Interoceptive Ability Research Articles

P0520 Association between interoception and Visceral Hypervigilance in patients with Inflammatory Bowel Disease

Abstract Background Due to the relapsing course of inflammatory bowel diseases (IBD) with varying disease activity and symptom burden, patients tend to monitor symptoms and bodily sensations to recognize early signs of relapses. Interoception is the ability to perceive and evaluate internal processes of the body. Visceral hypervigilance (VH) describes anxiety and increased attention towards gastrointestinal symptoms. It has been shown to be associated with psychologic comorbidities and reduced quality of life in patients with IBD1, but the factors causing VH are still unknown. In this study we explored whether changes in interoceptive abilities (accuracy, I-acc; sensibility, I-sens and awareness, I-aw) are associated with VH. Methods Adults with IBD (n=34) performed a heartbeat tracking task (Schandry, 1981) for assessment of I-acc and completed questionnaires to assess VH (Visceral Sensitivity Index, VSI) and I-sens. Correlations between I-acc and I-sens were used for an approximation of I-aw. Associations were examined using t-tests and Pearson correlation. Results A preliminary examination of the current sample (recruitment is ongoing) showed no significant association between VH and I-acc (r=-0.041; p=0.817) or I-sens (r=0.236; p=0.178). Comparison of a low VH (VSI<20) vs high VH (VSI>40) group showed no significant differences in I-acc or I-sens (VSI<20: n=11; VSI>40: n=9; I-sens: t= -1,183; p= 0,126; I-acc: t= 0,47; p=0,322). Moreover I-aw was not significantly different between a high VH and a low VH group (z=0.218, p=0.828). I-acc and I-sens correlated positively (r=0.374 p = 0.018). VH was strongly correlated with symptoms of anxiety (r=0.659, p<0.001) and depression (r=0.618; p<0.001), but I-acc was not significantly associated with symptoms of anxiety and depression (anxiety r=0.188 p=0.328; depression r=0.067, p=0.729). I-sens was associated with symptoms of anxiety (r= 0.371, p = 0.048), but not with symptoms of depression (r=0.32, p=0.091). Conclusion Our preliminary results suggest no associations between VH and objective or subjective interoceptive abilities in patients with IBD. This may be owed to the small sample size with only few patients showing high or low VH. Moreover - even though previous data showed a relationship between perception of cardiac and gastrointestinal signals, and both communicate via the vagal nerve 2-3 - heart-beat tracking may not be the optimal task to measure interoception in patients with IBD. VH and interoception should be examined in larger IBD samples that include individuals with a higher symptom burden. Future studies may also explore further possibilities to assess interoception in IBD patients.

Exploring Individual Differences in Interoception Among Athletes Based on a Three-Dimensional Construct of Interoception.

Previous studies demonstrated that sensorimotor training enhances interoceptive abilities. Athletes are highly engaged in performance-driven physical training and often incorporate-to varying degrees-sensorimotor training into their routines. In this study, we investigated the role of individual differences in interoception by comparing professional athletes of different performance levels and both sexes with recreational athletes and controls, applying a three-dimensional model of interoception. Twenty-six elite athletes, 52 recreational athletes, and 50 college students were recruited from national sports teams, local sports training centers, and local universities. We used the Multidimensional Assessment of Interoperative Awareness (MAIA), the Heartbeat Detecting Task (HDT), and a numeric rating scale based on HDT to measure interoceptive sensibility, accuracy, and awareness. At average, athletes showed significantly higher interoceptive sensibility, interoceptive accuracy, and interoceptive awareness than controls. Elite athletes reported significantly higher scores in all measures of interception compared to recreational athletes. Intriguingly, Non-Distracting for interoceptive sensibility was positively correlated with the level of experience in elite athletes. Male athletes had better interoceptive sensibility and interoceptive awareness compared to female athletes in the elite group, while no significant sex differences were detected in the other two groups. These results indicated that level of sport experience and sex are associated with differences in interoceptive accuracy, interoceptive sensibility, and interoceptive awareness. It also suggests that interoceptive ability is possibly an experience-dependent trait for athletic performance, which provides insight for improving sports performance through an approach of enhancing interoceptive ability.

