Interoceptive Awareness, Decision-Making and Impulsiveness in Male Patients with Alcohol or Opioid Use Disorder
Substance Use and Misuse, cilt.56, sa.9, ss.1275-1283, 2021 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 56 Sayı: 9
- Basım Tarihi: 2021
- Doi Numarası: 10.1080/10826084.2021.1914108
- Dergi Adı: Substance Use and Misuse
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, IBZ Online, CAB Abstracts, CINAHL, Criminal Justice Abstracts, Educational research abstracts (ERA), EMBASE, MEDLINE, Psycinfo, Public Affairs Index, Social services abstracts, Sociological abstracts, SportDiscus
- Sayfa Sayıları: ss.1275-1283
- Anahtar Kelimeler: Addiction, alcohol, decision-making, heartbeat perception, interoceptive awareness, opioids
- Trakya Üniversitesi Adresli: Evet
Özet
Background: The present study was prepared on the assumption that interoceptive awareness (IA) and decision-making processes are implicated in addiction, and that somatic feedback plays an important role in decision-making. Methods: The study participants included 80 abstinent male inpatients with alcohol use disorder (n=40) or opioid use disorder (n=40) according to DSM-5 criteria (current severity: moderate or severe), along with 40 healthy male volunteers. All participants performed the heart rate tracking task as an objective physiological performance measure of IA and a computerized version of the Iowa gambling task (IGT) as a validated measure of decision-making. Impulsiveness was assessed using the Barratt Impulsiveness Scale 11 (BIS-11). Craving was evaluated with the Penn Alcohol Craving Scale (PACS) or Substance Craving Scale (SCS). Results: (1) Heartbeat perception (HBP) and IGT scores were similar between the patients with alcohol or opioid addiction, being significantly lower than those in the control group, and the difference remained significant even when controlling for the factors that were significant in bivariate analyses; (2) HBP scores of patients correlated significantly with IGT scores, even when controlling the effect of the related variables; (3) BIS-11 scores of patients negatively correlated significantly with HBP scores and did not correlate significantly with IGT scores; and (4) PACS/SCS scores did not correlate significantly with HBP and IGT scores. Conclusions: Our findings support the hypothesis that IA and decision-making processes are implicated in addiction and that decreased IA is associated with impaired decision-making.