Türkel Nur Nihal, Aksu Muhammed Hakan, Ertek İrem Ekmekçi, Coşar Behçet
Department of Psychiatry, Ankara Penitentiary Campus State Hospital, Ankara, Turkey.
Department of Psychiatry, Gazi University Faculty of Medicine, Ankara, Turkey.
Psychiatry Investig. 2025 Aug;22(8):906-913. doi: 10.30773/pi.2024.0368. Epub 2025 Aug 5.
This study investigated the relationships among interoceptive awareness, difficulties in emotion regulation, and alexithymia in a group of outpatients undergoing consultation liaison psychiatry (CLP).
Three hundred forty outpatients who applied to the Consultation Liaison Psychiatry Department were included in the study. Thirty-four patients who did not complete the questionnaires for various reasons were excluded from the study. Multidimensional Interoceptive Awareness (MAIA-2), Difficulties in Emotion Regulation Scale (DERS-16), and Toronto Alexithymia Scale (TAS-20) were applied to the participants. Statistics were performed with SPSS 21.0. Mediation analysis examined the relationship between interoceptive awareness, difficulties in emotion regulation, and alexithymia.
It was found that 32% of outpatients who applied to CLP exhibited high alexithymic features. According to the study's results, interoceptive awareness had a significant negative relationship with difficulty in emotion regulation (r=-0.487, p<0.001). According to mediation analysis, difficulty in emotion regulation mediated the relationship between interoceptive awareness and alexithymia (β=-0.313; 95% confidence interval, -0.405 to -0.227; p<0.001).
This study demonstrated the mediating effect of emotion regulation difficulties on the relationship between interoceptive awareness and alexithymia in outpatients applying to CLP. The use of interoception-based practices by mental health professionals working with CLP may reduce emotion control and alexithymia symptoms in this patient group.
本研究调查了一组接受会诊联络精神病学（CLP）的门诊患者的内感受性觉知、情绪调节困难和述情障碍之间的关系。
本研究纳入了340名申请会诊联络精神科的门诊患者。34名因各种原因未完成问卷的患者被排除在研究之外。对参与者应用了多维内感受性觉知量表（MAIA-2）、情绪调节困难量表（DERS-16）和多伦多述情障碍量表（TAS-20）。使用SPSS 21.0进行统计分析。中介分析检验了内感受性觉知、情绪调节困难和述情障碍之间的关系。
发现申请CLP的门诊患者中有32%表现出高度的述情障碍特征。根据研究结果，内感受性觉知与情绪调节困难呈显著负相关（r=-0.487，p<0.001）。中介分析显示，情绪调节困难在很大程度上介导了内感受性觉知与述情障碍之间的关系（β=-0.313；95%置信区间，-0.405至-0.227；p<0.001）。
本研究证明了情绪调节困难在申请CLP的门诊患者的内感受性觉知与述情障碍之间的关系中起中介作用。与CLP合作的心理健康专业人员采用基于内感受的治疗方法可能会减少该患者群体的情绪控制问题和述情障碍症状。
