Interoceptive sensibility,intuitive eating,binge,and disordered eating behavior among individuals with obesity: A comparative study with the general population
Restricted accessResearch articleFirst published online February, 2025
Interoceptive sensibility,intuitive eating,binge,and disordered eating behavior among individuals with obesity: A comparative study with the general population
The present study assessed the links between interoceptive sensibility, binge, disordered (emotional, restrained, and external) and intuitive eating among individuals with obesity (n = 57) and normal weight (n = 29). Individuals with obesity presented lower “attention regulation,” “body-listening,” and “trusting” interoceptive dimensions. When age was controlled, group differences on “trusting” remained significant. Individuals with obesity showed lower intuitive eating, higher emotional, and binge eating compared to controls. Higher “body listening,” “eating for physical rather than emotional reasons,” and “reliance on hunger and satiety cues” predicted lower binge eating whereas “external eating” predicted higher binge eating among individuals with obesity. Eating for physical reasons and reliance on hunger and satiety had protective mediating roles in the relationship between external and binge eating in both groups. Interoceptive sensibility and intuitive eating should conjointly serve as psychotherapeutic targets for disordered eating, obesity, and weight management.
AgrawalS (2023) Obesity, Bariatric and Metabolic Surgery: A Comprehensive Guide. London: Springer Cham.
2.
AgüeraZLozano-MadridMMallorquí-BaguéN, et al. (2021) A review of binge eating disorder and obesity. Neuropsychiatrie35(2): 57–67.
3.
AloiMRaniaMCaroleoM, et al. (2017) Social cognition and emotional functioning in patients with binge eating disorder. European Eating Disorders Review25(3): 172–178.
4.
AndrésPParmentierFBEsceraC (2006) The effect of age on involuntary capture of attention by irrelevant sounds: A test of the frontal hypothesis of aging. Neuropsychologia44(12): 2564–2568.
5.
BeckATWardCHMendelsonM, et al. (1961) An inventory for measuring depression. Archives of General Psychiatry4: 561–571.
6.
BourquePBeaudetteD (1982) Étude psychometrique du questionnaire de dépression de Beck auprès d’un échantillon d’ étudiants universitaires francophones [Psychometric study of the Beck Depression Inventory on a sample of French-speaking university students]. Canadian Journal of Behavioural Science14: 211–218.
7.
BruchH (1973) Eating Disorders: Obesity, Anorexia Nervosa, and the Person Within. London: Basic Books.
8.
BrunaultPGaillardPBallonN, et al. (2016) [Validation of the French version of the binge eating scale: Examination of its factor structure, internal consistency and construct validity in a non-clinical and a clinical population]. L’Encephale42(5): 426–433.
9.
BrunaultPRabemampianinaIApfeldorferG, et al. (2015) The Dutch eating behavior questionnaire: Further psychometric validation and clinical implications of the French version in normal weight and obese persons. La Presse Médicale44(12 Pt 1): e363–e372.
10.
CamilleriGMMéjeanCBellisleF, et al. (2016) Intuitive eating is inversely associated with body weight status in the general population-based NutriNet-Santé study. Obesity24(5): 1154–1161.
11.
CanettiLBacharEBerryEM (2002) Food and emotion. Behavioural Processes60(2): 157–164.
12.
CardosoAOliveiraSFerreiraC (2020) Negative and positive affect and disordered eating: The adaptive role of intuitive eating and body image flexibility. Clinical Psychologist24(2): 176–185.
13.
CellaSCiprianoAGiardielloC, et al. (2019) Relationships between self-esteem, interoceptive awareness, impulse regulation, and binge eating. Path analysis in bariatric surgery candidates. Clinical neuropsychiatry16(5–6): 213–220.
14.
CooperAJGuptaSRMoustafaAF, et al. (2021) Sex/gender differences in obesity prevalence, comorbidities, and treatment. Current Obesity Reports10(4): 458–466.
15.
CravenMPFeketeEM (2019) Weight-related shame and guilt, intuitive eating, and binge eating in female college students. Eating Behaviors33: 44–48.
16.
DennyKNLothKEisenbergME, et al. (2013) Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors?Appetite60: 13–19.
17.
de ZwaanM (2001) Binge eating disorder and obesity. International Journal of Obesity25: S51–S55.
18.
DingemansAEvan FurthEF (2012) Binge eating disorder psychopathology in normal weight and obese individuals. International Journal of Eating Disorders45(1): 135–138.
19.
