Humans; Self Report; Surveys and Questionnaires; Perception; Feeding and Eating Disorders/diagnosis; Bulimia Nervosa/diagnosis; Bulimia Nervosa/psychology; Binge-Eating Disorder/diagnosis; eating disorders; interoception; scale development; self-report; Binge-Eating Disorder; Bulimia Nervosa; Feeding and Eating Disorders; Clinical Psychology; Psychiatry and Mental Health
Résumé :
Interoceptive deficits-particularly with respect to the perception of emotions, hunger, and satiety-constitute important targets for intervention in eating disorders (EDs). Suitable self-report measures to identify these deficits, however, are lacking. We, therefore, developed and validated a multidimensional questionnaire to assess eating disorder-specific interoceptive perception (EDIP) in terms of the ability to perceive and discriminate between emotions, hunger, and satiety. In two independent samples with a total of 2058 individuals (22.74% with self-reported EDs), exploratory and confirmatory factor analyses revealed a four-factor solution of the EDIP Questionnaire (EDIP-Q) with the subscales Emotions, Hunger, Satiety, and Discrimination. The EDIP-Q has sound psychometric properties and was related to convergent questionnaires but unrelated to divergent self-report measures, supporting its construct validity. Participants with self-reported EDs had significantly lower EDIP-Q scores compared to participants without self-reported ED diagnosis. While individuals with self-reported anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) report similar difficulties in perceiving emotions, participants with BN and BED report greater difficulties in perceiving satiety and differentiating between hunger and emotional states compared to participants with AN. In contrast, individuals with AN report higher sensibility to satiety but lower sensibility to hunger compared to individuals with BN and BED. The EDIP-Q is a valuable clinical tool to establish profiles of deficits in EDIP that provide the basis for developing more targeted treatment approaches for EDs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
Disciplines :
Traitement & psychologie clinique
Auteur, co-auteur :
ORTMANN, Julie ✱; University of Luxembourg > Faculty of Humanities, Education and Social Sciences > Department of Behavioural and Cognitive Sciences > Team Claus VÖGELE
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Ateş, C., Kaymaz, Ö., Kale, H. E., & Tekindal, M. A. (2019). Comparison of test statistics of nonnormal and unbalanced samples for multivariate analysis of variance in terms of type-I error rates. Computational and Mathematical Methods in Medicine, 2019, Article 2173638. https://doi.org/10.1155/2019/2173638
Backhaus, K., Erichson, B., & Weiber, R. (2015). Fortgeschrittene multivariate analysemethoden [Advanced multivariate analysis methods] (3rd ed.). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-662-46087-0
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588–606. https://doi.org/10.1037/0033-2909.88.3.588
Bornemann, B., Herbert, B. M., Mehling, W. E., & Singer, T. (2015). Differential changes in self-reported aspects of interoceptive awareness through 3 months of contemplative training. Frontiers in Psychology, 5, Article 1504. https://doi.org/10.3389/fpsyg.2014.01504
Bortz, J., & Döring, N. (2016). Forschungsmethoden und evaluation [Research methods and evaluation]. Springerverlag.
Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). Guilford Press.
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen& J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Sage Publications.
Bühner, M. (2011). Einführung in die Test-und Fragebogenkonstruktion [Introduction to test and questionnaire construction]. Pearson Deutschland GmbH.
Cameron, O. G. (2001). Interoception: The inside story—A model for psychosomatic processes. Psychosomatic Medicine, 63(5), 697–710. https://doi.org/10.1097/00006842-200109000-00001
Clark, L. A., & Watson, D. (2016). Constructing validity: Basic issues in objective scale development. In A. E. Kazdin (Ed.), Methodological issues and strategies in clinical research (4th ed., pp. 187–203). American Psychological Association. https://doi.org/10.1037/14805-012
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawerence Erlbaum Associates. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155
Fichter, M. M., & Quadflieg, N. (2016). Mortality in eating disorders— Results of a large prospective clinical longitudinal study. International Journal of Eating Disorders, 49(4), 391–401. https://doi.org/10.1002/eat.22501
Fichter, M. M., Quadflieg, N., Crosby, R. D., & Koch, S. (2017). Long-term outcome of anorexia nervosa: Results from a large clinical longitudinal study. International Journal of Eating Disorders, 50(9), 1018–1030. https://doi.org/10.1002/eat.22736
Field, A. (2013). Discovering statistics using IBM SPSS statistics. Sage Publications. Forkmann, T., Scherer, A., Meessen, J., Michal, M., Schächinger, H., Vögele, C., & Schulz, A. (2016). Making sense of what you sense: Disentangling interoceptive awareness, sensibility and accuracy. International Journal of Psychophysiology, 109, 71–80. https://doi.org/10.1016/j.ijpsycho.2016.09.019
Framson, C., Kristal, A. R., Schenk, J. M., Littman, A. J., Zeliadt, S., & Benitez, D. (2009). Development and validation of the mindful eating questionnaire. Journal of the American Dietetic Association, 109(8), 1439–1444. https://doi.org/10.1016/j.jada.2009.05.006
Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: A systematic literature review. The American Journal of Clinical Nutrition, 109(5), 1402–1413. https://doi.org/10.1093/ajcn/nqy342
Games, P. A., & Howell, J. F. (1976). Pairwise multiple comparison procedures with unequal n’s and/or variances: A Monte Carlo study. The Journal of Educational Research, 1(2), 113–125. https://doi.org/10.3102/10769986001002113
Garfinkel, P. E. (1974). Perception of hunger and satiety in anorexia nervosa. Psychological Medicine, 4(3), 309–315. https://doi.org/10.1017/S0033291700042999
Garfinkel, P. E., Moldofsky, H., & Garner, D. M. (1979). The stability of perceptual disturbances in anorexia nervosa. Psychological Medicine, 9(4), 703–708. https://doi.org/10.1017/S0033291700034012
Garfinkel, P. E., Moldofsky, H., Garner, D. M., Stancer, H. C., & Coscina, D. V. (1978). Body awareness in anorexia nervosa: Disturbances in “body image” and “satiety.” Psychosomatic Medicine, 40(6), 487–498. https://doi.org/10.1097/00006842-197810000-00004
Garfinkel, S. N., Seth, A. K., Barrett, A. B., Suzuki, K., & Critchley, H. D. (2015). Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness. Biological Psychology, 104, 65–74. https://doi.org/10.1016/j.biopsycho.2014.11.004
Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2(2), 15–34. https://doi.org/10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6
Glaesmer, H., Grande, G., Braehler, E., & Roth, M. (2011). The German version of the satisfactionwith life scale (SWLS). European Journal of Psychological Assessment, 27(2), 127–132. https://doi.org/10.1027/1015-5759/a000058
Hilbert, A., & Tuschen-Caffier, B. (2007). Eating disorder examinationquestionnaire. Diagnostica, 53(3), 144–1541. https://doi.org/10.1026/0012-1924.53.3.144
Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30(2), 179–185. https://doi.org/10.1007/BF02289447
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Jenkinson, P. M., Taylor, L., & Laws, K. R. (2018). Self-reported interoceptive deficits in eating disorders: A meta-analysis of studies using the eating disorder inventory. Journal of Psychosomatic Research, 110, 38–45. https://doi.org/10.1016/j.jpsychores.2018.04.005
Kays, K., Gathercoal, K., & Buhrow, W. (2012). Does survey format influence self-disclosure on sensitive question items? Computers in Human Behavior, 28(1), 251–256. https://doi.org/10.1016/j.chb.2011.09.007
Khalsa, S. S., Adolphs, R., Cameron, O. G., Critchley, H. D., Davenport, P. W., Feinstein, J. S., Feusner, J. D., Garfinkel, S. N., Lane, R. D., Mehling, W. E., Meuret, A. E., Nemeroff, C. B., Oppenheimer, S., Petzschner, F. H., Pollatos, O., Rhudy, J. L., Schramm, L. P., Simmons, W. K., Stein, M. B., … Interoception Summit 2016 participants. (2018). Interoception and mental health: A roadmap. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 3(6), 501–513. https://doi.org/10.1016/j.bpsc.2017.12.004
Klastrup, C., Frølich, J., Winkler, L. A. D., & Støving, R. K. (2020). Hunger and satiety perception in patients with severe anorexia nervosa. Eating and Weight Disorders, 25(5), 1347–1355. https://doi.org/10.1007/s40519-019-00769-7
Lorenzo-Seva, U., & ten Berge, J. M. F. (2006). Tucker’s congruence coefficient as a meaningful index of factor similarity. Methodology: European Journal of Research Methods for the Behavioral and Social Sciences, 2(2), 57–64. https://doi.org/10.1027/1614-2241.2.2.57
Martin, E., Dourish, C. T., Rotshtein, P., Spetter, M. S., & Higgs, S. (2019). Interoception and disordered eating: A systematic review. Neuroscience and Biobehavioral Reviews, 107, 166–191. https://doi.org/10.1016/j.neubiorev.2019.08.020
Mayr, A., Gefeller, O., Prokosch, H. U., Pirkl, A., Fröhlich, A., & de Zwaan, M. (2012). Web-based data collection yielded an additional response bias—But had no direct effect on outcome scales. Journal of Clinical Epidemiology, 65(9), 970–977. https://doi.org/10.1016/j.jclinepi.2012.03.005
Meule, A., Richard, A., Schnepper, R., Reichenberger, J., Georgii, C., Naab, S., Voderholzer, U., & Blechert, J. (2021). Emotion regulation and emotional eating in anorexia nervosa and bulimia nervosa. Eating Disorders: The Journal of Treatment & Prevention, 29(2), 175–191. https://doi.org/10.1080/10640266.2019.1642036
Miller, L. C., Murphy, R., & Buss, A. H. (1981). Consciousness of body: Private and public. Journal of Personality and Social Psychology, 41(2), 397–406. https://doi.org/10.1037/0022-3514.41.2.397
Monteleone, A. M., & Cascino, G. (2021). A systematic review of network analysis studies in eating disorders: Is time to broaden the core psychopathology to non specific symptoms. European Eating Disorders Review, 29(4), 531–547. https://doi.org/10.1002/erv.2834
Murphy, J., Brewer, R., Plans, D., Khalsa, S. S., Catmur, C., & Bird, G. (2020). Testing the independence of self-reported interoceptive accuracy and attention. Quarterly Journal of Experimental Psychology: Human Experimental Psychology, 73(1), 115–133. https://doi.org/10.1177/1747021819879826
Murphy, J., Catmur, C.,&Bird, G. (2019). Classifying individual differences in interoception: Implications for the measurement of interoceptive awareness. Psychonomic Bulletin & Review, 26(5), 1467–1471. https://doi.org/10.3758/s13423-019-01632-7
Nagl, M., Hilbert, A., de Zwaan, M., Braehler, E.,&Kersting, A. (2016). The German version of the Dutch eating behavior questionnaire: Psychometric properties, measurement invariance, and population-based norms. PLOS ONE, 11(9), Article e0162510. https://doi.org/10.1371/journal.pone.0162510
Paul, T., & Thiel, A. (2005). Eating Disorder Inventory-2 (EDI-2): Deutsche Version. Hogrefe.
