Influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedback

Alexithymia is a psychological trait characterized by difficulty expressing emotions. Previous studies reported that individuals with higher alexithymia have a decreased sense of interoception, which is the sense of monitoring and controlling internal organs. Thus, we hypothesized that internal orga...

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Main Authors: Hitomi Ikarashi, Naofumi Otsuru, Sena Takahashi, Kazuaki Nagasaka, Masayuki Hara, Hideaki Onishi
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1442138/full
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author Hitomi Ikarashi
Hitomi Ikarashi
Naofumi Otsuru
Naofumi Otsuru
Sena Takahashi
Kazuaki Nagasaka
Kazuaki Nagasaka
Masayuki Hara
Hideaki Onishi
Hideaki Onishi
author_facet Hitomi Ikarashi
Hitomi Ikarashi
Naofumi Otsuru
Naofumi Otsuru
Sena Takahashi
Kazuaki Nagasaka
Kazuaki Nagasaka
Masayuki Hara
Hideaki Onishi
Hideaki Onishi
author_sort Hitomi Ikarashi
collection DOAJ
description Alexithymia is a psychological trait characterized by difficulty expressing emotions. Previous studies reported that individuals with higher alexithymia have a decreased sense of interoception, which is the sense of monitoring and controlling internal organs. Thus, we hypothesized that internal organ activity (cardiac activities in the present study) was easily affected by false feedback in individuals with severe alexithymia. Therefore, we investigated whether the effects of fake heart rate feedback on real cardiac activities differ depending on the severity of alexithymia as assessed by the 20-item Toronto Alexithymia Scale (TAS-20). Fake heart rate feedback was presented as if it were occurring in the individual’s hand through a virtual reality system at various speeds. Changes in cardiac activities were evaluated by the root-mean-square-successive difference (RMSSD, high value indicates greater parasympathetic tone) of the heartbeat interval. Our findings revealed a negative correlation between externally oriented thinking, a subscale of the TAS-20 score, and the RMSSD change ratio elicited by fake heart rate feedback. These findings indicate that individuals with higher alexithymia might be particularly susceptible to external fake feedback.
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spelling doaj-art-d9ef3580c91f4c12a0d1a057bf65aa0d2025-01-08T06:12:18ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-01-011510.3389/fpsyg.2024.14421381442138Influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedbackHitomi Ikarashi0Hitomi Ikarashi1Naofumi Otsuru2Naofumi Otsuru3Sena Takahashi4Kazuaki Nagasaka5Kazuaki Nagasaka6Masayuki Hara7Hideaki Onishi8Hideaki Onishi9Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, JapanDepartment of Physical Therapy, Niigata University of Health and Welfare, Niigata, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, JapanDepartment of Physical Therapy, Niigata University of Health and Welfare, Niigata, JapanDepartment of Physical Therapy, Niigata University of Health and Welfare, Niigata, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, JapanGraduate School of Science and Engineering, Saitama University, Saitama, JapanDepartment of Physical Therapy, Niigata University of Health and Welfare, Niigata, JapanInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, JapanAlexithymia is a psychological trait characterized by difficulty expressing emotions. Previous studies reported that individuals with higher alexithymia have a decreased sense of interoception, which is the sense of monitoring and controlling internal organs. Thus, we hypothesized that internal organ activity (cardiac activities in the present study) was easily affected by false feedback in individuals with severe alexithymia. Therefore, we investigated whether the effects of fake heart rate feedback on real cardiac activities differ depending on the severity of alexithymia as assessed by the 20-item Toronto Alexithymia Scale (TAS-20). Fake heart rate feedback was presented as if it were occurring in the individual’s hand through a virtual reality system at various speeds. Changes in cardiac activities were evaluated by the root-mean-square-successive difference (RMSSD, high value indicates greater parasympathetic tone) of the heartbeat interval. Our findings revealed a negative correlation between externally oriented thinking, a subscale of the TAS-20 score, and the RMSSD change ratio elicited by fake heart rate feedback. These findings indicate that individuals with higher alexithymia might be particularly susceptible to external fake feedback.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1442138/fullalexithymiavirtual realityembodimentneuroscienceinteroceptioninteroceptive feedback
spellingShingle Hitomi Ikarashi
Hitomi Ikarashi
Naofumi Otsuru
Naofumi Otsuru
Sena Takahashi
Kazuaki Nagasaka
Kazuaki Nagasaka
Masayuki Hara
Hideaki Onishi
Hideaki Onishi
Influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedback
Frontiers in Psychology
alexithymia
virtual reality
embodiment
neuroscience
interoception
interoceptive feedback
title Influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedback
title_full Influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedback
title_fullStr Influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedback
title_full_unstemmed Influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedback
title_short Influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedback
title_sort influence of alexithymia severity in the healthy population on the susceptibility to false interoceptive feedback
topic alexithymia
virtual reality
embodiment
neuroscience
interoception
interoceptive feedback
url https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1442138/full
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