Jakubczyk Andrzej, Trucco Elisa M, Klimkiewicz Anna, Skrzeszewski Jakub, Suszek Hubert, Zaorska Justyna, Nowakowska Malwina, Michalska Aneta, Wojnar Marcin, Kopera Maciej
Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Department of Psychology and the Center for Children and Families, Florida International University, Miami, FL, United States.
Front Psychiatry. 2020 Feb 3;10:1028. doi: 10.3389/fpsyt.2019.01028. eCollection 2019.
Sensing body-related information includes interoceptive sensibility (the tendency to focus on internal body sensations) and accuracy (precision in perceiving real internal processes). Interoception and emotion regulation have both been linked to alcohol use disorder (AUD). However, the association between these factors have not been investigated within a clinical group of individuals with AUD.
The current study examines associations between emotion regulation and interoceptive accuracy and sensibility among individuals with AUD and healthy controls (HCs).
The sample comprised 165 individuals meeting criteria for AUD and 110 HCs. Interoceptive sensibility was assessed with a self-report measure (the Private Body Consciousness subscale) and interoceptive accuracy - with a behavioral measure (the Schandry test). Emotion regulation domains: non-acceptance of negative emotions, inability to engage in goal-directed behaviors when experiencing negative emotions, difficulties controlling impulsive behaviors when experiencing negative emotions, limited access to effective emotion regulation strategies, and lack of own emotional awareness and clarity were assessed with the Difficulties in Emotion Regulation Scale (DERS). Associations between interoception and emotion regulation were assessed while controlling for sleep problems, depressive symptoms, age, and sex.
Higher interoceptive accuracy was negatively associated with DERS subscale of non-acceptance of negative emotions in the AUD group (but not in the HC group). Higher interoceptive sensibility was significantly associated with problems in controlling impulsive behaviors when experiencing negative emotions. This association was moderated by symptoms of AUD. Higher interoceptive sensibility was associated with higher emotional awareness, but only in the HC group.
Individuals with AUD who are more interoceptively accurate may be more effective in regulating their emotions. On the other hand, individuals with AUD who are more interoceptively sensible, may have problems with controlling their behaviors while experiencing negative emotional states.
感知身体相关信息包括内感受敏感性（关注内部身体感觉的倾向）和准确性（感知真实内部过程的精确程度）。内感受与情绪调节均与酒精使用障碍（AUD）相关。然而，尚未在患有AUD的临床个体组中研究这些因素之间的关联。
本研究考察患有AUD的个体与健康对照者（HCs）在情绪调节、内感受准确性和敏感性之间的关联。
样本包括165名符合AUD标准的个体和110名HCs。采用自我报告量表（私密身体意识子量表）评估内感受敏感性，采用行为测量（尚德里测试）评估内感受准确性。情绪调节领域：使用情绪调节困难量表（DERS）评估对负面情绪的不接受、在经历负面情绪时无法参与目标导向行为、在经历负面情绪时难以控制冲动行为、获得有效情绪调节策略的机会有限以及缺乏自身情绪意识和清晰度。在控制睡眠问题、抑郁症状、年龄和性别的同时，评估内感受与情绪调节之间的关联。
在AUD组中，较高的内感受准确性与DERS中对负面情绪不接受子量表呈负相关（但在HC组中无此关联）。较高的内感受敏感性与在经历负面情绪时控制冲动行为的问题显著相关。这种关联受AUD症状的调节。较高的内感受敏感性与较高的情绪意识相关，但仅在HC组中如此。
内感受准确性较高的AUD个体在调节情绪方面可能更有效。另一方面，内感受较敏感的AUD个体在经历负面情绪状态时可能在控制行为方面存在问题。