Emotion, embodiment, and aesthetic appraisal: The impact of interoceptive abilities and art type.

Emotion, embodiment, and aesthetic appraisal: The impact of interoceptive abilities and art type.

Supplemental Material for Emotion, Embodiment, and Aesthetic Appraisal: The Impact of Interoceptive Abilities and Art Type

Supplemental Material for Emotion, Embodiment, and Aesthetic Appraisal: The Impact of Interoceptive Abilities and Art Type

Investigating the modulation of gastric sensations and disposition toward food with taVNS.

Interoception, the perception of visceral sensations, is key for several survival functions, including those related to feeding behavior. Sensations of hunger and satiety are mediated by gastric signals transmitted via the vagus nerve to the Nucleus of Solitary Tract. Transcutaneous auricular vagus nerve stimulation (taVNS) has been shown to modulate brain-viscera communication and to impact interoceptive processing in the cardiac domain. Yet, its effect on gastric interoception remains unclear. The aim of this study was to investigate taVNS' modulatory effects on gastric interoception using the Water Load Test-II (WLT-II) and its impact on food-related dispositions through a disposition and willingness to eat task (DWET). Participants underwent active or sham taVNS while performing the WLT-II and DWET. Results showed no significant difference in gastric interoceptive accuracy and amount of water ingested between taVNS groups. However, we found a significant reduction in food liking after the fullness phase of the WLT-II in the active (vs sham) taVNS group, suggesting an influence of vagal activation in the inhibition of food enjoyment when satiated. These findings suggest that, while taVNS may not directly enhance gastric interoceptive accuracy at a conscious level, it influences food-related dispositions, likely by modulating the processing of gastric signals. Further research exploring the intricate relationship between vagal modulation, interoceptive abilities and eating behaviors is warranted to elucidate the underlying mechanisms and, possibly, develop targeted interventions for eating disorders.

Interoceptive Ability and Emotion Regulation in Mind-Body Interventions: An Integrative Review.

It is increasingly recognized that interoceptive ability, the capacity to detect, interpret, and consciously integrate signals related to the physiological condition of the body, is central to emotion experience and regulation. Interoceptive ability can be trained and improved through mind-body interventions. This article attempts to provide an integrative review of the link between interoceptive ability and emotion regulation in mind-body interventions. To this aim, (1) we address the constructs of interoceptive ability and mind-body interventions in relation to the double pathway of emotion regulation, and (2) we include a review of selected empirical and qualitative studies. These show that mindfulness meditation affects the brain-body axis through top-down processing, improving both interoceptive ability and emotion regulation. Interventions based on bottom-up processing through body movement and emotional expression are illustrated, but it is argued that they are still under-investigated. In light of the literature reviewed, we contend that interoceptive ability is a crucial aspect associated with the effects of mind-body interventions on emotion regulation. Additionally, we suggest that if studied through both quantitative and qualitative methods, interoceptive ability may serve as a general construct that allows a more integrated view of the polarities related to the spectrum of embodied experience: top-down and bottom-up emotion processing, observational and non-observational body awareness, conscious and unconscious level of interoception.

The heart can lie: a preliminary investigation of the role of interoception and theory of mind in deception

While a large part of the deception literature focuses on lying detection, the factors contributing to one’s ability to lie remain unclear. The present study examined the contribution of Theory of Mind (ToM) and interoception on our ability to lie using a directed lie paradigm with two conditions (“Interrogation” and “Polygraph”), designed to enhance each of the two mechanisms. Given the relatively small sample size (n = 26 × 40 trials), special steps were taken to avoid false positives. Our results suggest that various facets of interoceptive abilities are positively related to the self-rated confidence in one’s own lies, especially when under the belief that bodily signals are being monitored (i.e., in the “Polygraph” condition). Beyond providing evidence for the role of the body in lying and raising interesting questions for deception science, these results carry practical implications for criminology and lie detection protocols.

