2017
DOI: 10.1002/erv.2532
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Psychometric Evaluation and Norms for the Multidimensional Assessment of Interoceptive Awareness (MAIA) in a Clinical Eating Disorders Sample

Abstract: Altered interoceptive awareness (IA) has been implicated in the pathophysiology of eating disorders; however, few comprehensive self-report measures of IA exist in eating disorders. The present study sought to validate the Multidimensional Assessment of Interoceptive Awareness (MAIA), originally developed to assess IA in individuals practicing mind-body therapies, in an eating disorder sample. Adult and adolescent patients (n = 376) completed assessments upon admission to a partial hospital programme. Analyses… Show more

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Cited by 110 publications
(94 citation statements)
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“…Poor prediction, coupled with elevated response to receipt, likely leads to the perception of a more intense experience. These findings are consistent with the notion that the difference between interoceptive accuracy and interoceptive confidence, or assurance in one’s interoceptive accuracy, predicts anxiety 100 and may explain why AN individuals report low levels of trust in their interoceptive experience 101 . Our findings also suggest that the processing of arousal rather than valence of interoceptive experience may be aberrant in AN.…”
Section: Discussionsupporting
confidence: 86%
“…Poor prediction, coupled with elevated response to receipt, likely leads to the perception of a more intense experience. These findings are consistent with the notion that the difference between interoceptive accuracy and interoceptive confidence, or assurance in one’s interoceptive accuracy, predicts anxiety 100 and may explain why AN individuals report low levels of trust in their interoceptive experience 101 . Our findings also suggest that the processing of arousal rather than valence of interoceptive experience may be aberrant in AN.…”
Section: Discussionsupporting
confidence: 86%
“…Several researchers theorize that such detachment likely leads to self‐neglect and facilitates self‐destructive behavior (Bruch, ; Muehlenkamp et al., ; Orbach, ). Indeed, low body trust has been associated with elevated anxiety, emotion dysregulation, and alexithymia (Brown et al., ; Mehling et al., ), which have similarly been linked to suicidal ideation (Bentley et al., ; Jukka Hintikka et al., ; Law et al., ). With regard to suicide attempts, rejection, or lack of perception of bodily signals could perpetuate body distrust, leading to experiences that increase one's capability for suicide and the ability to overcome one's evolutionary self‐preservation instincts (Öhman & Mineka, ; Van Orden et al., ).…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, it is also possible that weight loss may exacerbate difficulties with alexithymia (e.g., Beadle et al, 2013), perpetuating the cycle. Finally, drawing from existing work in interoceptive deficits in AN (Jenkinson et al, 2018), it could be the case the difficulties with correctly identifying internal states results in misperception of both emotional and homoeostatic physiological signals, resulting in lack of trust in body signals (Brown et al, 2017), negative affect, and inability to effectively respond to hunger, satiety, and emotional cues.…”
Section: Functional Links Between Alexithymia and An Symptomsmentioning
confidence: 99%