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PubMed1995

Comparison of behavioural effects of repeated treatment with methamphetamine plus scopolamine and methamphetamine alone on behavioural sensitization and conditioned response.

We investigated how repeated treatments with methamphetamine (4.0 mg kg-1, i.p.) plus scopolamine (0.5 mg kg-1, i.p.) and methamphetamine alone effected behavioural sensitization and conditioned response in rats. Repeated methamphetamine plus scopolamine treatment induced a more progressive and enduring enhancement of focused stereotyped behaviour than repeated methamphetamine treatment. Stereotyped behaviour induced by methamphetamine plus scopolamine was reproduced by challenge injections of methamphetamine plus scopolamine, methamphetamine, and to a lesser extent by scopolamine challenges. The methamphetamine plus scopolamine-sensitized rats were conditioned to a low frequency tone (300 Hz, 100 dB) associated with the drug state. They exhibited a conditioned response to pairings of the tone (conditioned stimulus) and placebo injections. However, they did not respond to the tone alone or the placebo injections alone. The methamphetamine-sensitized rats failed to demonstrate any conditioning; only the repeated methamphetamine plus scopolamine treatment induced sensitization to the drug-associated tone. Pairings of exteroceptive conditioned stimulus-interoceptive unconditioned stimulus associations may provide an important source for conditioning to the tone associated with the drug state. We conclude that behavioural sensitization may operate via a reciprocal balance between the dopaminergic and cholinergic inhibitory systems, in favour of a dopaminergic dominance. Conditioning to the drug-associated tone may be mediated via a reciprocal balance between the two transmitter systems.

Animals↗

PubMed1997

The discriminant validity of the Eating Disorder Inventory--2.

The scores of 78 bulimia nervosa (BN) patients and 67 general psychiatric outpatients on the Revised Eating Disorder Inventory (EDI-2) were compared in a multivariate discriminant analysis. The bulimia scale was found to correctly classify 97 per cent of all cases. Of the EDI-2 scales thought to be not directly related to food and weight, only interoceptive awareness (IA) and asceticism (AS) showed discriminative validity. Three eating-related items were found to account for the discriminative value of the IA scale, and the new AS scale was found to be a discriminative extension of the EDI.

Adolescent↗

PubMed1982

Depersonalization in the light of Brentano's phenomenology.

The symptoms of depersonalization are examined in the light of the phenomenological views evolved by Franz Brentano. He had come to the conclusion that our conscious experiences are primarily directed towards objects (contents) that are 'phenomenal' or 'intentional' in the sense that they do not necessarily have counterparts in the external world. In experiencing such an object, a person becomes simultaneously aware of himself as a mentally active ego. In depersonalized individuals, there emerges a mentally active ego of a subsidiary kind which has some autonomy of action and is hazily glimpsed in introspection. The clinical symptoms of depersonalization vary according to the mental activities engaged in by the subsidiary ego. These mental activities may be exteroceptive (leading to derealization), interoceptive (leading to desomatization), or introspective (leading respectively to de-ideation, de-emotivity, or automatization).

Consciousness↗

PubMed1996

Eating attitudes in young females with diabetes: insulin omission identifies a vulnerable subgroup.

Eating attitudes were investigated in young females with diabetes (YFDs) and healthy age-matched female controls. Results from the Eating Disorder Inventory confirmed that YFDs had higher scores for drive for thinness, body dissatisfaction and bulimia. In addition, YFDs who omitted insulin injections had high scores for ineffectiveness and interoceptive awareness and had increased sensitivity to external eating cues (as measured by the Dutch Eating Behaviour Questionnaire). It is suggested that dieting and weight gain associated with diabetes treatment precipitate a deterioration in eating attitudes. Furthermore, omission of insulin and increased sensitivity to external eating cues serve as markers for a group of YFDs who are at increased risk of developing an eating disorder. The present results provide support for the spiral model of eating disorders (Heatherton & Polivy, 1992) and its emphasis on the importance of self-esteem and self-awareness.

Adolescent↗

PubMed1967

Intracellular olfactory response of hippocampal neurons in awake, sitting squirrel monkeys.

