Multidimensional Assessment of Interoceptive Awareness: Psychometric Properties of the Portuguese Version

Machorrinho, Joana; Veiga, Guida; Fernandes, Jorge; Mehling, Wolf; Marmeleira, José

doi:10.1177/0031512518813231

Cited by 29 publications

(26 citation statements)

References 34 publications

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“…Nevertheless, while our EFA-derived model is currently unique in terms of the relatively high number of items and factors that have been excluded, it is worth noting that several other authors have also failed to replicate the parent structure [14,15,17,18,71]. Furthermore, it is arguable that many of the extant 8-factor models have retained factors or items erroneously.…”

Section: Plos Onementioning

confidence: 95%

“…For example, as previously highlighted, the Not-Distracting and Not-Worrying subscales have either been altered or excluded from the majority of the available validation studies [10-18, 26, 71]. Similarly, the Body Listening and Self-Regulation subscales have been either discarded or altered in many cases [7,10,13,14,17,18].…”

Section: Plos Onementioning

confidence: 99%

“…Consequently, some translational studies have proposed an 8-factor model with a reduced number of items PLOS ONE PLOS ONE [10,12]. Other translational studies have failed to replicate the parent model, instead finding that MAIA scores reduce to seven [14] or six [15][16][17][18] dimensions. Finally, other researchers have elected to deliberately reduce the number of MAIA dimensions to overcome difficulties with high correlation between the MAIA subscales and increase statistical power [19,20].…”

Section: Introductionmentioning

confidence: 99%

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Translation and validation of a Bahasa Malaysia (Malay) version of the Multidimensional Assessment of Interoceptive Awareness (MAIA)

et al. 2020

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The 32-item Multidimensional Assessment of Interoceptive Awareness (MAIA) is a widelyused measure of multidimensional interoception. In the present study, we examined the psychometric properties of a Bahasa Malaysia (Malay) translation of the MAIA. Methods An online sample of 815 Malaysian Malays (women n = 403) completed a novel translation of the MAIA. Validated measures of trait mindfulness and self-esteem were also completed to facilitate a preliminary assessment of convergent validity. Results Exploratory factor analysis indicated that the MAIA items reduced to a 19-item, 3-factor model. The 3-factor model was further tested using confirmatory factor analysis (CFA) alongside the parent 8-factor model. Both models had good fit on some indices, but lessthan-ideal fit on other indices. The 3-factor model evidenced comparatively better fit, with fit indices being adequate following modification. Multi-group CFA indicated both the 3-factor model and the 8-factor model had full strict invariance across sex. However, evidence for construct and convergent validity was mixed. Conclusions Overall the 3-dimensional Malay MAIA was demonstrated to be both internally consistent and invariant across sex, but further evidence of construct and convergent validity is required. Issues that affect the dimensionality of MAIA scores in the present and extant work are discussed in conclusion.

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Section: Plos Onementioning

confidence: 95%

Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Translation and validation of a Bahasa Malaysia (Malay) version of the Multidimensional Assessment of Interoceptive Awareness (MAIA)

et al. 2020

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“…First, there was no formal test for convergent validity using questionnaires that presumably assess either interoceptive attention or accuracy, such as the recently developed Interoceptive Attention Scale (Gabriele et al, 2020) or the Interoceptive Confusion Questionnaire (Brewer et al, 2016), as neither of these is available in Portuguese. There is actually an interoception-related questionnaire translated for Portuguese (Multidimensional Assessment of Interoceptive Awareness; (Machorrinho et al, 2019) but it does not provide a clear measure of either interoceptive attention and accuracy. Thus, it was decided to establish convergent and divergent validity by examining the association between both scales and by exploring the theoretically sound differential association between both scales and the well-established alexithymia scale, which has been properly validated for European Portuguese.…”

Section: Limitations and Recommendations For Future Researchmentioning

confidence: 99%

Untangling Self-Reported Interoceptive Attention and Accuracy: Evidence from the European Portuguese Validation of the Body Perception Questionnaire and the Interoceptive Accuracy Scale

