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身心分离的互联思维:探索内感受敏感性和述情障碍在互联网问题使用中的作用。

Connected minds in disconnected bodies: Exploring the role of interoceptive sensibility and alexithymia in problematic use of the internet.

机构信息

Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti, Chieti, Italy.

Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti, Chieti, Italy.

出版信息

Compr Psychiatry. 2024 Feb;129:152446. doi: 10.1016/j.comppsych.2023.152446. Epub 2023 Dec 17.

Abstract

INTRODUCTION

The ever-increasing prominence of the internet and digital technology in our society requires a deeper examination of how these developments alter perception of our bodies and emotions. One such consequence is the emergence of Problematic Use of the Internet (PUI) - an array of compulsive or addictive behaviors mediated by the web that detrimentally affect an individual's functioning. This suggests that some people may be shifting their consciousness from the physical realm to the digital world. The objective of this study was to investigate how shortcomings in interoception (the sensibility to bodily signals) and alexithymia (an inability to identify and express emotions) might contribute to PUI.

METHODS

The Internet Addiction Test (IAT), the Toronto Alexithymia Scale (TAS-20), and the Multidimensional Assessment of Interoceptive Awareness (MAIA) were used to assess a sample of 1076 adolescents and young adults aged between 16 and 26 years via an online survey. Data analysis was based on t-test, correlations and multivariate regression.

RESULTS

26.8% (n = 288) of participants met the criteria for moderate PUI. Individuals with PUI displayed higher levels of alexithymia (p < 0.001) and diminished abilities in certain aspects of interoceptive sensibility, including placing trust in their own bodily signals (p = 0.006), not responding excessively to uncomfortable sensations with worry (p < 0.001), and not denying them (p = 0.006). Multivariate modelling revealed associations between PUI and the following factors: having a boyfriend/girlfriend (aOR = 5.70), substance use (aOR = 1.78), difficulty in identifying feelings (aOR = 1.09), externally oriented thinking (aOR = 1.05), low disposition in perceiving body sensations (aOR = 0.25), tendency to become distracted (aOR = 0.82) or excessively worried (aOR = 0.11) in the face of pain. Furthermore, the analysis indicated how these aspects of body perception may be interrelated, either enhancing or reducing the risk of PUI when examined individually, collectively, or in combination.

CONCLUSIONS

This study underlines the potential connection between difficulties in the mind-body interaction and the development of PUI. It suggests a bidirectional relationship between excessive digital device use and distorted bodily interoceptive processes in PUI, reinforcing the notion that individuals struggling with emotion identification and expression may be more prone to excessive internet usage. To further comprehend the relevance of these constructs in PUI, it is necessary to conduct more targeted investigations and longitudinal studies.

摘要

简介

互联网和数字技术在我们的社会中日益突出,这需要我们更深入地研究这些发展如何改变我们对身体和情感的感知。其中一个后果是出现了“互联网使用问题”(Problematic Use of the Internet,PUI),这是一系列由网络介导的强迫性或成瘾性行为,对个人的功能产生不利影响。这表明有些人可能正在将他们的意识从物理领域转移到数字世界。本研究的目的是调查内感受(对身体信号的敏感性)和述情障碍(无法识别和表达情感)的不足如何导致 PUI。

方法

通过在线调查,使用互联网成瘾测试(IAT)、多伦多述情障碍量表(TAS-20)和多维内感受意识评估量表(MAIA)对 1076 名年龄在 16 岁至 26 岁之间的青少年和年轻人进行了评估。数据分析基于 t 检验、相关性和多元回归。

结果

26.8%(n=288)的参与者符合中度 PUI 的标准。有 PUI 的人表现出更高的述情障碍水平(p<0.001)和某些内感受敏感性方面的能力下降,包括对自己身体信号的信任(p=0.006)、不对外界不适感到过度担忧(p<0.001)和不否认它们(p=0.006)。多元模型显示,PUI 与以下因素相关:有男女朋友(优势比[aOR]=5.70)、使用物质(aOR=1.78)、难以识别情绪(aOR=1.09)、外向思维(aOR=1.05)、身体感觉知觉度低(aOR=0.25)、易分心(aOR=0.82)或面对疼痛时过度担忧(aOR=0.11)。此外,该分析表明,这些身体感知方面可能相互关联,无论是单独、集体还是组合,都会增加或降低 PUI 的风险。

结论

本研究强调了身心互动困难与 PUI 发展之间的潜在联系。它表明,过度使用数字设备与 PUI 中扭曲的身体内感受过程之间存在双向关系,这进一步强化了这样一种观点,即那些在情绪识别和表达方面存在困难的人可能更容易过度使用互联网。为了进一步理解这些结构在 PUI 中的相关性,有必要进行更有针对性的调查和纵向研究。

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