Intracellular recordings of archicortical neurons in a primate have been made and the responses of these neurons in awake, sitting animals have been observed. Electrical stimulation of the olfactory bulbs elicits excitatory postsynaptic potentials in these neurons, which unlike those evoked by septal stimulation, are subliminal for generating spikes. The olfactory and septal pathways may be considered representative of inputs from exteroceptive and interoceptive systems. The findings are discussed in relation to a paradigm for archicortical conditioning.

Action Potentials↗

PubMed2005

Anteroposterior somatotopy of innocuous cooling activation focus in human dorsal posterior insular cortex.

Prior data indicate that graded activation by innocuous thermal stimuli occurs in the dorsal posterior insular (dpIns) cortex of humans, rather than the parietal somatosensory regions traditionally thought necessary for discriminative somatic sensations. We hypothesized that if the dpIns subserves the haptic capacity of localization in addition to discrimination, then it should be somatotopically organized. Using functional magnetic resonance imaging to detect activation in the dpIns by graded cooling stimuli applied to the hand and neck, we found unimodal foci arranged in an anteroposterior somatotopographic pattern, consistent with participation of the dpIns in localization as well as discrimination. This gradient is orthogonal to the mediolateral somatotopy of parietal somatosensory regions, which supports the fundamental conceptual differentiation of the interoceptive somatic representation in the dpIns from the parietal exteroceptive representations. These data also support the suggestion that the poststroke central pain syndrome associated with lesions of the dpIns is a thermoregulatory dysfunction. Finally, another focus of strongly graded activation, which we interpret to represent thermoregulatory behavioral motivation elicited by dynamic cooling, was observed in the dorsal medial cortex.

Adult↗

PubMed2005

Trimethylthiazoline supports conditioned flavor avoidance and activates viscerosensory, hypothalamic, and limbic circuits in rats.

Interoceptive stimuli modulate stress responses and emotional state, in part, via ascending viscerosensory inputs to the hypothalamus and limbic forebrain. It is unclear whether similar viscerosensory pathways are recruited by emotionally salient exteroceptive stimuli, such as odors. To address this question, we investigated conditioned avoidance and central c-Fos activation patterns in rats exposed to synthetic trimethylthiazoline (TMT), an odiferous natural component of fox feces. Experiment 1 demonstrated that rats avoid consuming novel flavors that previously were paired with TMT exposure, evidence that TMT supports conditioned flavor avoidance. Experiment 2 examined central neural systems activated by TMT. Odor-naive rats were acutely exposed to low or high levels of TMT or a novel nonaversive control odor and were perfused with fixative 60-90 min later. A subset of rats received retrograde neural tracer injections into the central nucleus of the amygdala (CeA) 7-10 days before odor exposure and perfusion. Brain sections were processed for dual-immunocytochemical detection of c-Fos and other markers to identify noradrenergic (NA) neurons, corticotropin-releasing hormone (CRH) neurons, and retrogradely labeled neurons projecting to the CeA. Significantly greater proportions of medullary and pontine NA neurons, hypothalamic CRH neurons, and CeA-projecting neurons were activated in rats exposed to TMT compared with activation in rats exposed to the nonaversive control odor. Thus the ability of TMT to support conditioned avoidance behavior is correlated with significant odor-induced recruitment of hypothalamic CRH neurons and brain stem viscerosensory inputs to the CeA.

Amygdala↗

PubMed1980

Universal eating monitor for continuous recording of solid or liquid consumption in man.

A universal eating monitor has been developed that permits covert continuous weighing of a subject's plate or other food reservoir by means of a concealed electronic balance. By coupling the device with a digital computer, it is possible to record precisely the amount consumed every 3 s throughout a single-course meal consisting of a relatively homogeneous mixture of foods. The monitor have been used to compare total intake, meal duration, initial rate of intake, and deceleration of intake in human subjects ingesting either a solid or liquid version of the same food after 3 or 6 h without food. It was found that the liquid form was eaten faster than the solid form, but that total amounts consumed in each form were not significantly different. These results suggest that when the rate of consumption is controlled by the physical consistency of the food, the amount eaten is not determined by the rate of consumption alone. Further studied are necessary to determine the relative roles of visual cues and interoceptive signals on quantity eaten.