Investigating Disembodiment-related Brain Activation by Interaction between Perspective-shifting and the Experience of Agency in Autism Spectrum Disorder: A Possible Relationship with Interoceptive Abilities.

Many studies have explored sense of self in individuals with autism spectrum disorder (ASD); however, few have reported on their experience of "disembodiment." This study aimed to investigate the differences in brain activity between patients with ASD and neurotypicals (NTs) under conditions causing disembodiment and to examine the correlation between their interoceptive abilities and disembodiment-related brain activity. 18 Participants with ASD and 21 NTs completed psychological evaluations, interoceptive abilities measurement, and functional magnetic resonance imaging (fMRI). The fMRI images were taken while the participants performed tasks involving ball-throwing animations. The task focused on either self-agency related to ball-throwing (Agency Task) or the spatial location of a ball (Location Task). The animations were presented from constantly changing perspective (Changing View) or fixed perspective (Fixed View). The disembodiment-related condition was the interaction between the Agency Task and Changing View. Participants with ASD exhibited higher activation than NTs in regions near the left parieto-temporo-occipital junction, left precuneus, left hippocampus, and other brain areas. Furthermore, interoceptive accuracy was negatively correlated with the activity of the left superior parietal and posterior midcingulate areas, whereas interoceptive trait prediction error was positively correlated with the activity of the left hippocampus, mid-temporal area, and left posterior cingulate area in participants with ASD. These results suggest that disembodiment-related brain activation might be easily manifested by the interaction between perspective-shifting and the experience of agency, and that interoceptive abilities might be related to disembodiment-related brain activation in individuals with ASD.

Disturbances of Interoception in Schizophrenia – Focus on Neuroimaging

Abstract: The current paper presents the most recent theoretical understanding of interoception (INTC) in light of the predictive processing framework and the Embodied Predictive Interoceptive Coding model and reviews recent experimental data on different interoceptive disturbances in schizophrenia (SCZ) such as lower interoceptive accuracy, nociceptive dysfunction reflected by reduced pain sensitivity, disturbed thermoregulation, impaired gastrointestinal regulation, cardiovascular and respiratory dysfunction, and immune disturbances. The immense clinical implications of these disturbances are discussed in the context of the high rates of morbidity and mortality in SCZ related to suicide and cardiac death. Next, the potential of INTC-related treatments is reviewed, and conclusions are made on the evidence for the use of vagus nerve stimulation, mindfulness-based interventions, and exercise therapy. The neuroimaging perspective is given in a brief account of the INTC-related findings in healthy individuals suggesting the right anterior insula and anterior cingulate cortex as key brain areas for interoceptive awareness, accuracy, and sensibility, by supporting higher-order representation and integration of visceral, and somatosensory interoception with exteroceptive information. In SCZ, on the other hand, neuroimaging research on specific interoceptive abilities is lacking but indirect evidence points to disrupted activation of major INTC network hubs. There is converging evidence of changes in these hubs in terms of both structure and function (volume reductions, aberrant activation, and connectivity). This narrative review identifies several gaps in contemporary INTC-related research in SCZ that need to be addressed in future experimental and clinical studies to elucidate the exact nature of the disturbances of interoceptive abilities in modalities other than cardioception; the interactions between different interoceptive modalities; the association between interoceptive abilities and other mental functions (such as emotion recognition and regulation, decision making, learning, memory, etc.); the efficacy of nonpharmacological and pharmacological INTC-based interventions; and the relation of disturbed interoceptive abilities with brain structure and function.

I can feel my heartbeat: The relationship between interoceptive abilities and emotional states during stress and recovery in healthy adolescents.

