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).

中文翻译：

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自我报告测量的开发和初步验证，以评估饮食失调特定的内感受知觉。


内感受缺陷——尤其是情绪、饥饿和饱腹感方面的缺陷——构成了饮食失调（ED）干预的重要目标。然而，缺乏适当的自我报告措施来识别这些缺陷。因此，我们开发并验证了一份多维调查问卷，以评估饮食失调特异性内感受知觉（EDIP），即感知和区分情绪、饥饿和饱腹感的能力。在总共 2058 人的两个独立样本中（22.74% 有自我报告的 ED），探索性和验证性因素分析揭示了 EDIP 问卷 (EDIP-Q) 的四因素解决方案，其子量表为情绪、饥饿、饱腹感和歧视。 EDIP-Q 具有良好的心理测量特性，与聚合问卷相关，但与发散的自我报告测量无关，支持其结构效度。与没有自我报告 ED 诊断的参与者相比，有自我报告 ED 的参与者的 EDIP-Q 评分显着较低。虽然患有自我报告的神经性厌食症 (AN)、神经性贪食症 (BN) 和暴食症 (BED) 的个体在感知情绪方面存在类似的困难，但患有 BN 和 BED 的参与者在感知饱腹感以及区分饥饿和情绪方面存在更大的困难状态与 AN 参与者相比。相比之下，与 BN 和 BED 患者相比，AN 患者对饱腹感的敏感性更高，但对饥饿的敏感性更低。 EDIP-Q 是一种有价值的临床工具，可用于建立 EDIP 缺陷概况，为开发更有针对性的 ED 治疗方法奠定基础。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。