FairburnCGCooperZShafranR (2003) Cognitive behaviour therapy for eating disorders: A ‘transdiagnostic’ theory and treatment. Behaviour Research and Therapy41(5): 509–528.
20.
FairburnCGDollHAWelchSL, et al. (1998) Risk factors for binge eating disorder: A community-based, case-control study. Archives of General Psychiatry55(5): 425–432.
21.
FolgueiraCSeoaneLMCasanuevaFF (2014) The brain-stomach connection. Frontiers of Hormone Research42: 83–92.
22.
GanleyRM (1989) Emotion and eating in obesity: A review of the literature. International Journal of Eating Disorders8(3): 343–361.
23.
GarfinkelSNSethAKBarrettAB, et al. (2015) Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness. Biological Psychology104: 65–74.
24.
GauthierJBouchardS (1993) Adaptation canadienne-française de la forme révisée du State–Trait Anxiety Inventory de Spielberger [A French-Canadian adaptation of the revised version of Spielberger’s State–Trait Anxiety Inventory]. Canadian Journal of Behavioural Science25: 559–578.
25.
GormallyJBlackSDastonS, et al. (1982) The assessment of binge eating severity among obese persons. Addictive Behaviors7(1): 47–55.
HazzardVMTelkeSESimoneM, et al. (2021) Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors: Findings from EAT 2010–2018. Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity26(1): 287–294.
28.
HerbertBMBlechertJHautzingerM, et al. (2013) Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite70: 22–30.
29.
HerbertBMPollatosO (2014) Attenuated interoceptive sensitivity in overweight and obese individuals. Eating Behaviors15(3): 445–448.
30.
HerbertBMPollatosO (2019) The interoceptive mind: From homeostasis to awareness. In: Tsakiris MM.de PreesterH. (eds) The Relevance of Interoception for Eating Behavior and Eating Disorders. New York, NY: Oxford University Press, pp.165–186.
HermanCPMackD (1975) Restrained and unrestrained eating. Journal of Personality43(4): 647–660.
33.
HudsonJIHiripiEPopeHGJr, et al. (2007) The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biological Psychiatry61(3): 348–358.
34.
jamovi (2022) Jamovi - open statistical software for the desktop and cloud. Available at: https://www.jamovi.org/ (accessed 19 September 2023).
35.
KaplanHIKaplanHS (1957) The psychosomatic concept of obesity. Journal of Nervous and Mental Disease125(2): 181–201.
36.
KhalsaSSAdolphsRCameronOG, et al. (2018) Interoception and mental health: A roadmap. Biological Psychiatry Cognitive Neuroscience and Neuroimaging3(6): 501–513.
37.
KhalsaSSRudraufDTranelD (2009) Interoceptive awareness declines with age. Psychophysiology46(6): 1130–1136.
38.
KochAPollatosO (2014) Interoceptive sensitivity, body weight and eating behavior in children: A prospective study. Frontiers in Psychology5: 1003.
39.
LaraiaBALeungCWTomiyamaAJ, et al. (2021) Drive for thinness in adolescents predicts greater adult BMI in the growth and health study cohort over 20 years. Obesity29(12): 2126–2133.
40.
LinardonJMesserMHelmsER, et al. (2020) Interactions between different eating patterns on recurrent binge-eating behavior: A machine learning approach. International Journal of Eating Disorders53(4): 533–540.
41.
MaddenCELeongSLGrayA, et al. (2012) Eating in response to hunger and satiety signals is related to BMI in a nationwide sample of 1601 mid-age New Zealand women. Public Health Nutrition15(12): 2272–2279.
42.
MartinEDourishCTRotshteinP, et al. (2019) Interoception and disordered eating: A systematic review. Neuroscience and Biobehavioral Reviews107: 166–191.
43.
MasonTLewisR (2014) Profiles of binge eating: The interaction of depressive symptoms, eating styles, and body mass index. Eating Disorders22(5): 450–460.
44.
MehlingWAcreeMStewartA, et al. (2018) The multidimensional assessment of interoceptive awareness, Version 2 (MAIA-2). PLoS One13(12): e0208034.
45.
MehlingWEPriceCDaubenmierJJ, et al. (2012) The multidimensional assessment of interoceptive awareness (MAIA). PLoS One7(11): e48230.
46.
MüllerSTeckentrupVRebolloI, et al. (2022) Vagus nerve stimulation increases stomach-brain coupling via a vagal afferent pathway. Brain Stimulation15(5): 1279–1289.