Campos¹,

Rocha²,

Barbosa³

2021

Preprint

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This study included an online community-sample (n = 515) and aimed to: (1) explore the factor structure and psychometric properties of the European Portuguese versions of the Interoceptive Accuracy Scale (IAS) and the Body Perception Questionnaire (BPQ) - Body Awareness and Autonomic Reactivity scales; (2) examine the association between self-reported interoceptive attention and accuracy (indexed by the BPQ Body Awareness and IAS, respectively). Parallel-analysis indicated a one-factor solution for the BPQ Body Awareness. For the IAS and BPQ Autonomic Reactivity, bifactor ESEM models were retained. Ancillary measures revealed that both scales were mainly unidimensional and presented reliable total scores. All scales displayed excellent internal consistency, although test-rest reliability was modest. There was a quadratic U-shaped association between the IAS and BPQ Body Awareness. Alexithymia was negatively correlated with the IAS and unassociated with the BPQ Body Awareness. These findings suggest that interoceptive attention and accuracy may be dissociated using self-report questionnaires.

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“…Subscales are averaged, and a higher total score represents a better outcome (α = 0.66 to 0.87). The MAIA Portuguese version presents good psychometric properties (α = 0.61 to 0.87) ( 64 ).…”

Section: Methodsmentioning

confidence: 99%

Mindfulness Training for Primary Care for Portuguese-Speaking Immigrants: A Pilot Study

et al. 2021

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Background: Portuguese-speaking immigrants are a growing underserved population in the Unites States who experience high levels of psychological distress and increased vulnerability to mental health disorders such as depression and anxiety. Current evidence shows that mindfulness-based interventions (MBIs) are effective to promote physical and mental health among educated English speakers; nonetheless, the lack of diversity in the mindfulness literature is a considerable limitation. To our knowledge, the feasibility and acceptability of MBIs among Portuguese-speaking immigrants have not yet been investigated.Methods: This single-arm pilot study (N = 30) explored the feasibility, acceptability, and cultural aspects of Mindfulness Training for Primary Care (MTPC)-Portuguese among Portuguese-speaking immigrants in the Boston area. MTPC is an 8-week, primary care-adapted, referral-based, insurance-reimbursable, trauma-informed MBI that is fully integrated into a healthcare system. The study also examined intervention preliminary effectiveness on mental health outcomes (depression and anxiety symptoms) and self-regulation (emotional regulation, mindfulness, self-compassion, interoceptive awareness), and initiation of health behavior was explored.Results: Primary care providers referred 129 patients from 2018 to 2020. Main DSM-5 primary diagnoses were depression (76.3%) and anxiety disorders (6.7%). Participants (N = 30) attended a mean of 6.1 (SD 1.92) sessions and reported a mean of 213.7 (SD = 124.3) min of practice per week. All survey finishers would recommend the program to a friend, found the program helpful, and rated the overall program as “very good” or “excellent,” and 93% would participate again, with satisfaction mean scores between 4.6 and 5 (Likert scale 0–5). Participants and group leaders provided feedback to refine MTPC-Portuguese culturally responsiveness regarding materials language, settings, time, food, and community building. Patients exhibited reductions in depression (d = 0.67; p < 0.001) and anxiety (d = 0.48; p = 0.011) symptoms, as well as enhanced emotional regulation (d = 0.45; p = 0.009), and among survey finishers, 50% initiated health behavior change through action plan initiation.Conclusion: This pilot study suggests that MTPC-Portuguese is feasible, acceptable, and culturally appropriate among Portuguese-speaking patients in the Boston area. Furthermore, the intervention might potentially decrease depression and anxiety symptoms, facilitate health behavior change, and improve emotional regulation. MTPC-Portuguese investigation with larger samples in controlled studies is warranted to support its dissemination and implementation in the healthcare system.Clinical Trial Registration: Identifier: NCT04268355.

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Multidimensional Assessment of Interoceptive Awareness: Psychometric Properties of the Portuguese Version

Cited by 29 publications

References 34 publications

Translation and validation of a Bahasa Malaysia (Malay) version of the Multidimensional Assessment of Interoceptive Awareness (MAIA)

Translation and validation of a Bahasa Malaysia (Malay) version of the Multidimensional Assessment of Interoceptive Awareness (MAIA)

Untangling Self-Reported Interoceptive Attention and Accuracy: Evidence from the European Portuguese Validation of the Body Perception Questionnaire and the Interoceptive Accuracy Scale

Mindfulness Training for Primary Care for Portuguese-Speaking Immigrants: A Pilot Study

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