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Gastrointestinal Interoception in Eating Disorders: Charting a New Path.
Sahib S Khalsa1,2, Laura A Berner3, Lisa M Anderson4
1Laureate Institute for Brain Research, 6655 South Yale Ave, Tulsa, OK, 74136, USA. skhalsa@laureateinstitute.org.
Current Psychiatry Reports
|January 21, 2022
Summary
Eating disorders involve abnormal gut sensations due to impaired interoception. New research combines gut physiology and computational modeling to understand and treat these complex conditions.
Area of Science:
- Neuroscience
- Gastroenterology
- Psychiatry
Background:
- Abnormal interoception is common in eating disorders but often overlooked diagnostically.
- Eating involves complex processes extending beyond food consumption.
Purpose of the Study:
- To review evidence of gastrointestinal interoceptive dysfunction in eating disorders.
- To explore the role of predictive processing in aberrant gut sensations.
Main Methods:
- Review of current literature on interoception and eating disorders.
- Integration of alimentary tract function with interoceptive neuroscience.
- Consideration of predictive processing models.
Main Results:
- Eating disorders exhibit consistent gastrointestinal interoceptive dysfunction.
- Aberrant prediction and error signals contribute to dysregulated gut sensations.
- Emerging interoceptive technologies offer new research avenues.
Conclusions:
- Understanding gastrointestinal interoception is crucial for eating disorder pathophysiology.
- Combining gut physiology, computational modeling, and clinical interventions is key.
- New approaches may yield transdiagnostic treatments for eating disorders.
Keywords:
Anorexia nervosaAvoidant/restrictive food intake disorderBinge-eating disorderBulimia nervosaDigestionInteroceptive awarenessMore Related Videos
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