The Effect Emotion Regulation Difficulties on Interoceptive Awareness and Alexithymia: An Example of Consultation-Liaison Psychiatry
Bibliographic record
Abstract
OBJECTIVE: This study investigated the relationships among interoceptive awareness, difficulties in emotion regulation, and alexithymia in a group of outpatients undergoing consultation liaison psychiatry (CLP). METHODS: 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. RESULTS: 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). CONCLUSION: 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.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".