The goal of the current study was to investigate the differential effects of three interoception dimensions on psychophysiological stress responses (reactivity and recovery) in adolescents. A total of 102 adolescents (Mage = 14.10 years, SDage = 0.63; 50 males) completed the heartbeat counting task with adapted instructions to assess interoceptive accuracy, sensibility, and awareness. During a follow-up session, participants underwent a standardized stressful task, throughout which measures of negative affect and respiratory sinus arrythmia (RSA) were collected. Results from multilevel models indicated that adolescents with higher interoceptive accuracy reported less pronounced increases in negative affect during stress induction, and subsequently experienced a less steep decrease in negative affect during recovery, compared to those with lower accuracy. Regarding RSA, adolescents with higher interoceptive accuracy exhibited greater decreases in RSA from baseline to stress, while those with higher interoceptive awareness maintained higher RSA levels throughout the experiment. In contrast, individuals with higher interoceptive sensibility exhibited lower levels of RSA during the experiment. These findings add to the limited literature on interoception in adolescents by illuminating its role in emotional experiences, stress responses, and recovery processes. Our study suggests that examining distinct dimensions of interoception, along with physiological measures during stress and recovery, is crucial for understanding its beneficial or adverse effects in adolescence. The complexity and potential significance of interoceptive dimensions extend beyond their correlations with traditional self-report measures, warranting further investigation to clarify their implications and underlying mechanisms.

Age-related changes of interoceptive brain networks: Implications for interoception and alexithymia.

Aging is known to be associated with a decline in interoceptive abilities and changes in emotional processing, including alexithymia. As the brain areas supporting interoceptive awareness participate in the perception of emotion, we suggested that interoceptive decline and alexithymia in older adults may share common neural ground. To test this hypothesis, we administered functional magnetic resonance imaging-based heartbeat detection task to 62 adults of diverse ages (range 18-73) and evaluated a larger sample of older and younger adults using questionnaires characterizing interoceptive sensibility, alexithymia, and depressive attitudes. We found that increasing age was linked to decreased activation during the interoceptive task, including the right insular-opercular and supplementary motor areas (SMAs). Age also affected task-based functional connectivity, with two major effects being a decrease in the connectivity of the SMA-insular network and an increase in the connectivity of the prefrontal-lateral occipital network. Path analysis performed for interoceptive accuracy as the endogenous variable revealed that the impact of age was mediated by the functional activation of the insular cortex and SMA and by the connectivity between these areas. Another path analysis using alexithymia as the endogenous variable while controlling for depressive attitudes showed that the effect of age was mediated by interoceptive decline. The study supports the role of central mechanisms in age-related interoceptive decline and shows its implications for alexithymia. Since alexithymia represents a risk factor for mental and cardiovascular diseases, the study findings may open an important direction toward maintaining older adults' well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Lost at sea: Impact of an ocean survival experience on psychological, physiological and cognitive abilities (RAD'LÔ)

Survival in an extreme environment places high physiological and cognitive demands on the individual. These environments are characterized by specific stimuli, including unusual sensory stimulation and uncertainty, which induce intense stress. Thus, the aims of this study are: i) to evaluate the impact of a five-day survival at sea simulation on human adaptive capacities, based on the assessment of psychological, cognitive, physiological, and sensorial measures; and ii) to assess recovery. Twenty-one healthy participants were enrolled in a 5-day simulation onboard a lifeboat or an inflatable raft. Psychological, physiological, sensory, and cognitive measurements were recorded before leaving (baseline), at the end of the experiment (post) and during the week that followed (recovery). Our results are unequivocal. The harshness of the environment affected the majority of the organism's responses. On the cognitive level, performance significantly deteriorated. On the psychological level, there was low mood, a decrease in subjective exteroceptive acuity and sleep disorders, increased energy, and less perceived stress. On the physiological level, a decline was recorded with respect to autonomous nervous system measurements. On the sensory level, we observed a state of hypervigilance and hypersensitivity to stimuli from the external environment. Proprioception was deeply impacted. Moreover, at recovery, many individuals did not fully recover or deteriorated further, especially regarding sleep, interoceptive abilities and sensory distortion. It appears that participants entered a state of psychological hibernation, associated with increased physical and cognitive load, and sensory hypervigilance. These results raise the question of the risks that may be incurred during future long-term space missions, as astronauts will have to maintain their cognitive performance at a high level to be able to respond to environmental demands and remain alive. It is essential to continue to explore countermeasures that will support adaptation in future spacecraft crew.

