The Interoceptive Sensitivity and Attention Questionnaire: Evaluating Aspects of Self-Reported Interoception in Patients With Persistent Somatic Symptoms, Stress-Related Syndromes, and Healthy Controls
The Interoceptive Sensitivity and Attention Questionnaire: Evaluating Aspects of Self-Reported Interoception in Patients With Persistent Somatic Symptoms, Stress-Related Syndromes, and Healthy Controls
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DOI：
10.1097/psy.0000000000001038
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发表时间：
2022-02-01
影响因子：
3.3
通讯作者：
Van den Bergh, Omer
中科院分区：
文献类型：
--
作者：
Bogaerts, Katleen;Walentynowicz, Marta;Van den Bergh, Omer
目的本研究旨在验证内感受性敏感性和注意力问卷（ISAQ），一个17个项目的自我报告测量评估的敏感性和注意力的内感受性信号。方法在研究1中，对1868名方便学生进行探索性和验证性因素分析。在研究2中，健康样本（n = 144）和经历压力相关综合征（过度劳累，n = 63;倦怠，n = 37;惊恐障碍[PD]）的各种患者组的ISAQ数据。n = 60）和/或日常生活中持续的躯体症状（肠易激综合征，n = 38;纤维肌痛和/或慢性疲劳综合征，n = 151;医学上无法解释的呼吸困难[MUD]，n = 29）进行比较。结果被试被试被分为三个分量表：（F1）对中性身体感觉的敏感性，（F2）对不愉快身体感觉的注意力，（F3）难以从不愉快身体感觉中解脱出来。总体而言，纤维肌痛和/或慢性疲劳综合征患者和MUD患者的F1（分别为p = .009和p = .027）和F2（分别为p = .002和p < .001）评分显著高于健康对照组。与健康对照组相比，PD患者在子量表F2（p < .001）和F3（p < .001）上的评分更高，与所有其他患者组相比，F2评分更高（p（PD vs MUD）= .008;所有其他p值< .001）。结论内感受性敏感性-自我报告的内感受性方面-不是一个同质或单一的结构。ISAQ的分量表区分健康对照组与日常生活中持续躯体和/或压力相关主诉的患者，并区分不同的患者组。ISAQ可以作为一个简洁，可靠，临床相关的研究工具，以进一步解开内感受能力的适应性和适应不良方面。
Objective This study aimed to validate the Interoceptive Sensitivity and Attention Questionnaire (ISAQ), a 17-item self-report measure assessing sensitivity and attention to interoceptive signals. Methods In study 1, exploratory and confirmatory factor analysis was performed in a student convenience sample (n = 1868). In study 2, ISAQ data of a healthy sample (n = 144) and various patient groups experiencing stress-related syndromes (overstrain, n = 63; burnout, n = 37; panic disorder [PD]. n = 60) and/or persistent somatic symptoms in daily life (irritable bowel syndrome, n = 38; fibromyalgia and/or chronic fatigue syndrome, n = 151; medically unexplained dyspnea [MUD], n = 29) were compared. Results Three subscales were revealed: (F1) sensitivity to neutral bodily sensations, (F2) attention to unpleasant bodily sensations, and (F3) difficulty disengaging from unpleasant bodily sensations. Overall, patients with fibromyalgia and/or chronic fatigue syndrome and patients with MUD scored significantly higher on F1 (p = .009 and p = .027, respectively) and F2 (p = .002 and p < .001, respectively) than healthy controls. Patients with PD had higher scores on subscales F2 (p < .001) and F3 (p < .001) compared with healthy controls, as well as higher scores on F2 compared with all other patient groups (p(PD versus MUD) = .008; all other p values < .001). Conclusions Interoceptive sensibility-the self-reported aspect of interoception-is not a homogeneous or unitary construct. The subscales of the ISAQ differentiate healthy controls from patients with persistent somatic and/or stress-related complaints in daily life and distinguish different patient groups. The ISAQ can be used as a concise, reliable, and clinically relevant research tool to further disentangle adaptive and maladaptive aspects of interoceptive ability.