Paulus, C. (2009). Der Saabrücker Persönlichkeitsfragebogen SPF (IRI) zur Messung von Empathie: Psychometrische Evaluation Der Deutschen Version Des Interpersonal Reactivity Index [The Saarbrueck Personality Questionnaire on empathy: Psychometric evaluation of the German version of the Interpersonal Reactivity Index]. https://doi.org/10.23668/psycharchives.9249
Poovey, K., Ahlich, E., Attaway, S., & Rancourt, D. (2022). General versus hunger/satiety-specific interoceptive sensibility in predicting disordered eating. Appetite, 171, Article 105930. https://doi.org/10.1016/j.appet.2022.105930
Pudel, V., & Westenhöfer, J. (1989). Fragebogen zum Essverhalten (FEV) - Handanweisung [Three-Factor Eating Questionnaire (TFEQ)-Manual]. Verlag für Psychologie Dr. CJ Hogrefe.
Quadflieg, N., & Fichter, M. M. (2019). Long-term outcome of inpatients with bulimia nervosa-Results from the Christina Barz Study. International Journal of Eating Disorders, 52(7), 834–845. https://doi.org/10.1002/eat.23084
Richard, A., Meule, A., Georgii, C., Voderholzer, U., Cuntz, U., Wilhelm, F. H., & Blechert, J. (2019). Associations between interoceptive sensitivity, intuitive eating, and body mass index in patients with anorexia nervosa and normal-weight controls. European Eating Disorders Review, 27(5), 571–577. https://doi.org/10.1002/erv.2676
Rindermann, H. (2009). Emotionale-Kompetenz-Fragebogen: EKF; Einschätzung emotionaler Kompetenzen und emotionaler Intelligenz aus Selbst- und Fremdsicht [Emotional Competency Questionnaire: Assessment of emotional competencies and emotional intelligence from the perspective of self and others]. Hogrefe.
Schaefer, L. M., Smith, K. E., Anderson, L. M., Cao, L., Crosby, R. D., Engel, S. G., Crow, S. J., Peterson, C. B.,& Wonderlich, S. A. (2020). The role of affect in the maintenance of binge-eating disorder: Evidence from an ecological momentary assessment study. Journal of Abnormal Psychology, 129(4), 387–396. https://doi.org/10.1037/abn0000517
Suksasilp, C., & Garfinkel, S. N. (2022). Towards a comprehensive assessment of interoception in a multi-dimensional framework. Biological Psychology, 168, Article 108262. https://doi.org/10.1016/j.biopsycho.2022.108262
Tabachnik, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Allyn and Bacon.
Tucker, L. R. (1951). A method for synthesis of factor analysis studies. Personnal Research Section Report No. 984. Educational Testing Service.
van Dyck, Z., Herbert, B. M., Happ, C., Kleveman, G. V., & Vögele, C. (2016). German version of the intuitive eating scale: Psychometric evaluation and application to an eating disordered population. Appetite, 105, 798–807. https://doi.org/10.1016/j.appet.2016.07.019
van Dyck, Z., Schulz, A., Blechert, J., Herbert, B. M., Lutz, A. P. C., & Vögele, C. (2021). Gastric interoception and gastric myoelectrical activity in bulimia nervosa and binge-eating disorder. International Journal of Eating Disorders, 54(7), 1106–1115. https://doi.org/10.1002/eat.23291
Westwood, H., Kerr-Gaffney, J., Stahl, D., & Tchanturia, K. (2017). Alexithymia in eating disorders: Systematic review and meta-analyses of studies using the Toronto Alexithymia Scale. Journal of Psychosomatic Research, 99, 66–81. https://doi.org/10.1016/j.jpsychores.2017.06.007