Clarifying the relationship between alexithymia and subjective interoception.

The long-standing hypothesis that emotions rely on bodily states is back in the spotlight. This has led some researchers to suggest that alexithymia, a personality construct characterized by altered emotional awareness, reflects a general deficit in interoception. However, tests of this hypothesis h...

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Main Authors: Giulia Gaggero, Andrea Bizzego, Sara Dellantonio, Luigi Pastore, Mengyu Lim, Gianluca Esposito
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0261126
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author Giulia Gaggero
Andrea Bizzego
Sara Dellantonio
Luigi Pastore
Mengyu Lim
Gianluca Esposito
author_facet Giulia Gaggero
Andrea Bizzego
Sara Dellantonio
Luigi Pastore
Mengyu Lim
Gianluca Esposito
author_sort Giulia Gaggero
collection DOAJ
description The long-standing hypothesis that emotions rely on bodily states is back in the spotlight. This has led some researchers to suggest that alexithymia, a personality construct characterized by altered emotional awareness, reflects a general deficit in interoception. However, tests of this hypothesis have relied on heterogeneous assessment methods, leading to inconsistent results. To shed some light on this issue, we administered a battery of self-report questionnaires of interoception and alexithymia to three samples from Italy, the U.S., and Singapore (N = 814). Correlation and machine learning analyses showed that alexithymia was associated with deficits in both subjective interoceptive accuracy and attention. Alexithymics' interoceptive deficits were primarily related to difficulty identifying and describing feelings. Interoception showed a weaker association with externally-oriented thinking as operationalized by the Toronto Alexithymia Scale (TAS-20) and no association with the affective dimension of alexithymia later introduced by the Bermond-Vorst Alexithymia Questionnaire (BVAQ). We discuss our results with reference to the theoretical and psychometric differences between these two measures of alexithymia and their shortcomings. Overall, our results support the view that interoceptive deficits are a core component of alexithymia, although the latter cannot be reduced to the former.
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spelling doaj.art-3d717665ac314072b15aa826eff90d5b2022-12-22T04:16:44ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011612e026112610.1371/journal.pone.0261126Clarifying the relationship between alexithymia and subjective interoception.Giulia GaggeroAndrea BizzegoSara DellantonioLuigi PastoreMengyu LimGianluca EspositoThe long-standing hypothesis that emotions rely on bodily states is back in the spotlight. This has led some researchers to suggest that alexithymia, a personality construct characterized by altered emotional awareness, reflects a general deficit in interoception. However, tests of this hypothesis have relied on heterogeneous assessment methods, leading to inconsistent results. To shed some light on this issue, we administered a battery of self-report questionnaires of interoception and alexithymia to three samples from Italy, the U.S., and Singapore (N = 814). Correlation and machine learning analyses showed that alexithymia was associated with deficits in both subjective interoceptive accuracy and attention. Alexithymics' interoceptive deficits were primarily related to difficulty identifying and describing feelings. Interoception showed a weaker association with externally-oriented thinking as operationalized by the Toronto Alexithymia Scale (TAS-20) and no association with the affective dimension of alexithymia later introduced by the Bermond-Vorst Alexithymia Questionnaire (BVAQ). We discuss our results with reference to the theoretical and psychometric differences between these two measures of alexithymia and their shortcomings. Overall, our results support the view that interoceptive deficits are a core component of alexithymia, although the latter cannot be reduced to the former.https://doi.org/10.1371/journal.pone.0261126
spellingShingle Giulia Gaggero
Andrea Bizzego
Sara Dellantonio
Luigi Pastore
Mengyu Lim
Gianluca Esposito
Clarifying the relationship between alexithymia and subjective interoception.
PLoS ONE
title Clarifying the relationship between alexithymia and subjective interoception.
title_full Clarifying the relationship between alexithymia and subjective interoception.
title_fullStr Clarifying the relationship between alexithymia and subjective interoception.
title_full_unstemmed Clarifying the relationship between alexithymia and subjective interoception.
title_short Clarifying the relationship between alexithymia and subjective interoception.
title_sort clarifying the relationship between alexithymia and subjective interoception
url https://doi.org/10.1371/journal.pone.0261126
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