305. Latent profiles of interoceptive awareness, emotion regulation, and rumination among patients with depression and anxiety disorders
Abstract
Abstract Background Outpatients who have depressive and anxiety symptoms could experience a range of interoceptive awareness, emotional regulation, and rumination; however, the level of awareness might vary based on individual symptoms and circumstances. Aims & Objectives To investigate the potential patterns of interoceptive awareness, emotional regulation, and rumination for outpatients, and to examine the association of these patterns and psychological symptoms. Method A total of 115 outpatients were recruited from a university hospital in South Korea between August 2021 and February 2022. Latent profile analysis was conducted to identify distinct profiles based on interoceptive awareness, emotion regulation, and rumination subscales. Analysis of Covariance (ANCOVA) was used to compare psychological symptoms across profiles adjusted with covariates. Logistic regression analyses were performed to estimate the odds of elevated symptoms by profile. Results Three latent profiles were identified: “Adaptive self-regulators” (21.8%), “Hyper-aware ruminators” (45.2%), and “Maladaptive avoiders” (33.0%). ANCOVA revealed significant differences in depressive symptoms, anxiety, and somatization across profiles (all p < .001), with Profile 3 exhibiting the highest symptom levels. Logistic regression adjusted for marital status indicated that Profile 3 had significantly higher odds of elevated depressive symptoms (OR = 7.31), state anxiety (OR = 4.05), trait anxiety (OR = 2.69), and somatization (OR = 3.01), compared to Profile 1. Discussion & Conclusions Distinct patterns of interoceptive awareness, emotional regulation, and rumination were associated with differential psychological symptom severity. Individuals with low interoceptive awareness and high rumination may be at greater clinical risk and could benefit from early identification and somatically focused interventions.