Evidence map›Paper›PMID 24967634›Full record

ArticlePloS one2014

How do you feel when you can't feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder.

Lucas Sedeño, Blas Couto, Margherita Melloni, Andrés Canales-Johnson, Adrián Yoris, Sandra Baez, Sol Esteves, Marcela Velásquez, Pablo Barttfeld, Mariano Sigman and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 134 citations in OpenAlex.

  1. Pooled it
  2. Neural correlates of heart-focused interoception: a functional magnetic resonance imaging meta-analysis.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2016
    Pooled it
  3. The Mind From Within: Visceral Roots of Human Cognition.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 8 institutions in 7 countries.

Lucas SedeñoLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina; UDP-INECO Foundation Core on Neuroscience (UIFCoN), Diego Portales University, Santiago, Chile; National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.
Blas CoutoLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina; UDP-INECO Foundation Core on Neuroscience (UIFCoN), Diego Portales University, Santiago, Chile; National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.
Margherita MelloniLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina; UDP-INECO Foundation Core on Neuroscience (UIFCoN), Diego Portales University, Santiago, Chile; National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.
Andrés Canales-JohnsonUDP-INECO Foundation Core on Neuroscience (UIFCoN), Diego Portales University, Santiago, Chile; Medical Research Council Cognition and Brain Sciences Unit, Cambridge, United Kingdom.
Adrián YorisLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina.
Sandra BaezLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina; UDP-INECO Foundation Core on Neuroscience (UIFCoN), Diego Portales University, Santiago, Chile; National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.
Sol EstevesLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina.
Marcela VelásquezLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina.
Pablo BarttfeldPhysics Department, Laboratory of Integrative Neuroscience, FCEyN UBA and IFIBA, Buenos Aires, Argentina; Cognitive Neuroimaging Unit, Institut National de la Santé et de la Recherche Médicale (INSERM), Paris, France.
Mariano SigmanPhysics Department, Laboratory of Integrative Neuroscience, FCEyN UBA and IFIBA, Buenos Aires, Argentina; National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina; Universidad Torcuato Di Tella, Buenos Aires, Argentina.
Rafael KichicAnxiety Clinic, INECO (Institute of Cognitive Neurology), Buenos Aires, Argentina.
Dante ChialvoNational Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina; Departamento de Matemáticas y Ciencias, Universidad de San Andrés, Buenos Aires, Argentina; David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, United States of America.
Facundo ManesLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina; UDP-INECO Foundation Core on Neuroscience (UIFCoN), Diego Portales University, Santiago, Chile; National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina; Australian Research Council (ACR) Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, New South Wales, Australia.
Tristan A BekinschteinLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina; Medical Research Council Cognition and Brain Sciences Unit, Cambridge, United Kingdom.
Agustin IbanezLaboratory of Experimental Psychology and Neuroscience (LPEN), INECO (Institute of Cognitive Neurology) and Institute of Neuroscience, Favaloro University, Buenos Aires, Argentina; UDP-INECO Foundation Core on Neuroscience (UIFCoN), Diego Portales University, Santiago, Chile; Universidad Autónoma del Caribe, Barranquilla, Colombia; Australian Research Council (ACR) Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, New South Wales, Australia.
Instituto de Neurología Cognitiva · ARUniversidad Diego Portales · CLFavaloro University · ARAustralian Research Council · AUInserm · FRMRC Cognition and Brain Sciences Unit · GBUniversidad Torcuato Di Tella · ARUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depersonalization-Derealization Disorder (DD) typically manifests as a disruption of body self-awareness. Interoception -defined as the cognitive processing of body signals- has been extensively considered as a key processing for body self-awareness. In consequence, the purpose of this study was to investigate whether there are systematic differences in interoception between a patient with DD and controls that might explain the disembodiment symptoms suffered in this disease. To assess interoception, we utilized a heartbeat detection task and measures of functional connectivity derived from fMRI networks in interoceptive/exteroceptivo/mind-wandering states. Additionally, we evaluated empathic abilities to test the association between interoception and emotional experience. The results showed patient's impaired performance in the heartbeat detection task when compared to controls. Furthermore, regarding functional connectivity, we found a lower global brain connectivity of the patient relative to controls only in the interoceptive state. He also presented a particular pattern of impairments in affective empathy. To our knowledge, this is the first experimental research that assesses the relationship between interoception and DD combining behavioral and neurobiological measures. Our results suggest that altered neural mechanisms and cognitive processes regarding body signaling might be engaged in DD phenomenology. Moreover, our study contributes experimental data to the comprehension of brain-body interactions and the emergence of self-awareness and emotional feelings.

Indexed as

ConnectomeEmotionsInteroceptionBrainCase-Control StudiesDepersonalizationEmpathyHeart RateHumansMaleYoung Adult

Identifiers

PMID24967634
PMCPMC4072534
OpenAlexW2006316433

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.