Relationship between interoception and emotion regulation: New evidence from mixed methods

Zamariola, Giorgia; Frost, Nollaig; Oost, Alice Van; Corneille, Olivier; Luminet, Olivier

doi:10.1016/j.jad.2018.12.101

Cited by 77 publications

(54 citation statements)

References 32 publications

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“…Additionally, Barrett et al (2001) argued that persons with highly differentiated emotional experience could better regulate their emotions, pointing to the fact that a greater sensitivity to ongoing bodily changes will facilitate the regulation of emotional responses. This view is consistent with recent findings on the association between interoceptive ability and emotion regulation ( Zamariola et al, 2019 ).…”

Section: Theory Of Motivated Cue Integrationsupporting

confidence: 93%

Motivated Cue-Integration and Emotion Regulation: Awareness of the Association Between Interoceptive and Exteroceptive Embodied Cues and Personal Need Creates an Emotion Goal

Shalev

2020

Front. Psychol.

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Research on emotion suggests that individuals regulate their emotions to attain hedonic or instrumental goals. However, little is known of emotion regulation under low emotional clarity. The theory of motivated cue integration (MCI) suggests that emotion regulation under low emotional clarity should be understood as dissociation between a high-level individual hierarchical system of goals and low level interoceptive and exteroceptive embodied cues. MCI conceptualizes low emotional clarity as the product of low access to signals of emotion that result in prediction error associated with mismatch between the current bodily state and the predicted state. This deficit in emotional processing could be understood as a problem of means substitution, suggesting that use of alternative multisensory data may facilitate situational evaluation. Based on this reasoning, a new perspective on emotion regulation under low emotional clarity is presented, according to which interchangeable attention to multisensory data associated with words, associations, and images may help in cue integration, enabling the creation of a link between concrete bodily cues, abstract mental representation, and a more accurate prediction. Based on the idea that emotional episodes are conceptualized as special types of goal-directed action episodes, this process will lead to the creation of broader integrative meaning, results in the development of emotion goal.

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Section: Theory Of Motivated Cue Integrationsupporting

confidence: 93%

Motivated Cue-Integration and Emotion Regulation: Awareness of the Association Between Interoceptive and Exteroceptive Embodied Cues and Personal Need Creates an Emotion Goal

Shalev

2020

Front. Psychol.

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“…In addition to exploring the internal structure of the TAS-20, we examined its external validity by assessing the relationships between the new alexithymia factors resulting from the EFA and personality trait and the indicators of psychological and physical health. Alexithymia “is a marker of atypical interoception” (Murphy et al, 2017) and the link between alexithymia and interoception is currently receiving significant attention in the field, as shown by several articles published in recent years (Bornemann & Singer, 2017; Brewer, Cook & Bird, 2016; Murphy, Catmur & Bird, 2018; Zamariola et al, 2018, 2019). Difficulties in interoceptive abilities can be associated with psychological and physical impairments (Murphy et al, 2017), and moderately with an emotional instability, a feature of the neuroticism trait (Fiene, Ireland & Brownlow, 2018; Kanbara & Fukunaga, 2016).…”

Section: Introductionmentioning

confidence: 99%

Importance of considering interoceptive abilities in alexithymia assessment

Fournier

Luminet

Dambrun

et al. 2019

PeerJ

Self Cite

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BackgroundRecent studies have shown that people with high alexithymia scores have decreased interoceptive abilities, which can be associated with psychological and physical disorders. Early assessments of the alexithymia trait included the evaluation of these abilities through the dimension measuring the difficulty in identifying and distinguishing between feelings and bodily sensations (the 26-item Toronto Alexithymia Scale; TAS-26). The revised version of the TAS, the TAS-20, contains a three-factor solution that does not involve a dimension assessing interoceptive abilities. However, the three items allowing the evaluation of these abilities are still present in the TAS-20. In this context, we hypothesized that the 3 items which assess interoceptive abilities in the TAS-20 should constitute an independent factor. In addition to exploring the internal structure of the TAS-20, we examined its external validity by assessing the relationships between the new factors and self-reported measures of personality trait and psychological and physical health.MethodTwo online studies (N = 253 and N = 287) were performed. The participants completed the TAS-20 and a set of psychological questionnaires (e.g., anxiety, depression) and health questions (e.g., “Do you suffer from a somatic disorder?”). The structure of the TAS-20 was examined using exploratory factor analysis (EFA), followed by an investigation of the relationships between the resulting new factors and other psychological and health data using regressions. In both studies, EFA revealed a new structure of the questionnaire consisting of four dimensions: (1) difficulty in the awareness of feelings, (2) externally oriented thinking, (3) difficulty in interoceptive abilities, and (4) poor affective sharing. The first factor was positively associated with all self-reported psychological and personality trait measures while the third factor was associated more with somatic disorders and medication intake.ResultsOur results suggest the presence of a new latent factor in the assessment of alexithymia that reflects interoceptive abilities specifically related to health and personality trait outcomes. In accordance with the results and the literature, it seems important to include an assessment of interoceptive abilities when considering the evaluation of alexithymia. The next step would be to develop a valid measure of these abilities.

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“…high-order domains or metacognition) of those internal states, linked to interoceptive processes 113 . Indeed, interoceptive theories 33 , 58 , 114 – 117 propose that emotions are constructed by predictions based on (bottom-up) bodily inputs interacting with both internal and external milieu by anticipating (top-down) mental states, feelings, and memories, as well as external (including emotion-laden) stimuli.…”

Section: Discussionmentioning

confidence: 99%

Multicentric evidence of emotional impairments in hypertensive heart disease

Yoris

Legaz

Abrevaya

et al. 2020

Sci Rep

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The mechanisms underlying emotional alterations constitute a key research target in neuroscience. Emerging evidence indicates that these disruptions can be related to abnormal interoception (i.e., the sensing of visceral feelings), as observed in patients with cardiodynamic deficits. To directly assess these links, we performed the first multicenter study on emotion recognition and interoception in patients with hypertensive heart disease (HHD). Participants from two countries completed a facial emotion recognition test, and a subsample additionally underwent an interoception protocol based on a validated heartbeat detection task. HHD patients from both countries presented deficits in the recognition of overall and negative emotions. Moreover, interoceptive performance was impaired in the HHD group. In addition, a significant association between interoceptive performance and emotion recognition was observed in the control group, but this relation was abolished in the HHD group. All results survived after covariance with cognitive status measures, suggesting they were not biased by general cognitive deficits in the patients. Taken together, these findings suggest that emotional recognition alterations could represent a sui generis deficit in HHD, and that it may be partially explained by the disruption of mechanisms subserving the integration of neuro-visceral signals.

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Relationship between interoception and emotion regulation: New evidence from mixed methods

Cited by 77 publications

References 32 publications

Motivated Cue-Integration and Emotion Regulation: Awareness of the Association Between Interoceptive and Exteroceptive Embodied Cues and Personal Need Creates an Emotion Goal

Motivated Cue-Integration and Emotion Regulation: Awareness of the Association Between Interoceptive and Exteroceptive Embodied Cues and Personal Need Creates an Emotion Goal

Importance of considering interoceptive abilities in alexithymia assessment

Multicentric evidence of emotional impairments in hypertensive heart disease

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