Les cénesthopathies : un trouble des émotions d’arrière plan. Regards croisés des sciences cognitives et de la phénoménologie

Graux, Jérôme; Lemoine, Maël; Gaillard, Philippe; Camus, Vincent

doi:10.1016/j.encep.2010.10.002

Cited by 14 publications

(22 citation statements)

References 20 publications

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“…Coenestopathic and cenesthopathy similarly have meanings approximating the subjective consequences of interoceptive dysfunction , as employed here. The latter terms remain current in the psychiatric literature, particularly as pertains to schizophrenia (Graux, Lemoine, Gaillard, & Camus, 2011). …”

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confidence: 99%

Interoceptive dysfunction: Toward an integrated framework for understanding somatic and affective disturbance in depression.

Harshaw

2015

Psychological Bulletin

219

147

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Depression is characterized by disturbed sleep and eating, a variety of other, nonspecific somatic symptoms, and significant somatic comorbidities. Why there is such close association between cognitive and somatic dysfunction in depression is nonetheless poorly understood. An explosion of research in the area of interoception—the perception and interpretation of bodily signals—over the last decade nonetheless holds promise for illuminating what have until now been obscure links between the social, cognitive-affective, and somatic features of depression. This paper reviews rapidly accumulating evidence that both somatic signaling and interoception are frequently altered in depression. This includes comparative studies showing vagus-mediated effects on depression-like behaviors in rodent models as well as studies in humans indicating both dysfunction in the neural substrates for interoception (e.g., vagus, insula, anterior cingulate cortex) and reduced sensitivity to bodily stimuli in depression. An integrative framework for organizing and interpreting this evidence is put forward which incorporates (a) multiple potential pathways to interoceptive dysfunction; (b) interaction with individual, gender, and cultural differences in interoception; and (c) a developmental psychobiological systems perspective, emphasizing likely differential susceptibility to somatic and interoceptive dysfunction across the lifespan. Combined with current theory and evidence, it is suggested that core symptoms of depression (e.g., anhedonia, social deficits) may be products of disturbed interoceptive-exteroceptive integration. More research is nonetheless needed to fully elucidate the relationship between mind, body, and social context in depression.

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confidence: 99%

Interoceptive dysfunction: Toward an integrated framework for understanding somatic and affective disturbance in depression.

Harshaw

2015

Psychological Bulletin

219

147

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“…Damasio's somatic marker model [24] seems to be a good neuroscience theoretical framework for the study of cenesthopathy. The relationship between cenesthesia and the concepts of body perception and body emotion proposed by Damasio has been already pointed out [1]. Moreover, according to the somatic marker model, changes in the representation of the bodily state have been hypothesized to generally represent emotion in an ordinary subject.…”

Section: Introductionmentioning

confidence: 99%

“…The term "cenesthesia" was first introduced by Reil in 1794 [1,2], while a "cenesthetic schizophrenia" was described by Huber more than 50 years ago [8], and the term "cenesthopathic schizophrenia" appears, although undefined, in the ICD-10; for a review, see Jenkins and Röhricht [2]. Although cenesthopathy may be present in different conditions including adolescence [9], migraine [10], psychomotor seizures [11], intracranial tumors [12], and depression [13], they are mostly associated with delusional disorders, particularly schizophrenia [1,[13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Although cenesthopathy may be present in different conditions including adolescence [9], migraine [10], psychomotor seizures [11], intracranial tumors [12], and depression [13], they are mostly associated with delusional disorders, particularly schizophrenia [1,[13][14][15]. Moreover, cenesthopathy and body image aberration might represent an additional dimension of psychopathology useful to define a nosological subtype of schizophrenia [16], and abnormal bodily experiences might represent a marker of early schizophrenia [17].…”

Section: Introductionmentioning

confidence: 99%

“…Cenesthesia or coenesthesia is a common term in psychopathology which is used to name "internal, global, implicit and affective perception of one's own body" [1]. According to a more extended definition it is "the general sense of bodily existence (and especially the general feeling of well-being or malaise) presumably dependent on multiple stimuli coming from various parts of the body, including sensations of internal organ activity even though these are not necessarily on a conscious level" [2].…”

Section: Introductionmentioning

confidence: 99%

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Cenesthopathy and Subjective Cognitive Complaints: An Exploratory Study in Schizophrenia

Bulnes

Aragón

2018

Psychopathology

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Background/Aims: Cenesthopathy is mainly associated with schizophrenia; however, its neurobiological basis is nowadays unclear. The general objective was to explore clinical correlates of cenesthopathy and subjective cognitive complaints in schizophrenia. Methods: Participants (n = 30) meeting DSM-IV criteria for psychotic disorder were recruited from a psychiatry unit and assessed with: Association for Methodology and Documentation in Psychiatry (AMDP) system, Positive and Negative Syndrome Scale, Frankfurt Complaint Questionnaire (FCQ), and the Bonn Scale for the Assessment of Basic Symptoms (BSABS). For quantitative variables, means and Spearman correlation coefficients were calculated. Linear regression following backward method and principal component analysis with varimax rotation were used. Results: 83.3% of subjects (73.3% male, mean age, 31.5 years) presented any type of cenesthopathy; all types of cenesthetic basic symptoms were found. Cenesthetic basic symptoms significantly correlated with the AMDP category “fear and anancasm,” FCQ total score, and BSABS cognitive thought disturbances. In the regression analysis only 1 predictor, cognitive thought disturbances, entered the model. In the principal component analysis, a main component which accounted for 22.69% of the variance was found. Conclusions: Cenesthopathy, as assessed with the Bonn Scale (BSABS), is mainly associated with cognitive abnormalities including disturbances of thought initiative and mental intentionality, of receptive speech, and subjective retardation or pressure of thoughts.

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The efficacy of vortioxetine for the delusional disorder of cenesthopathy

Sato,

Imai

2023

Neuropsychopharm Rep

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Cenesthopathy is a rare syndrome characterized by strange bodily and oral sensations and is classified as a delusional disorder, somatic type, according to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Cenesthopathy has been considered difficult to treat. However, to improve cenesthopathy, many pharmacotherapeutic options are reported, including antidepressants and antipsychotics. In this case report, vortioxetine significantly alleviated the distress of oral cenesthopathy in a patient with cerebral ischemia and depression without any adverse effects. To the best of our knowledge, this is the first report on the efficacy of vortioxetine in treating cenesthopathy. Though it is unclear why vortioxetine was effective for cenesthopathy in our case, we stated two possibilities for improving his oral cenesthopathy. When treating oral cenesthopathy in elderly patients, clinicians consider to be one of the options to prescribe vortioxetine.

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Les cénesthopathies : un trouble des émotions d’arrière plan. Regards croisés des sciences cognitives et de la phénoménologie

Cited by 14 publications

References 20 publications

Interoceptive dysfunction: Toward an integrated framework for understanding somatic and affective disturbance in depression.

Interoceptive dysfunction: Toward an integrated framework for understanding somatic and affective disturbance in depression.

Cenesthopathy and Subjective Cognitive Complaints: An Exploratory Study in Schizophrenia

The efficacy of vortioxetine for the delusional disorder of cenesthopathy

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