Abuse, emotion regulation, and interoception: What can studies on the brain-body interaction tell us?

Author/s Laura Angioletti, Michela Balconi
Publishing Year 2020 Issue 2020/1
Language English Pages 15 P. 9-23 File size 306 KB
DOI 10.3280/MAL2020-001002
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

Child abuse has been recognized as a potential risk factor for psychological and relational risk factor, related to emotion regulation throughout life. Specifically, this contribution focuses on emotion regulation as a potential risk or protection mechanism with respect to abusive behav-iour on children and a potential psychopathological development (both self- and hetero-direct). Since emotion dysregulation is strictly related to a failure in interoception, understood as self-perception of signals that originate within the body and refer to its general state, it is desirable that clinical interventions on abuse victims also include an evaluation and possible enhancement of interceptive ability in order to support the person in restoring the functional connection between physiological state, self-perception and emotional regulation.

Keywords: Emotion regulation; child abuse; neuroscience; interoception; empathy

  1. Ainley, V., Brass, M., & Tsakiris, M. (2014). Heartfelt imitation: High interoceptive awareness is linked to greater automatic imitation. Neuropsychologia, 60, 21-28.
  2. Balconi, M., Fronda, G., Venturella, I., & Crivelli, D. (2017). Conscious, pre-conscious and unconscious mechanisms in emotional behaviour. Some applications to the mindfulness approach with wearable devices. Applied Sciences, 7, 1280.
  3. Berthoz, S., Artiges, E., Van de Moortele, P.F. Poline, J. B., Rouquette, S., Consoli, S. M., & Martinot, J. L. (2002). Effect of impaired recognition and expression of emotions on frontocingulate cortices: an fMRI study of men with alexithymia. American Journal of Psychiatry, 159, 961-967.
  4. Bifulco, A., Jacobs, C., Oskis, A., Cavana, F., & Spence, R. (2019). Lifetime trauma, adversity and emotional disorder in older age women. Maltrattamento e abuso all’infanzia, 2, 29-43. DOI: 10.3280/MAL2019-002003
  5. Bocchio-Chiavetto, L., & Cavallo, M. (2015). Aspetti biologici e neuropsicologici del maltrattamento e abuso infantili. Maltrattamento e abuso all’infanzia, 3, 7-10. DOI: 10.3280/MAL2015-003001
  6. Bocchio-Chiavetto, L., & Maffioletti, E. (2015). Biomolecular effects of childhood maltreatment: The role of epigenetics and inflammation. Maltrattamento e abuso all’infanzia, 3, 35-54. DOI: 10.3280/MAL2015-003003
  7. Brosey, E. A., & Woodward, N. D. (2017). Neuroanatomical correlates of perceptual aberrations in psychosis. Schizophrenia Research, 179, 125-131.
  8. Buhle, J. T., Silvers, J. A., Wage, T. D., Lopez, R., Onyemekwu, C., Kober, H., … Ochsner, K. N. (2014). Cognitive reappraisal of emotion: A meta-analysis of human neuroimaging studies. Cerebral Cortex, 24, 2981-2990.
  9. Burns, E. E., Jackson, J. L., & Harding, H. G. (2010). Child maltreatment, emotion regulation, and posttraumatic stress: The impact of emotional abuse. Journal of Aggression, Maltreatment and Trauma, 19, 801-819. DOI: 10.1080/10926771.2010.522947
  10. Calkins, S. D., Gill, K. L., Johnson, M. C., & Smith, C. L. (2001). Emotional reactivity and emotional regulation strategies as predictors of social behavior with peers during toddlerhood. Social Development, 8, 310-334. DOI: 10.1111/1467-9507.00098
  11. Camisasca, E., Miragoli, S., & Di Blasio, P. (2014). La disorganizzazione dell’attaccamento spiega i sintomi post-traumatici nei bambini vittime di violenza intrafamiliare? Maltrattamento e abuso all’infanzia, 2, 35-55. DOI: 10.3280/MAL2014-002003
  12. Cavallo, M., & Signorino, A. (2015). Neuropsychological and neuroimaging correlates of child maltreatment and abuse. Maltrattamento e abuso all’infanzia, 3, 11-33. DOI: 10.3280/MAL2015-003002
  13. Cicchetti, D., Ganiban, J., & Barnett, D. (1991). Contributions from the study of high risk populations to understanding the development of emotion regulation. In J. Garber & K. Dodge (Eds.), The development of emotion regulation and dysregulation (pp. 15–49). New York, NY, USA: Cambridge University Press.
  14. Cole, P. M., Michel, M. K., & Teti, L. O. D. (1994). The development of emotion regulation and dysregulation: A clinical perspective. Society for Research in Child Development, 59, 73-100.