Individual differences in interoception and autistic traits share altered facial emotion perception, but not recognition per se

While alterations in both physiological responses to others’ emotions as well as interoceptive abilities have been identified in autism, their relevance in altered emotion recognition is largely unknown. We here examined the role of interoceptive ability, facial mimicry, and autistic traits in facial emotion processing in non-autistic individuals. In an online Experiment 1, participants (N = 99) performed a facial emotion recognition task, including ratings of perceived emotional intensity and confidence in emotion recognition, and reported on trait interoceptive accuracy, interoceptive sensibility and autistic traits. In a follow-up lab Experiment 2 involving 100 participants, we replicated the online experiment and additionally investigated the relationship between facial mimicry (measured through electromyography), cardiac interoceptive accuracy (evaluated using a heartbeat discrimination task), and autistic traits in relation to emotion processing. Across experiments, neither interoception measures nor facial mimicry accounted for a reduced recognition of specific expressions with higher autistic traits. Higher trait interoceptive accuracy was rather associated with more confidence in correct recognition of some expressions, as well as with higher ratings of their perceived emotional intensity. Exploratory analyses indicated that those higher intensity ratings might result from a stronger integration of instant facial muscle activations, which seem to be less integrated in intensity ratings with higher autistic traits. Future studies should test whether facial muscle activity, and physiological signals in general, are correspondingly less predictive of perceiving emotionality in others in individuals on the autism spectrum, and whether training interoceptive abilities might facilitate the interpretation of emotional expressions.

Exploring the impact of maternal early life adversity on interoceptive sensibility in pregnancy: implications for prenatal depression

PurposePregnancy is a sensitive period of development in adult life characterized by massive changes in physical, emotional, and cognitive function. Such changes may be adaptive, e.g., facilitating adjustment to physical demands, but they may also reflect or contribute to risks inherent to this stage of life, e.g., prenatal depression. One cognitive ability that may undergo change during pregnancy and contribute to mental wellness is interoception - the ability to perceive, integrate, and model sensory information originating from the body. Strong interoceptive abilities are associated with lower rates of depression in non-pregnant adult populations, and interoception is generally weaker in individuals at higher risk for depression, for example, exposure to early life adversity (ELA). In the present online, cross-sectional study, we investigated whether interoception in pregnant women differed based on histories of ELA, in ways that increased their relative risk for prenatal depression symptoms.MethodsThe pregnant individuals were in the second trimester of their first pregnancy and were compared to a group of nulliparous, non-parenting women.ResultsPrevious exposure to ELA significantly moderated pregnancy-related differences in self-reported interoception (interoceptive sensibility). A further moderated-mediation analysis revealed that the extent to which interoceptive sensibility buffered against depressive symptoms was conditional on ELA exposure, suggesting more ELA is associated with lower interoceptive sensibility during pregnancy, which increased prenatal depression risk.ConclusionsTogether this work suggests that levels of interoception during pregnancy are sensitive to previous adversity exposure. It also suggests that interoceptive-focused interventions for preventing/treating prenatal depressive symptoms in high-risk women may be worth exploring.

Interoceptive training with real-time haptic versus visual heartbeat feedback.

