Systematic review and meta-analysis of the relationship between the heartbeat-evoked potential and interoception

被引:127
作者
Coll, Michel-Pierre [1 ]
Hobson, Hannah [2 ]
Bird, Geoffrey [3 ]
Murphy, Jennifer [4 ]
机构
[1] McGill Univ, Dept Psychol, 2001 McGill Coll, Montreal, PQ H3A 1G1, Canada
[2] Univ York, Dept Psychol, York YO10 5DD, N Yorkshire, England
[3] Univ Oxford, Dept Expt Psychol, Anna Watts Bldg,Woodstock Rd, Oxford OX2, England
[4] Royal Holloway Univ London, Dept Psychol, Egham TW20 0EX, Surrey, England
基金
加拿大健康研究院; 英国经济与社会研究理事会;
关键词
Heartbeat evoked potential; Interoceptive accuracy; Meta-analysis; HEP; CORTICAL REPRESENTATION; CARDIAC AWARENESS; BRAIN POTENTIALS; NEURAL MARKERS; PERCEPTION; SENSITIVITY; AMPLITUDES; RESPONSES; SIGNALS;
D O I
10.1016/j.neubiorev.2020.12.012
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
The Heartbeat Evoked Potential (HEP) has been proposed as a neurophysiological marker of interoceptive processing. Despite its use to validate interoceptive measures and to assess interoceptive functioning in clinical groups, the empirical evidence for a relationship between HEP amplitude and interoceptive processing, including measures of such processing, is scattered across several studies with varied designs. The aim of this systematic review and meta-analysis was to examine the body of HEP-interoception research, and consider the associations the HEP shows with various direct and indirect measures of interoception, and how it is affected by manipulations of interoceptive processing. Specifically, we assessed the effect on HEP amplitude of manipulating attention to the heartbeat; manipulating participants' arousal; the association between the HEP and behavioural measures of cardiac interoception; and comparisons between healthy and clinical groups. Following database searches and screening, 45 studies were included in the systematic review and 42 in the meta-analyses. We noted variations in the ways individual studies have attempted to address key confounds, particularly the cardiac field artefact. Meta-analytic summaries indicated there were moderate to large effects of attention, arousal, and clinical status on the HEP, and a moderate association between HEP amplitude and behavioural measures of interoception. Problematically, the reliability of the meta-analytic effects documented here remain unknown, given the lack of standardised protocols for measuring the HEP. Thus, it is possible effects are driven by confounds such as cardiac factors or somatosensory effects.
引用
收藏
页码:190 / 200
页数:11
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