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

IF 0.9 4区 心理学 Q4 NEUROSCIENCES
Mehmet Bülent Sönmez, Işıl Avcu Meriç, Büşra Sübay*, Yasemin Görgülü
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引用次数: 1

Abstract

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.
男性酒精使用障碍患者的感觉准确性与风险决策和治疗结果的关系
摘要物质使用障碍(SUD)患者可能存在较低水平的内感受性意识(IA),物质使用引起的相关脑区损伤可能会破坏IA。对身体反馈系统的干扰可能导致无法进行有效的决策。本研究关注的前提是,内感受准确性(IAc)作为IA的主要结构,与SUD有关,而差的IAc与风险决策有关,并对治疗结果产生不利影响。本研究纳入85例酒精使用障碍(AUD)患者(目前严重程度:中度或重度)和87例健康对照。所有参与者都完成了心率跟踪任务和电脑版的爱荷华赌博任务(IGT)。使用成瘾特征指数(API)临床表格评估患者的成瘾特征。AUD患者的IAc和IGT评分低于健康对照组。低IAc患者的IGT评分低于高IAc患者,而IAc降低预示着IGT评分降低。低iac和高iac患者组在住院后3、6和12个月的治疗结果无显著差异。我们的研究结果表明,IAc与AUD有关,而较差的IAc可预测高风险决策的增加。导致使用药物的冒险决策可能部分与指导行为的内感受能力的缺陷有关。关注IAc而不参考AUD中复杂的临床病例表现,很难得出关于IAc在临床结果中的作用的明确结论。
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来源期刊
Journal of Psychophysiology
Journal of Psychophysiology 医学-神经科学
CiteScore
2.60
自引率
7.70%
发文量
25
审稿时长
>12 weeks
期刊介绍: The Journal of Psychophysiology is an international periodical that presents original research in all fields employing psychophysiological measures on human subjects. Contributions are published from psychology, physiology, clinical psychology, psychiatry, neurosciences, and pharmacology. Communications on new psychophysiological methods are presented as well. Space is also allocated for letters to the editor and book reviews. Occasional special issues are devoted to important current issues in psychophysiology.
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