亚临庆抑郁症状的多维度内感受特征
文献类型：学位论文
| 作者 | 林洁璇 |
| 答辩日期 | 2026-06 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院大学 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 罗非 |
| 关键词 | 抑郁症状 内感受准确性 内感受注意力 正念干预 情绪觉察 |
| 学位名称 | 理学硕士 |
| 学位专业 | 健康心理学 |
| 其他题名 | The Multi-Dimensional Characteristics of Interoception in Community Depression |
| 中文摘要 | Depression, a psychosomatic mental disorder, is characterized by mood dysregulation, anhedonia and somatic symptoms such as sleep disturbances and decreased appetite. The etiology of depression has been widely studied, and recent research has found that interoception plays a significant role in depression onset, leading to the formation of various theories. Interoception refers to an individual's perception and representation of internal body sensations, including sensations such as heartbeat, respiration, and hunger (Craig, 2002). Research in this field generally agrees that interoception is a complex psychological process composed of multiple dimensions, rather than a unidimensional concept. However, there is currently no unified standard for the dimensional division of interoception. Interoception plays an important role in cognitive processes, including emotion and self (Brewer et al，2021; Musculus et al., 2021). Dysregulation of interoceptive function has been observed in various mental disorders, including depression, anxiety disorders, and schizophrenia (Adams et al., 2022; Eggart et al., 2019; Yao&Thakkar, 2022). Atypical interoception is currently considered a common risk factor for many mental disorders (Brewer et al., 2021). The theory of interoceptive prediction error in depression (Barren et al., 2016; Paulus&Stein, 2010) suggests that abnormalities in peripheral interoceptive prediction error signals lead to brain allostasis, which contributes to the onset of depression. Depression is often associated with changes in the morphology and function of interoceptive neural pathways, such as the insula(Gong et al., 2020; Lai& Wu, 2014). However, obtaining stable research results in behavioral studies of depression and interoception is currently challenging due to the lack of correspondence among existing theoretical models and measurement tools (Dunn et al., 2007; Eggart et al., 2019; Karanassios et al., 2021;Terhaar et al., 2012), making it difficult to thoroughly explore the underlying psychological mechanisms of interoception leading to depression. Therefore, selecting appropriate theoretical models and measurement tools is crucial for investigating the association between interoception and depression. Among the existing theoretical models, the 2 X 2 factorial model (Murphy et al., 2019) is more reasonable for the interoceptive dimensions. This theoretical model is based on two factors (Factor 1:measure of interoceptive accuracy or interoceptive attention ability; Factor 2: using behavioral paradigm or a subjective scales), dividing interoception into four dimensions: objective interoceptive accuracy, objective interoceptive attention, subjective interoceptive accuracy and subjective interoceptive attention. It also suggests measure tools for each dimension. Thus, this study, guided by the 2 X 2 factorial model, conducted the following three sub-studies: Study 1 involved revising sel# report scales corresponding to the model, including revisions of the Chinese Interoceptive Accuracy Scale and the Interoceptive Attention Scale, revealed that both scales are unidimensional with good convergent and discriminant validity, and also have good internal reliability and acceptable test-retest reliability. Utilizing the two refined measurement in Study 1，Study 2 focused on the relationship between depressive symptom and interoception from the dimensions of interoceptive accuracy and interoceptive attention (both objective and subjective) based on the 2 X 2 factor model. This study employed a measurement approach combining behavioral paradigms and self-report questionnaires. The result indicated a significant negative correlation between depressive symptoms and subjective interoceptive accuracy with no significant correlation between depressive symptoms and other three dimensions. Meanwhile, high-depressive individuals showed decreased subjective interoceptive