The perception of signals from within the body, known as interoception, is increasingly recognized as a prerequisite for physical and mental health. This study is dedicated to the development of effective technological approaches for enhancing interoceptive abilities. We provide evidence of the effectiveness and practical feasibility of a novel real-time haptic heartbeat supplementation technology combining principles of biofeedback and sensory augmentation. In a randomized controlled study, we applied the developed naturalistic haptic feedback on a group of 30 adults, while another group of 30 adults received more traditional real-time visual heartbeat feedback. A single session of haptic, but not visual heartbeat feedback resulted in increased interoceptive accuracy and confidence, as measured by the heart rate discrimination task, and in a shift of attention toward the body. Participants rated the developed technology as more helpful and pleasant than the visual feedback, thus indicating high user satisfaction. The study highlights the importance of matching sensory characteristics of the feedback provided to the natural bodily prototype. Our work suggests that real-time haptic feedback might be a superior approach for strengthening the mind-body connection in interventions for physical and mental health.

Extreme weight conditions impact on the relationship between risky decision-making and interoception

Anorexia nervosa (AN) and obesity (OB) lie on the two ends of the broad spectrum of extreme weight conditions (EWC). Both disorders entail the constant risk to one's body integrity. Importantly, risk-taking is supported by internal signals, the perception of which is typically distorted in EWC. In this study, we sought to characterize in EWC: (i) risky decision-making by contrasting situations in which people process bodies or neutral objects and (ii) the relationship between interoceptive ability and risky decision-making. In a between-subject design, participants with AN restricting type, participants with class 2 OB, and two groups of matched healthy controls (HC) (total N = 160) were administered either the Balloon Analogue Risk Task (BART) or a modified version of it by using a body-related stimulus as a cue in the place of the balloon. Moreover, we collected a measure of interoceptive sensibility and a measure of interoceptive accuracy. Results showed that, when analysing the global population as a continuum based on the BMI, the risk propensity decreased as a function of increased BMI, only for the task involving a body-related stimulus. Moreover, while HC risk propensity toward a body-related stimulus correlated with interoceptive sensibility, such correlation was absent in participants with AN. Individuals with OB, on the opposite pole, showed mixed interaction between interoception and risky decision-making in both tasks. These findings add one more tile to understanding these complex pathologies in the EWC spectrum, opening up future differential rehabilitation scenarios.

Interoceptive attention and mood in daily life: an experience-sampling study.

Theories of emotion ascribe a fundamental role to the processing of bodily signals (interoception) in emotional experience. Despite evidence consistent with this, current knowledge is limited by a focus on interoceptive accuracy and laboratory-based interoception measures. This experience-sampling study examines how state interoceptive attention and state emotional experience are related in everyday life, providing the first data to our knowledge examining: (1) within-subject fluctuations in interoceptive attention across domains, and (2) the relationship between trait and state interoception. Compared with rates of exteroceptive attention (auditory attention: engaged 83% of the time), interoceptive signals captured attention approximately 20% of the time, with substantial within- and between-person variability across domains. There were relationships between interoceptive attention and emotion in daily life (greater attention being associated with more negative valence and fatigue) that were specific to interoceptive attention (different patterns were observed with exteroceptive attention). State measures of interoceptive (but not exteroceptive) attention were correlated with the trait interoceptive attention, but not accuracy. Results underscore the relationship between interoceptive attention and emotion, providing new insights into interoceptive attention and the structure of interoceptive ability. Future research should examine the source(s) of within- and between-person variability in interoceptive and exteroceptive attention and its relationship with emotional experience. This article is part of the theme issue 'Sensing and feeling: an integrative approach to sensory processing and emotional experience'.

The Relationship Between Brain Activation for Taking Others' Perspective and Interoceptive Abilities in Autism Spectrum Disorder: An fMRI Study.