  15. Craig, A. (2002). How do you feel? Interoception: The sense of the physiological condition of the body. Nature Neuroscience, 3, 655-666.
  16. Critchley, H. D., Wiens, S., Rotshtein, P., Öhman, A., & Dolan, R. J. (2004). Neural systems supporting interoceptive awareness. Nature Neuroscience, 7, 189-195.
  17. De Cort, K., Schroijen, M., Hurlemann, R., Claassen, S., Hoogenhout, J., Van den Bergh, O., … Schruers, K. (2017). Modeling the development of panic disorder with interoceptive conditioning. European Neuropsychopharmacology, 27, 59-69.
  18. Eisenberg, N., Pidada, S., & Liew, J. (2001). The relations of regulation and negative emotionality to Indonesian children’s social functioning. Child Development, 72, 1747-1763. DOI: 10.1111/1467-8624.00376
  19. Ernst, J., Northoff, G., Böker, H., Seifritz, E., & Grimm, S. (2013). Interoceptive awareness enhances neural activity during empathy. Human Brain Mapping, 34, 1615-1624.
  20. Etkin, A., Egner, T., Peraza, D. M., Kandel, E. R., & Hirsch, J. (2006). Resolving emotional conflict: A role for the rostral anterior cingulate cortex in modulating activity in the amygdala. Neuron, 51, 871-882.
  21. Fukushima, H., Terasawa, Y., & Umeda, S. (2011). Association between interoception and empathy: Evidence from heartbeat-evoked brain potential. International Journal of Psychophysiology, 79, 259-265.
  22. Furman, D. J., Waugh, C. E., Bhattacharjee, K., Thompson, R. J., & Gotlib, I. H. (2013). Interoceptive awareness, positive affect, and decision making in Major Depressive Disorder. Journal of Affective Disorders, 151, 780-785.
  23. Garfinkel, S. N., & Critchley, H. D. (2016). Threat and the body: How the heart supports fear processing. Trends in Cognitive Sciences, 20, 34-46.
  24. Gratz, K. L., Bornovalova, M. A., Delany-Brumsey, A., Nick, B., & Lejuez, C. W. (2007). A laboratory-based study of the relationship between childhood abuse and experiential avoidance among inner-city substance users: The role of emotional nonacceptance. Behavior Therapy, 38, 256-268.
  25. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation. Journal of Psychopathology and Behavioral Assessment, 26, 41-54. DOI: 10.1023/B:JOBA.0000007455.08539.94
  26. Gross, J., & Munoz, R. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2, 151-164.
  27. Grynberg, D., & Pollatos, O. (2015). Perceiving one’s body shapes empathy. Physiology and Behavior, 140, 54-60.
  28. Handford, C., Lemon, J., Grimm, M. C., & Vollmer-Conna, U. (2013). Empathy as a function of clinical exposure - Reading emotion in the eyes. PLoS ONE, 8, 1-7.
  29. Hanish, L. D., Eisenberg, N., Fabes, R. A., Spinrad, T. L., Ryan, P., & Schmidt, S. (2004). The expression and regulation of negative emotions: Risk factors for young children’s peer victimization. Development and Psychopathology, 16, 335-353. DOI: 10.1017/S0954579404044542
  30. Herbert, B. M., Herbert, C., & Pollatos, O. (2011). On the relationship between interoceptive awareness and alexithymia: Is interoceptive awareness related to emotional awareness? Journal of Personality, 79, 1149-1175.
  31. Herringa, R. J., Birn, R. M., Ruttle, P. L., Burghy, C. A., Stodola, D. E., Davidson, R. J., & Essex, M. J. (2013). Childhood maltreatment is associated with altered fear circuitry and increased internalizing symptoms by late adolescence. Proceedings of the National Academy of Sciences of the United States of America, 110, 19119-19124.
  32. Khalsa, S. S., Adolphs, R., Cameron, O. G., Critchley, H. D., Davenport, P. W., Feinstein, J. S., … Zucker, N. (2018). Interoception and Mental Health: A Roadmap. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 3, 501-513.
  33. Kim, J., & Cicchetti, D. (2010). Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. Journal of Child Psychology and Psychiatry and Allied Disciplines, 51, 706-716.
  34. Lange, C. G. (1922). The emotions (I. A. Haupt, Trans.). In C. G. Lange & W. James (Eds.), A series of reprints and translations. The emotions (pp. 33-90). London: Williams & Wilkins Co. DOI: 10.1037/10735-002
  35. Maughan, A., & Cicchetti, D. (2002). Impact of child maltreatment and interadult violence on children’s emotion regulation abilities and socioemotional adjustment. Child Development, 73, 1525-1542. DOI: 10.1111/1467-8624.00488