accuracy and increased subjective interoceptive attention compared to low-depressive individuals. Study 2 identified changes primarily in the subjective interoceptive dimensions within the depressed group. Based on these findings, Study 3 designed two experiments, namely longitudinal tracking and mindfulness intervention, to explore the potential causal relationship between subjective interoception and depressive symptoms. The longitudinal tracking experiment also examined the influence of emotional awareness on the relationship between interoception and depressive symptoms. A potential causal relationship between two dimensions of subjective interoception and depressive symptoms was showed in the longitudinal perspective. However, the longitudinal mediating effect of emotional awareness was not significant. The thesis draws the following main conclusions based on the experimental results of these studies: (1) This study supported the separation of the interoception on the accuracy/attention and objective/ subjective factors, validating the 2 X 2 factorial model for the delineation of the dimensions of interoception. (2) Community depressive individuals did not have deficits in their ability to perceive bodily signals, but had significantly lower levels of confidence in their interoceptive abilities, which may reflect an abnormality in internal predictive coding model. (3) Subjective interoceptive accuracy and subjective interoceptive attention significantly predicted the future severity of depressive symptoms. However, the casual relationship between interoceptive deficits and depressive symptoms is unclear, requiring further investigation in the future. In summary, this thesis clarified the changes in the dimensions of interoceptive accuracy and attention in depression at the behavioral level based on the 2 X 2 factor model. It also explored the potential causal relationship between depression and interoception. Although there are some limitations in this thesis, its conclusions still have certain inspirational implications for understanding the etiology and therapeutic interventions of depression. |
| 英文摘要 | 抑郁症是一种心身交互的精神疾病，主要特征为心境低落、快感缺失并伴有睡眠障碍、食欲减退等躯体症状。抑郁的发病机制一直以来都受到广泛的关注，近年来的研究发现内感受在抑郁发病中发挥着重要的作用，并由此形成了不同的理论。内感受是指个体对内部生理状态的感知和表征(Craig, 2002),涵盖了身体内部几乎所有的感觉，如心跳、呼吸、饥饿感等。虽然本领域的学者们普遍认为内感受并不是一个单维度的概念，而是由多个维度构成的复杂心理过程，但关于内感受的维度划分并无统一的标准。内感受参与情绪、自我等认知过程(Brewer et al., 2021; Musculus et al., 2021)，同时在许多精神疾病中如抑郁症、焦虑症、精神分裂症等都观察到内感受功能的紊乱(Adams et al., 2022; Eggart eta1., 2019; Yao & Thakkar, 2022)，目前研究者们认为内感受是许多精神疾病的共同风险因子(Brewer et al., 2021) 。 抑郁的内感受贝叶斯推理模型(Barren et al., 2016; Paulus & Stein, 2010)认为，外周内感受预测误差信号的异常引发脑内能量调节功能的紊乱是导致抑郁的发病机制。实证研究发现在抑郁中常能观察到脑岛等内感受神经通路的形态和功能变化(Gong et al., 2020; Lai & Wu, 2014)。然而由于现有许多内感受的理论模型和测量工具间的不对应性，导致现阶段抑郁和内感受的研究难以得到稳定的行为学研究结果(Dunn et al., 2007; Eggart et al., 2019; Karanassios et al., 2021;Terhaar et al., 2012)，在此情况下难以对内感受与抑郁的潜在因果关联进行深入探讨。综上可知，选择合适的理论模型和测量工具对于探讨内感受与抑郁间的关联至关重要。在现有的理论模型中，Murphy等(2019)提出的2X2因子模型对内感受维度的划分较为合理。该理论模型基于两个因子(因子1:测量内感受准确性或内感受注意力能力;因子2:用行为范式还是主观报告进行测量)，将内感受分为客观内感受准确性、客观内感受注意力、主观内感受准确性和主观内感受注意力共四个维度，同时研究者还提出每个维度的测量工具。 因此本研究基于2X2因子模型，展开了以下三个子研究: 研究一对基于该模型开发的两个自我报告工具((Gabriele et al., 2022; Murphy et al., 2020)进行修订，即对中文版内感受准确性问卷和中文版内感受注意力问卷的修订。结果表明以上两个中文版问卷均为单维度问卷，并具有良好的聚合和区分效度，同时具有良好的内部一致性信度和可接受的重测信度; 借助研究一修订的两个测量工具，研究二从2X2因子模型出发，采用行为范式和自我报告问卷相结合的测量方法，从多维度角度探讨抑郁症状与内感受的关系。结果表明个体的抑郁水平与其主观内感受准确性间存在临界负相关，而与其他三个内感受维度并无明显相关关系，同时与低抑郁个体相比，高抑郁个体的主观内感受准确性水平下降，而主观内感受注意力水平呈现上升趋势; 在研究二中发现，高抑郁人群主要存在主观内感受两维度的改变。因此，研究三基于以上实验结果，设计了纵向追踪和正念干预两个实验，探讨主观内感受两维度与抑郁症状间的潜在因果关系。同时在纵向追踪实验中，纳入情绪觉察这一变量对内感受影响抑郁症状的潜在心理机制进行探讨。结果表明基于纵向追踪的角度，主观内感受的两个维度与抑郁症状间存在潜在的预测关系，同时情绪觉察的纵向中介效应并不显著。 通过上述研究的实验结果，本论文获得以下主要结论: (1)研究结果支持了内感受在准确性/注意力和客观/主观两因子上的分离，验证了2X2因子模型对内感受维度划分的合理性; (2)亚临床抑郁个体感受身体信号的能力并无缺陷，但其对自身内感受能力的自信程度显著降低，这可能体现了个体内部贝叶斯推理模型的异常; (3)主观内感受准确性、主观内感受注意力显著预测个体未来的抑郁症状严重程度，但内感受缺陷与抑郁症状是否存在因果关系尚不明确，有待未来做进一步的研究。 综合上述，本论文基于2X2因子模型，明确了抑郁中主观和客观的内感受准确性、注意力维度的变化，同时探讨了内感受变化与抑郁间的潜在因果机制。虽然本论文仍存在一些局限性，但本研究的结论对目前抑郁的发病机制和治疗干预等领域具有一定的启发作用。 |
| 语种 | 中文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/47962]  |
| 专题 | 心理研究所_健康与遗传心理学研究室 |
| 推荐引用方式 GB/T 7714 | 林洁璇. 亚临庆抑郁症状的多维度内感受特征[D]. 中国科学院心理研究所. 中国科学院大学. 2026. |
入库方式： OAI收割
来源：心理研究所
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