In this functional magnetic resonance imaging study, we aimed to investigate the differences in brain activation between individuals with autism spectrum disorder (ASD) and typically developing (TD) individuals during perspective taking. We also examined the association between brain activation and empathic and interoceptive abilities. During scanning, participants from the ASD (n=17) and TD (n=22) groups were shown pain stimuli and asked to rate the level of the observed pain from both self- and other-perspectives. Empathic abilities, including perspective taking, were measured using an empathic questionnaire, and three dimensions of interoception were assessed: interoceptive accuracy, interoceptive sensibility, and interoceptive trait prediction errors. During self-perspective taking, the ASD group exhibited greater activation in the left precuneus than the TD group. During other-perspective taking, relative hyperactivation extended to areas including the right precuneus, right superior frontal gyrus, left caudate nucleus, and left amygdala. Brain activation levels in the right superior frontal gyrus while taking other-perspective were negatively correlated with interoceptive accuracy, and those in the left caudate were negatively correlated with perspective taking ability in the ASD group. Individuals with ASD show atypical brain activation during perspective taking. Notably, their brain regions associated with stress reactions and escape responses are overactivated when taking other-perspective. This overactivity is related to poor interoceptive accuracy, suggesting that individuals with ASD may experience difficulties with the self-other distinction or atypical embodiment when considering another person's perspective.

Insights into interoceptive and emotional processing: Lessons from studies on insular HD-tDCS.

Interoception, the processing of internal bodily signals, is proposed as the fundamental mechanism underlying emotional experiences. Interoceptive and emotional processing appear distorted in psychiatric disorders. However, our understanding of the neural structures involved in both processes remains limited. To explore the feasibility of enhancing interoception and emotion, we conducted two studies using high-definition transcranial direct current stimulation (HD-tDCS) applied to the right anterior insula. In study one, we compared the effects of anodal HD-tDCS and sham tDCS on interoceptive abilities (sensibility, confidence, accuracy, emotional evaluation) in 52 healthy subjects. Study two additionally included physical activation through ergometer cycling at the beginning of HD-tDCS and examined changes in interoceptive and emotional processing in 39 healthy adults. In both studies, HD-tDCS was applied in a single-blind cross-over online design with two separate sessions. Study one yielded no significant effects of HD-tDCS on interoceptive dimensions. In study two, significant improvements in interoceptive sensibility and confidence were observed over time with physical preactivation, while no differential effects were found between sham and insula stimulation. The expected enhancement of interoceptive and emotional processing following insula stimulation was not observed. We conclude that HD-tDCS targeting the insula does not consistently increase interoceptive or emotional variables. The observed increase in interoceptive sensibility may be attributed to the activation of the interoceptive network through physical activity or training effects. Future research on HD-tDCS involving interoceptive network structures could benefit from protocols targeting larger regions within the network, rather than focusing solely on insula stimulation.

Maternal interoceptive focus is associated with greater reported engagement in mother-infant stroking and rocking.

Parental caregiving during infancy is primarily aimed at the regulation of infants' physiological and emotional states. Recent models of embodied cognition propose that interoception, i.e., the perception of internal bodily states, may influence the quality and quantity of parent-infant caregiving. Yet, empirical investigations into this relationship remain scarce. Across two online studies of mothers with 6- to 18-month-old infants during Covid-19 lockdowns, we examined whether mothers' self-reported engagement in stroking and rocking their infant was related to self-reported interoceptive abilities. Additional measures included retrospective accounts of pregnancy and postnatal body satisfaction, and mothers' reports of their infant's understanding of vocabulary relating to body parts. In Study 1 (N = 151) and Study 2 (N = 111), mothers reported their engagement in caregiving behaviours and their tendency to focus on and regulate bodily states. In a subsample from Study 2 (N = 49), we also obtained an objective measure of cardiac interoceptive accuracy using an online heartbeat counting task. Across both studies, the tendency to focus on and regulate interoceptive states was associated with greater mother-infant stroking and rocking. Conversely, we found no evidence for a relationship between objective interoceptive accuracy and caregiving. The findings suggest that interoception may play a role in parental engagement in stroking and rocking, however, in-person dyadic studies are warranted to further investigate this relationship.