  36. McLaughlin, K. A., Peverill, M., Gold, A. L., Alves, S., & Sheridan, M. A. (2015). Child maltreatment and neural systems underlying emotion regulation. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 753-762.
  37. Milad, M., & Quirk, G. J. (2012). Fear extinction as a model of traslational neuroscience: ten years of progress. Annual Review of Psychology, 63, 129-151.
  38. Miragoli, S., Camisasca, E., & Di Blasio, P. (2015). Validation of the Child Abuse Potential Inventory in Italy: A Preliminary Study. SAGE Open, 5, 1-12. DOI: 10.1177/2158244015597044
  39. Murphy, J., Brewer, R., Catmur, C., & Bird, G. (2017). Interoception and psychopathology: A developmental neuroscience perspective. Developmental Cognitive Neuroscience, 23, 45-56.
  40. Nentjes, L., Meijer, E., Bernstein, D., Arntz, A., & Medendorp, W. (2013). Brief communication: investigating the relationship between psychopathy and interoceptive awareness. Journal of Personality Disorders, 27, 617-624.
  41. Ochsner, K. N., & Gross, J. J. (2005). The cognitive control of emotion. Trends in Cognitive Sciences, 9, 242-249.
  42. Ochsner, K. N., Ray, R. D., Cooper, J. C., Robertson, E. R., Chopra, S., Gabrieli, J. D. E., & Gross, J. J. (2004). For better or for worse: Neural systems supporting the cognitive down- and up-regulation of negative emotion. NeuroImage, 23, 483-499.
  43. Pace-Schott, E. F., Amole, M. C., Aue, T., Balconi, M., Bylsma, L. M., Critchley, H., … VanElzakker, M. B. (2019). Physiological feelings. Neuroscience and Biobehavioral Reviews, 103, 267-304.
  44. Paivio, S. C., & Laurent, C. (2001). Empathy and emotion regulation: Reprocessing memories of childhood abuse. Journal of Clinical Psychology, 57, 213-226.
  45. Perry, B. (2002). Childhood experience and the expression of genetic potential: What childhood neglect tells us about nature and nurture. Brain and Mind, 3, 79-100. DOI: 10.1023/A:1016557824657
  46. Pollatos, O., Herbert, B. M., Matthias, E., & Schandry, R. (2007). Heart rate response after emotional picture presentation is modulated by interoceptive awareness. International Journal of Psychophysiology, 63, 117-124.
  47. Suveg, C., & Zeman, J. (2010). The relation between disinhibtion and emotion regulation in boys with attention deficit hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 33, 750-759.
  48. Terasawa, Y., Moriguchi, Y., Tochizawa, S., & Umeda, S. (2014). Interoceptive sensitivity predicts sensitivity to the emotions of others. Cognition and Emotion, 28, 1435-1448. DOI: 10.1080/02699931.2014.888988
  49. Thompson, R. A. (2019). Emotion dysregulation: A theme in search of definition. Development and Psychopathology, 31, 805-815. DOI: 10.1017/S0954579419000282
  50. Tsakiris, M., & Critchley, H. (2016). Interoception beyond homeostasis: Affect, cognition and mental health. Philosophical Transactions of the Royal Society B: Biological Sciences, 371, 1708.
  51. Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38, 303-313.
  52. Twardosz, S., & Lutzker, J. R. (2010). Child maltreatment and the developing brain: A review of neuroscience perspectives. Aggression and Violent Behavior, 15, 59-68.
  53. Urry, H. L., Van Reekum, C. M., Johnstone, T., Kalin, N. H., Thurow, M. E., Schaefer, H. S., … Davidson, R. J. (2006). Amygdala and ventromedial prefrontal cortex are inversely coupled during regulation of negative affect and predict the diurnal pattern of cortisol secretion among older adults. Journal of Neuroscience, 26, 4415-4425. DOI: 10.1523/JNEUROSCI.3215-05.2006
  54. Weinberg, M. S., Johnson, D. C., Bhatt, A. P., & Spencer, R. L. (2010). Medial prefrontal cortex activity can disrupt the expression of stress response habituation. Neuroscience, 168, 744-756.
  55. Wiens, S., Mezzacappa, E. S., & Katkin, E. S. (2000). Heartbeat detection and the experience of emotions. Cognition and Emotion, 14, 417-427. DOI: 10.1080/026999300378905
  56. Yoris, A., Esteves, S., Couto, B., Melloni, M., Kichic, R., Cetkovich, M., … Sedeño, L. (2015). The roles of interoceptive sensitivity and metacognitive interoception in panic. Behavioral and Brain Functions, 11, 1-6.

Laura Angioletti, Michela Balconi, Abuse, emotion regulation, and interoception: What can studies on the brain-body interaction tell us? in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 1/2020, pp 9-23, DOI: 10.3280/MAL2020-001002