Decision-making, interoceptive awareness and mindful attention awareness in male patients with alcohol use disorder

Meriç, Işıl Avcu; Sönmez, Mehmet Bülent

doi:10.1080/13546805.2021.2011183

Cited by 5 publications

(14 citation statements)

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“…It has been proposed that enhanced HBP is associated with benefits in decision-making on the IGT, and this phenomenon relates to the selection of more advantageous options in complex and uncertain situations (Werner et al, 2009). In recent studies that included abstinent in patients with alcohol or opioid use disorder, decreased IAc based on HBP performance was associated with risky decision-making on the IGT (Avcu Meric & Sonmez, 2022; Subay & Sonmez, 2021). The current study investigated whether patients distinguished by low or high IAc levels differed in their IGT performance.…”

Section: Discussionmentioning

confidence: 97%

“…Recent studies examining IAc based on HBP performance have reported that abstinent patients in different SUD groups (alcohol, opioid, and synthetic cannabinoid use disorder) have similar IAc and their HBP scores are lower than those of healthy controls (Sonmez et al, 2017; Subay & Sonmez, 2021). Additionally, abstinent patients with AUD receive lower HBP scores than healthy control subjects (Ates Col et al, 2016; Avcu Meric & Sonmez, 2022; Jakubczyk et al, 2019, 2021). Lower interoceptive perception levels may be present in individuals with SUD, and damage to the insular cortex caused by substance use may disrupt IA (Verdejo-Garcia et al, 2012).…”

Section: Discussionmentioning

confidence: 98%

“…The studies conducted recently by employing Iowa gambling task (IGT) scores as a validated measure of decision-making and HBP scores have underpinned the argument that accurate IAc plays an important role in healthy individual decision-making (Dunn et al, 2010; Werner et al, 2009, 2013). Recent studies have demonstrated that decreased IAc is associated with risky decision-making in abstinent patients with alcohol or opioid use disorder (Avcu Meric & Sonmez, 2022; Subay & Sonmez, 2021).…”

mentioning

confidence: 99%

“…Lower levels of interoceptive perception may be present in individuals with SUD, and damage to the insular cortex caused by substance use may result in a disruption of IA (Verdejo-Garcia et al, 2012). Recent studies have demonstrated that patients with SUD have lower heartbeat perception (HBP) scores on the heart-rate tracking task as an objective physiological performance measure of IAc than healthy control subjects (Ates Col et al, 2016; Avcu Meric & Sonmez, 2022; Hina & Aspell, 2019; Jakubczyk et al, 2019, 2021; Sonmez et al, 2017; Subay & Sonmez, 2021).…”

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confidence: 99%

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Relationship of Interoceptive Accuracy With Risky Decision-Making and Treatment Outcomes in Male Patients With Alcohol Use Disorder

Sönmez

Meriç

Sübay

et al. 2023

Journal of Psychophysiology

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Abstract. Lower levels of interoceptive awareness (IA) may be present in individuals with substance use disorder (SUD), and damage to related brain regions caused by substance use may disrupt IA. Disturbance in the bodily feedback system may fail to engage in effective decision-making. This study focused on the premise that interoceptive accuracy (IAc), as the primary construct of IA, is implicated in SUD and that poor IAc is linked to risky decision-making and adversely affects treatment outcomes. Eighty-five patients with alcohol use disorder (AUD) (current severity: moderate or severe) and 87 healthy control subjects were enrolled in the present study. All participants performed the heart rate tracking task and a computerized version of the Iowa gambling task (IGT). Characteristics of patients’ addiction profiles were assessed with the Addiction Profile Index (API) Clinical Form. IAc and IGT scores of patients with AUD were lower than healthy controls. IGT scores of patients with low IAc were lower than those of patients with high IAc and decreased IAc is predictive of decreased IGT scores. No significant differences were determined in treatment outcomes at 3, 6, and 12 months after hospitalization between the low-IAc and high-IAc patient groups. Our results suggest that IAc is implicated in AUD and that poor IAc is predictive of increased risky decision-making. Risky decision-making that results in substance use may be partly related to a deficit in the interoceptive ability to guide behavior. Focus on IAc without reference to complex clinical case presentations in AUD makes it difficult to draw any definitive conclusions about the role of IAc in clinical outcomes.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Relationship of Interoceptive Accuracy With Risky Decision-Making and Treatment Outcomes in Male Patients With Alcohol Use Disorder

