IDA GUALTIERI

PhD Graduate

PhD program:: XXXVII


supervisor: Prof.ssa Maria Serena Panasiti
advisor: Prof.ssa Maria Serena Panasiti
co-supervisor: Prof. Salvatore Maria Aglioti

Thesis title: INTEROCEPTION AND EMOTIONS IN PSYCHOPATHOLOGY

This project investigates the role of interoception in emotion regulation and its impact on psychopathology. In Chapter 1, the concept of interoception is introduced, along with how altered interoception is implicated in various mental disorders. This underscores the importance of considering interoceptive processes as both potential vulnerability and maintenance factors in psychopathology. In Chapter 2, a network-analysis study is presented to explore how Interoceptive Sensibility (assessed via the MAIA-2) and Anxiety Sensitivity (assessed via the ASI-3) relate to specific symptom dimensions (assessed via the SCL-90) in a nonclinical sample. The findings indicate that the tendency to negatively interpret anxiety-related bodily sensations correlates with a broad range of psychopathological symptoms. Chapters 3 and 4 focus on the role of moral emotions—specifically altruistic and deontological guilt—in two clinical populations known to exhibit alterations in guilt processing: Obsessive-Compulsive Disorder (OCD) and Antisocial Personality Disorder (ASPD). Using an experimental paradigm (the Temptation to Lie Card Game, TLCG, Panasiti et al, 2011), which reveals participants’ propensity to lie for personal or other-oriented gain, these studies investigate how inducing either altruistic or deontological guilt influences moral behavior. Overall, this work highlights the complexity of interoception and moral emotions (particularly guilt) in various psychopathological contexts. While the network analysis underscores the key, transdiagnostic role of Anxiety Sensitivity, the experimental studies on OCD and ASPD demonstrate how distinct forms of guilt can produce markedly different effects on moral behavior. These results open new avenues for therapeutic approaches that more precisely integrate interoception and the emotional nuances of guilt, ultimately enhancing both the effectiveness and personalization of clinical interventions.

Research products

11573/1735327 - 2025 - Exploring the relationship between anxiety sensitivity, interoceptive sensibility and psychopathology: a network analysis approach
Gualtieri, Ida; Parisi, Irene; Bortolini, Tiago; Porciello, Giuseppina; Panasiti, Maria Serena - 01a Articolo in rivista
paper: INTERNATIONAL JOURNAL OF COGNITIVE BEHAVIORAL THERAPY ([Cham]: [Springer Nature Switzerland AG], 25 January 2025-) pp. - - issn: 3059-3042 - wos: WOS:001456091200001 (0) - scopus: (0)

11573/1667239 - 2023 - Correlations between cortical gyrification and schizophrenia symptoms with and without comorbid hostility symptoms
Ferracuti, Stefano; Del Casale, Antonio; Romano, Andrea; Gualtieri, Ida; Lucignani, Martina; Napolitano, Antonio; Modesti, Martina Nicole; Buscajoni, Andrea; Zoppi, Teodolinda; Kotzalidis, Georgios D; Manelfi, Lorenza; De Pisa, Eleonora; Girardi, Paolo; Mandarelli, Gabriele; Parmigiani, Giovanna; Rossi-Espagnet, Maria Camilla; Pompili, Maurizio; Bozzao, Alessandro - 01a Articolo in rivista
paper: FRONTIERS IN PSYCHIATRY (Lausanne, Switzerland: Frontiers Media S.A. All Rights Reserved) pp. 1092784- - issn: 1664-0640 - wos: WOS:000916184800001 (1) - scopus: 2-s2.0-85146515435 (1)

11573/1556799 - 2021 - Cerebral cortical thickness and gyrification changes in first-episode psychoses and multi-episode schizophrenia
Del Casale, A; Rossi-Espagnet, M C; Napolitano, A; Lucignani, M; Bonanni, L; Kotzalidis, G D; Buscajoni, A; Manelfi, L; Perrone, V; Gualtieri, I; Brugnoli, R; De Pisa, E; Girardi, P; Romano, A; Ferracuti, S; Bozzao, A; Pompili, M - 01a Articolo in rivista
paper: ARCHIVES ITALIENNES DE BIOLOGIE (-Pisa : Pacini -Pisa Italy: DIP Fisiologia Biochimica) pp. 3-20- - issn: 0003-9829 - wos: WOS:000705064300001 (8) - scopus: 2-s2.0-85109055474 (8)

11573/1350705 - 2019 - Placebo effect in obsessive-compulsive disorder (OCD). placebo response and placebo responders in OCD. The trend over time
Kotzalidis, G. D.; Del Casale, A.; Simmaco, M.; Pancheri, L.; Brugnoli, R.; Paolini, M.; Gualtieri, I.; Ferracuti, S.; Savoja, V.; Cuomo, I.; De Chiara, L.; Mosca, A.; Sani, G.; Girardi, P.; Pompili, M.; Rapinesi, C. - 01g Articolo di rassegna (Review)
paper: CURRENT NEUROPHARMACOLOGY (Hilversum: Bentham Science Publishers) pp. 741-774 - issn: 1570-159X - wos: WOS:000482216200008 (11) - scopus: 2-s2.0-85071015245 (11)

11573/1290590 - 2019 - Drug treatment of trichotillomania (hair-pulling disorder), excoriation (skin-picking) disorder, and nail-biting (onychophagia)
Sani, Gabriele; Gualtieri, Ida; Paolini, Marco; Bonanni, Luca; Spinazzola, Edoardo; Maggiora, Matteo; Pinzone, Vito; Brugnoli, Roberto; Angeletti, Gloria; Girardi, Paolo; Rapinesi, Chiara; Kotzalidis, Georgios D - 01a Articolo in rivista
paper: CURRENT NEUROPHARMACOLOGY (Hilversum: Bentham Science Publishers) pp. 775-786 - issn: 1570-159X - wos: WOS:000482216200009 (37) - scopus: 2-s2.0-85070766860 (42)

11573/1692480 - 2012 - Low-dose topiramate in alcohol dependence: a randomized, double-blind, placebo-controlled trial
Hatzigiakoumis, D. S.; Martinotti, G.; De Vita, O.; Di Nicola, M.; Gualtieri, I.; Tedeschi, D.; Guglielmo, R.; Quatrale, M.; Pozzi, G.; Janiri, L. - 04f Poster
conference: 20th European Congress of Psychiatry (Prague, Czech Republic)
book: European Neuropsychopharmacology Volume 22, Supplement 2, October 2012, Page S391 - ()

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