47.
MurphyJGearyHMillgateE, et al. (2017) Direct and indirect effects of age on interoceptive accuracy and awareness across the adult lifespan. Psychonomic Bulletin & Review25(3): 1193–1202.
48.
NagataJMGarberAKTablerJL, et al. (2018) Prevalence and correlates of disordered eating behaviors among young adults with overweight or obesity. Journal of General Internal Medicine33(8): 1337–1343.
49.
PinaquySChabrolHSimonC, et al. (2003) Emotional eating, alexithymia, and binge-eating disorder in obese women. Obesity Research11(2): 195–201.
50.
PolivyJHermanCP (1985) Dieting and binging. A causal analysis. The American Psychologist40(2): 193–201.
51.
PooveyKAhlichEAttawayS, et al. (2022) General versus hunger/satiety-specific interoceptive sensibility in predicting disordered eating. Appetite171: 105930.
52.
RamacciottiCEColiEBondiE, et al. (2008) Shared psychopathology in obese subjects with and without binge-eating disorder. International Journal of Eating Disorders41(7): 643–649.
53.
RiccaVCastelliniGLo SauroC, et al. (2009) Correlations between binge eating and emotional eating in a sample of overweight subjects. Appetite53(3): 418–421.
54.
RobinsonEFooteGSmithJ, et al. (2021a) Interoception and obesity: a systematic review and meta-analysis of the relationship between interoception and BMI. International Journal of Obesity45(12): 2515–2526.
55.
RobinsonEMartyLHiggsS, et al. (2021b) Interoception, eating behaviour and body weight. Physiology & Behavior237: 113434.
56.
SchachterS (1971) Some extraordinary facts about obese humans and rats. American Psychologist26: 129–144.
57.
SchachterSGoldmanRGordonA (1968) Effects of fear, food deprivation, and obesity on eating. Journal of Personality and Social Psychology10(2): 91–97.
58.
SimmonsWKDeVilleDC (2017) Interoceptive contributions to healthy eating and obesity. Current Opinion in Psychology17: 106–112.
59.
SpielbergerCDGorsuchRLLusheneR, et al. (1983) Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
60.
SpitzerRLYanovskiSWaddenT, et al. (1993) Binge eating disorder: Its further validation in a multisite study. International Journal of Eating Disorders13(2): 137–153.
61.
SticeEAgrasWS (1998) Predicting onset and cessation of bulimic behaviors during adolescence: A longitudinal grouping analysis. Behavior Therapy29(2): 257–276.
62.
SticeEPresnellKSpanglerD (2002) Risk factors for binge eating onset in adolescent girls: A 2-year prospective investigation. Health Psychology21(2): 131–138.
63.
StunkardACostello AllisonK (2003) Two forms of disordered eating in obesity: Binge eating and night eating. International Journal of Obesity27(1): 1–12.
64.
TylkaT (2006) Development and psychometric evaluation of a measure of intuitive eating. Journal of Counseling Psychology53: 226–240.
65.
UlusGAisenberg-ShafranD (2022) Interoception in old age. Brain Sciences12(10): 1398.
66.
van StrienTFrijtersJBergersG, et al. (1986) The Dutch eating behavior questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders5: 295–315.
67.
VinaiPDa RosASpecialeM, et al. (2015) Psychopathological characteristics of patients seeking for bariatric surgery, either affected or not by binge eating disorder following the criteria of the DSM IV TR and of the DSM 5. Eating Behaviors16: 1–4.
68.
WillemCGandolpheMCNandrinoJL, et al. (2022) French translation and validation of the multidimensional assessment of interoceptive awareness (MAIA-FR). Canadian Journal of Behavioural Science54(3): 234–240.
69.
WillemCGandolpheM-CRousselM, et al. (2019) Difficulties in emotion regulation and deficits in interoceptive awareness in moderate and severe obesity. Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity24(4): 633–644.
70.
WillemCNandrinoJLDobaK, et al. (2021) Interoceptive reliance as a major determinant of emotional eating in adult obesity. Journal of Health Psychology26(12): 2118–2130.
71.
YoungHAWilliamsCPinkAE, et al. (2017) Getting to the heart of the matter: Does aberrant interoceptive processing contribute towards emotional eating?PLoS One12(10): e0186312.
72.
ZeeckAStelzerNLinsterHW, et al. (2011) Emotion and eating in binge eating disorder and obesity. European Eating Disorders Review19(5): 426–437.
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