Sönmez

Meriç

Sübay

et al. 2023

Journal of Psychophysiology

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“…Moreover, Wölk et al (2014) showed that higher interoceptive accuracy is related to improved decision making only in healthy participants, but to impaired performance in patients with panic disorder. Accordingly, impaired decision-making performance on an IGT was found to be predicted by diminished interoceptive accuracy in individuals with gambling disorder ( Moccia et al, 2021 ) and alcohol use disorder ( Avcu Meriç and Sönmez, 2022 ). Sugawara et al (2020) identified a positive link between the shift toward rationality in a decision-making task and the improvement of interoceptive accuracy after an interoceptive training.…”

Section: Introductionmentioning

confidence: 99%

Interoceptive accuracy is associated with benefits in decision making in children

et al. 2023

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IntroductionDecision making results not only from logical analyses, but seems to be further guided by the ability to perceive somatic information (interoceptive accuracy). Relations between interoceptive accuracy and decision making have been exclusively studied in adults and with regard to complex, uncertain situations (as measured by the Iowa Gambling Task, IGT).MethodsIn the present study, 1454 children (6-11 years) were examined at two time points (approximately 1 year apart) using an IGT as well as a delay-of-gratification task for sweets-items and toy-items. Interoceptive accuracy was measured using a child-adapted version of the Heartbeat Perception Task.ResultsThe present results revealed that children with higher, as compared to lower, interoceptive accuracy showed more advantageous choices in the IGT and delayed more sweets-items, but not toy-items, in a delay-of-gratification task at time point 2 but not at time point 1. However, no longitudinal relation between interoceptive accuracy and decision making 1 year later could be shown.DiscussionResults indicate that interoceptive accuracy relates to decision-making abilities in situations of varying complexity already in middle childhood, and that this link might consolidate across the examined 1-year period. Furthermore, the association of interoceptive accuracy and the delay of sweets-items might have implications for the regulation of body weight at a later age.

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To behave or not (un)ethically? The meditative effect of mindfulness on statistics anxiety and academic dishonesty moderated by risk aversion

Eshet,

Grinautsky,

Steinberger

2024

Int J Educ Integr

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Despite the growing interest in mindfulness in higher education, the literature on its relation to decision-making under risk (i.e. academic misconduct) and statistics anxiety is scarce. The present research shall fill this gap. Based on the prospect theory, we assessed the mediating effect of mindfulness on the relationship between statistics anxiety and academic dishonesty moderated by risk aversion. Data were collected from 791 undergraduate students in six Israeli academic institutions studying for bachelor’s degrees in social sciences. Questionnaires included the following measures: risk behaviour according to the prospect theory framework, Mindful Attention Awareness Scale, Statistics Anxiety Rating Scale, Academic Misconduct Scale and sociodemographic variables. Correlations among these variables were explored. The data was analysed using Structural Equation Modelling (SEM). The results indicate that the variance in academic dishonesty is explained by students' statistics anxiety with a mediation of Mindfulness moderated by Risk Aversion. Mindfulness negatively affects Academic Dishonesty, while Risk Aversion has a significant positive effect on Mindfulness. Finally, among individuals with high statistics anxiety, Risk Averse individuals show significantly higher Mindfulness than Risk Seekers. We conclude that mindfulness-based interventions might be a constructive tool to reduce risk-taking and promote ethical decision-making among individuals who experience high levels of statistics anxiety. Furthermore, developing mindful skills may help individuals with higher anxiety levels neutralize these unwanted feelings and get along with their learning tasks. Hence, avoid academic unethical behaviours.

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Decision-making, interoceptive awareness and mindful attention awareness in male patients with alcohol use disorder

Cited by 5 publications

References 47 publications

Relationship of Interoceptive Accuracy With Risky Decision-Making and Treatment Outcomes in Male Patients With Alcohol Use Disorder

Relationship of Interoceptive Accuracy With Risky Decision-Making and Treatment Outcomes in Male Patients With Alcohol Use Disorder

Interoceptive accuracy is associated with benefits in decision making in children

To behave or not (un)ethically? The meditative effect of mindfulness on statistics anxiety and academic dishonesty moderated by risk aversion

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