inferior–frontal gyrus) ( Cerritelli et al, 2017a ). Furthermore, recent reviews of neuroimaging studies demonstrate functional convergence for mindfulness and touch at the interoceptive cortex—this provides a rationale for investigating the combination of top-down mindfulness–informed and bottom-up touch-based approaches in the treatment of body-mind disorders that involve interoceptive deficits ( Casals-Gutiérrez and Abbey, 2020 ; Baroni et al, 2021 ), including chronic pain ( Di Lernia et al, 2016b ) and depression ( Smith et al, 2021 ). In general, it has been shown that implementing an audio-guided mindfulness-based practice for patients in the waiting room before receiving osteopathic manipulative treatment enhances treatment satisfaction and the patient’s feeling of safety and mindful connection to their own bodies ( Hanley et al, 2021 ).…”

Section: Osteopathymentioning

confidence: 99%

Osteopathy and Mental Health: An Embodied, Predictive, and Interoceptive Framework

Bohlen¹,

Shaw

Cerritelli

et al. 2021

Front. Psychol.

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Globally, mental and musculoskeletal disorders present with high prevalence, disease burden, and comorbidity. In order to improve the quality of care for patients with persistent physical and comorbid mental health conditions, person-centered care approaches addressing psychosocial factors are currently advocated. Central to successful person-centered care is a multidisciplinary collaboration between mental health and musculoskeletal specialists underpinned by a robust therapeutic alliance. Such a collaborative approach might be found in osteopathy, which is typically utilized to treat patients with musculoskeletal disorders but may arguably also benefit mental health outcomes. However, research and practice exploring the reputed effect of osteopathy on patients with mental health problems lack a robust framework. In this hypothesis and theory article, we build upon research from embodied cognition, predictive coding, interoception, and osteopathy to propose an embodied, predictive and interoceptive framework that underpins osteopathic person-centered care for individuals with persistent physical and comorbid mental health problems. Based on the premise that, for example, chronic pain and comorbid depression are underlined by overly precise predictions or imprecise sensory information, we hypothesize that osteopathic treatment may generate strong interoceptive prediction errors that update the generative model underpinning the experience of pain and depression. Thus, physical and mental symptoms may be reduced through active and perceptual inference. We discuss how these theoretical perspectives can inform future research into osteopathy and mental health to reduce the burden of comorbid psychological factors in patients with persistent physical symptoms and support person-centered multidisciplinary care in mental health.

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Interoception, mindfulness and touch: A meta-review of functional MRI studies

Cited by 31 publications

References 117 publications

Mindfulness-Based Interventions and Body Awareness

Mindfulness-Based Interventions and Body Awareness

Patient Active Approaches in Osteopathic Practice: A Scoping Review

Osteopathy and Mental Health: An Embodied, Predictive, and Interoceptive Framework

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