The Relationship between Executive Functions and Interoceptive Awareness in the Elderly with Perceived Feelings of Loneliness

10.4103/TPSY.TPSY_28_22

Arpita Roy Choudhury；Susmita Halder

older adults ； UCLA 3-Item Loneliness Scale ； Multidimensional Assessment of Interoceptive Awareness ； Wisconsin Card-sorting Test

台灣精神醫學

36卷3期（2022 / 09 / 01）

131 - 137

英文

Objectives: Older adults are more vulnerable to perceived feelings of loneliness which may lead to depression, cognitive decline, and an overall decrease in their quality of life. In the present study, the main objective was to compare executive functions and interoceptive awareness between the elderly with and without perceived feelings of loneliness. Methods: In the study, we recruited a sample of 100 study subjects (50 individuals with perceived feelings of loneliness and 50 healthy controls). UCLA 3-Item Loneliness Scale was used as a screening tool for loneliness. Multidimensional Assessment of Interoceptive Awareness, Stroop Test, N Back Test (verbal and visual), and Wisconsin Card Sorting Test were used as measures of interoceptive awareness and executive functioning, respectively. Results: Significant difference was found between both the groups in working memory (p ＜ 0.05) and set shifting ability (p ＜ 0.01). In interoceptive awareness, significant difference was found between both the groups in the domains of significantly high on not distracting (t = 5.723, p ＜ 0.01), significantly less on not worrying (t = 2.028, p ＜ 0.05), significantly less on body listening (t = 2.302, p ＜ 0.05), and significantly less on trusting (t = 4.630, p ＜ 0.01). Conclusion: To understand the possible neuropsychological mechanism of loneliness may help conceptualize a better intervention plan for those with perceived feelings of loneliness to prevent progression to severe psychological problems and cognitive decline.

1. Adolphs, R(2002).Recognizing emotion from facial expressions: psychological and neurological mechanisms.Behav Cogn Neurosci Rev,1,21-62.
2. Archibald, F,Bartholomew, K,Marx, R(1995).Loneliness in early adolescence: a test of the cognitive discrepancy model of loneliness.Pers Soc Psychol Bull,21,296-301.
3. Barrett, LF,Bliss-Moreau, E(2009).Affect as a psychological primitive.Adv Exp Soc Psychol,41,167-218.
4. Cacioppo, JT,Hawkley, LC(2009).Perceived social isolation and cognition.Trends Cogn Sci,13,447-454.
5. Cacioppo, JT,Norris, CJ,Decety, J(2009).In the eye of the beholder: Individual differences in perceived social isolation predict regional brain activation to social stimuli.J Cogn Neurosci,21,83-92.
6. de Aguiar Sá Azeredo, Z,Neto-Afonso, MA(2016).Loneliness from the perspective of the elderly.Rev Bras Geriatr Gerontol,19,70-78.
7. Deen, B,Pitskel, NB,Pelphrey, KA(2011).Three systems of insular functional connectivity identified with cluster analysis.Cereb Cortex,21,1498-1506.
8. Gambarota, F,Sessa, P(2019).Visual working memory for faces and facial expressions as a useful “Tool” for understanding social and affective cognition.Front Psychol,10,2392.
9. Gierveld, JD,Van Tilburg, T(2006).A 6-item scale for overall, emotional, and social loneliness confirmatory tests on survey data.Res Aging,28,582-598.
10. Goldberg, DP,Hillier, VF(1979).A scaled version of the general health questionnaire.Psychol Med,9,139-145.
11. Gray, MA,Harrison, NA,Wiens, S(2007).Modulation of emotional appraisal by false physiological feedback during fMRI.PLoS One,2,e546.
12. Halder, S,Manot, S(2020).Identifying suicidal risk and its association with depression in the elderly population.J Geriatr Ment Health,7,29-32.
13. Hawkley, LC,Cacioppo, JT(2010).Loneliness matters: a theoretical and empirical review of consequences and mechanisms.Ann Behav Med,40,218-227.
14. Herbert, BM,Pollatos, O(2012).The body in the mind: on the relationship between interoception and embodiment.Top Cogn Sci,4,692-704.
15. Huang, PH,Chi, MJ,Kuo, CL(2021).Prevalence of loneliness and related factors among older adults in Taiwan: evidence from a nationally representative survey.Inquiry,58,469580211035745.
16. Hughes, ME,Waite, LJ,Hawkley, LC(2004).A short scale for measuring loneliness in large surveys: results from two population-based studies.Res Aging,26,655-672.
17. Leber, AB,Turk-Browne, NB,Chun, MM(2008).Neural predictors of moment-to-moment fluctuations in cognitive flexibility.Proc Natl Acad Sci U S A,105,13592-13597.
18. Mehling, WE,Price, C,Daubenmier, JJ(2012).The Multidimensional Assessment of Interoceptive Awareness (MAIA).PLoS One,7,e48230.
19. Neto, F,Pinto, M(2003).The role of loneliness, gender and love status in adolescents’ love styles.Int J Adolesc Youth,11,191.
20. Newall, N,Chipperfield, J,Rodney, C(2009).Causal beliefs, social participation, and loneliness among older adults: a longitudinal study.J Soc Pers Relat,26,273-290.
21. Paulus, MP,Stein, MB(2010).Interoception in anxiety and depression.Brain Struct Funct,214,451-463.
22. Prasad, BV(ed.),Akbar, S(ed.)(2018).Handbook of Research on Geriatric Health, Treatment, and Care.India:IGI Global.
23. Schmeichel, BJ,Volokhov, RN,Demaree, HA(2008).Working memory capacity and the self-regulation of emotional expression and experience.J Pers Soc Psychol,95,1526-1540.
24. Sherrington CS: The Integrative Action of the Nervous System. New Haven, Conneticuts, USA: Yale University Press, 1906.
25. Sin, E,Shao, R,Lee, TM(2021).The executive control correlate of loneliness in healthy older people.Aging Ment Health,25,1224-1231.
26. Tiwari, SC(2013).Loneliness: a disease?.Indian J Psychiatry,55,320-322.
27. Tsakiris, M,Critchley, H(2016).Interoception beyond homeostasis: Affect, cognition and mental health.Philos Trans R Soc Lond B Biol Sci,371,20160002.
28. Ybarra, O,Burnstein, E,Winkielman, P(2008).Mental exercising through simple socializing: social interaction promotes general cognitive functioning.Pers Soc Psychol Bull,34,248-259.
29. Zhou, Z,Mao, F,Zhang, W(2019).The association between loneliness and cognitive impairment among older men and women in China: a nationwide longitudinal study.Int J Environ Res Public Health,16,e2877.