Computers↗

PubMed2001

Reinforcing effects of MDMA ("ecstasy") in drug-naive and cocaine-trained rats.

3,4-Methylenedioxymethamphetamine (MDMA; "ecstasy") is one of the most prevalent illegal drugs of abuse among European adolescents, a population not generally experienced with respect to "hard" drugs such as cocaine. We, therefore, determined the reinforcing effect of intravenously self-administered MDMA in a fixed ratio 1 time-out 150 s schedule of reinforcement in rats that were truly drug naive and compared it to cocaine-trained rats. The reinforcing effect of MDMA [0.032-10 mg/(kg.injection)] did not differ between drug-naive rats and cocaine-trained ones. MDMA sensitized the animals to its own rate-increasing effect but not to that of cocaine. When MDMA was tested after cocaine, there was no carryover of cocaine's reinforcing effect to that of MDMA, suggesting that MDMA and cocaine produce distinct interoceptive stimuli in rats.

Animals↗

PubMed1993

What's so special about special visceral?

The brainstem is classically divided into functional columns including special and general subdivisions for somatic and visceral components. The term 'special visceral motor' is applied to branchiomotor nuclei, while 'special visceral sensory' refers to nuclei devoted to incoming gustatory and olfactory senses. The use of the term 'special visceral motor' is questioned in that the branchiomotor neurons function more like general somatic than general visceral motoneurons. The designation of taste and smell as 'special visceral sensory' systems seems inconsistent on several bases. First, taste and smell are not homologous systems: (1) the receptors are grossly dissimilar in morphology and relationship to other elements of the nervous system; (2) the two systems mediate very different behaviors and respond to different types of chemical stimuli, and (3) chemosensory systems are not 'special' (i.e. limited to cranial nerves) in that solitary chemoreceptor cells, which are distributed across the body surface, can be innervated by spinal or cranial nerves. Finally, taste is considered 'special' because it involves specialized chemosensory end organs; the visceral nerves also provide innervation to other specialized chemoreceptors (e.g. carotid body) which are considered part of the general visceral sensory system. Thus the term 'special visceral sensory' appears without solid foundation when applied to gustatory systems in contradistinction to nongustatory branchial and thoracic interoceptive systems. A reformulation of the functional columns of the brainstem is suggested in which six columns can be identified: (1) somatic motor; (2) branchial motor; (3) visceral motor; (4) visceral sensory; (5) somatic sensory, and (6) hair cell (dorsolateral placode) sensory.

Animals↗

PubMed1994

Cognitive-behavioral treatment of choking phobia: 3 case studies.

The present study describes 3 case examples of patients with choking phobia who were given a brief, cognitive-behavioral treatment that combined the interventions of psychoeducation, cognitive restructuring, interoceptive and in vivo exposure. This program was designed to address fears of anxiety and choking sensations as well as fears of swallowing. The patients were treated for 11-13 sessions. All 3 patients responded to the program as measured by their progression on their food hierarchy and by weight gain. Issues in the treatment of these patients are discussed.

Adult↗

PubMed1998

Neural correlates of levels of emotional awareness. Evidence of an interaction between emotion and attention in the anterior cingulate cortex.

Recent functional imaging studies have begun to identify the neural correlates of emotion in healthy volunteers. However, studies to date have not differentially addressed the brain areas associated with the perception, experience, or expression of emotion during emotional arousal. To explore the neural correlates of emotional experience, we used positron emission tomography (PET) and 15-water to measure cerebral blood flow (CBF) in 12 healthy women during film- and recall-induced emotion and correlated CBF changes attributable to emotion with subjects' scores on the Levels of Emotional Awareness Scale (LEAS), a measure of individual differences in the capacity to experience emotion in a differentiated and complex way. A conjunction analysis revealed that the correlations between LEAS and CBF during film- and recall-induced emotion overlapped significantly (z = 3.74, p < 0. 001) in Brodmann's area 24 of the anterior cingulate cortex (ACC). This finding suggests that individual differences in the ability to accurately detect emotional signals interoceptively or exteroceptively may at least in part be a function of the degree to which the ACC participates in the experiential processing and response to emotion cues. To the extent that this finding is consistent with the functions of the ACC involving attention and response selection, it suggests that this neural correlate of conscious emotional experience is not exclusive to emotion.

Adolescent↗

PubMed1987

Reduction of CO2-induced anxiety in patients with panic attacks after repeated CO2 exposure.

The authors compared the subjective reaction of 13 panic patients and eight control subjects to a 35% CO2 challenge, a treatment known to produce physical symptoms comparable to those of natural or lactate-induced panic, and to placebo treatment (inhalation of air). They found that patients had higher placebo scores than control subjects, patients tended to get highly anxious on CO2 and control subjects did not, and CO2-induced subjective anxiety in patients decreased as the number of CO2-induced exposures to interoceptive anxiety symptoms increased. The data support a behavioral account of the effects of anxiogenics.

Adolescent↗

PubMed1988

Behaviors and attitudes related to eating disorders in homosexual male college students.

To investigate whether homosexuality predisposes males to eating disorders, the authors studied 48 nonpatient homosexual male students at UCLA. The homosexual men had higher prevalences of binge-eating problems, of feeling fat in spite of others' perceptions, of feeling terrified of being fat, and of having used diuretics than other male students. They also scored higher on the Eating Disorders Inventory scales for drive for thinness, interoceptive awareness, bulimia, body dissatisfaction, maturity fears, and ineffectiveness. One of the 48 homosexual men and one of the 300 comparison group men met criteria for probable past histories of eating disorders.

Adult↗

PubMed1991

Symptoms of eating disorders in patients with obsessive-compulsive disorder.

OBJECTIVE: This study was designed to explore potential overlap of the symptoms of obsessive-compulsive disorder and eating disorders. METHOD: The authors administered a structured, self-rating scale, the Eating Disorder Inventory, to 59 outpatients at an obsessive-compulsive disorder clinic and to 60 sex-matched normal volunteers. The Eating Disorder Inventory has been previously validated as a reliable measure of the specific cognitive and behavioral dimensions of the psychopathology typical of patients with eating disorders. The scores of the patients with obsessive-compulsive disorder and of the healthy comparison subjects were compared with those of 32 female inpatients with anorexia nervosa (N = 10) or bulimia nervosa (N = 22) who had also been given the inventory. RESULTS: The patients with obsessive-compulsive disorder scored significantly higher than the healthy comparison subjects on all eight subscales of the Eating Disorder Inventory: drive for thinness, bulimia, body dissatisfaction, ineffectiveness, perfectionism, interpersonal distrust, interoceptive awareness, and maturity fears. Relative to the healthy subjects, male patients with obsessive-compulsive disorder had more symptoms than female patients with obsessive-compulsive disorder. The scores of the female patients with obsessive-compulsive disorder were midway between those of the 32 female patients with eating disorders and those of the 35 female normal subjects. CONCLUSIONS: These results suggest that patients with obsessive-compulsive disorder display significantly more disturbed eating attitudes and behavior than healthy comparison subjects and that they share some of the psychopathological eating attitudes and behavior that are common to patients with eating disorders.

Adult↗

PubMed1997

Neuroanatomical correlates of externally and internally generated human emotion.

OBJECTIVE: Positron emission tomography was used to investigate the neural substrates of normal human emotional and their dependence on the types of emotional stimulus. METHOD: Twelve healthy female subjects underwent 12 measurements of regional brain activity following the intravenous bolus administration of [15O]H2O as they alternated between emotion-generating and control film and recall tasks. Automated image analysis techniques were used to characterize and compare the increases in regional brain activity associated with the emotional response to complex visual (film) and cognitive (recall) stimuli. RESULTS: Film- and recall-generated emotion were each associated with significantly increased activity in the vicinity of the medial prefrontal cortex and thalamus, suggesting that these regions participate in aspects of emotion that do not depend on the nature of the emotional stimulus. Film-generated emotion was associated with significantly greater increases in activity bilaterally in the occipitotemporparietal cortex, lateral cerebellum, hypothalamus, and a region that includes the anterior temporal cortex, amygdala, and hippocampal formation, suggesting that these regions participate in the emotional response to certain exteroceptive sensory stimuli. Recall-generated sadness was associated with significantly greater increases in activity in the vicinity of the anterior insular cortex, suggesting that this region participates in the emotional response to potentially distressing cognitive or interoceptive sensory stimuli. CONCLUSIONS: While this study should be considered preliminary, it identified brain regions that participate in externally and internally generated human emotion.

Adult↗

PubMed2004

Psychiatric comorbidity and Eating Disorder Inventory (EDI) profiles in eating disorder patients.

OBJECTIVE: This study examines potential overlaps between psychiatric comorbidity (Axis I and II) and scores on the subscales of the Eating Disorder Inventory (EDI) in women with eating disorders (EDs). METHOD: In a sample of 248 women (72 with anorexia nervosa, 140 with bulimia nervosa, and 36 with eating disorders not otherwise specified), we determined psychiatric comorbidity using the Structured Clinical Interview for DSM-IV. Behavioural and psychological characteristics of EDs were quantified with the EDI. RESULTS: Psychiatric comorbidity was high in both axes (74% for Axis I and 68% for Axis II). While most EDI subscales pertaining to psychological traits showed significant associations with Axis I and II disorders, the subscales concerning eating and perception of weight and shape were much less associated with psychiatric comorbidity. Affective and anxiety disorders, as well as personality disorders of clusters A and C, showed a similar pattern with links to most psychological subscales. The profile for substance-related disorders was different, showing associations with the Ineffectiveness and Interoceptive Awareness scales. Personality disorders of cluster B were related only to the Bulimia subscale and not to any of the psychological subscales. CONCLUSIONS: The EDI appears to primarily reflect Axis I and II disorders related to affective and anxiety problems. Clinicians and researchers employing the EDI should be aware that it is not sensitive for all forms of comorbidity prevalent in ED patients.

Adolescent↗

PubMed1996

Functional anatomy of human hippocampal formation and related structures.

Data on the internal organization, and neuronal connections of the human hippocampal formation and related structures of the limbic system are briefly reviewed. In the healthy brain, somatosensory, visual, and auditory input proceeds through neocortical core and belt fields to a variety of association areas, and from here the data is transported via long corticocortical pathways to the extended prefrontal association cortex. Tracts generated from this highest organization level of the brain guide the data via the frontal belt (premotor cortex) to the frontal core (primary motor area). The striatal and cerebellar loops provide the major routes for this data transfer. The main components of the limbic system (the hippocampal formation, the entorhinal region, and the amygdala) maintain a strategic position between the sensory and the motor association areas. Part of the stream of data from the sensory association areas to the prefrontal cortex branches off and eventually converges on the entorhinal region and the amygdala, These connections establish the afferent leg of the limbic loop. In addition, the limbic centers receive substantial input from nuclei processing viscerosensory information. The entorhinal region, the hippocampal formation, and the amygdala are densely interconnected. Important among these connections is the perforant path, which originates in the entorhinal cortex and projects to the hippocampal formation (fascia dentata, Ammon's horn, and subiculum). The subiculum projects to the amygdala, entorhinal region, mamillary nuclei, and anterior and midline thalamic nuclei. The hippocampal formation, the entorhinal region, and the amygdala generate the efferent leg of the limbic loop, which is directed toward the prefrontal cortex. Additional projections reach the key nuclei that control endocrine and autonomic functions. Furthermore, the amygdala exerts influence on all nonthalamic nuclei projecting in a nonspecific manner to the cerebral cortex (ie, the cholinergic magnocellular forebrain nuclei, the histaminergic tuberomamillary nucleus, the dopaminergic nuclei of the ventral tegmentum, the serotonergic anterior raphe nuclei, and the noradrenergic locus ceruleus). The limbic loop centers thus are in the unique strategic position to perform integration of exteroceptive sensory data of various sources with interoceptive stimuli from autonomic centers. Their efferent projections exert influence on both the prefrontal association cortex and the key centers controlling endocrine and autonomic functions.

Hippocampus↗