Interoceptive awareness and self-regulation contribute to psychosomatic competence as measured by a new inventory.
Interoception
Psychophysiology
Psychosomatic medicine
Questionnaire design
Self-control
Journal
Wiener klinische Wochenschrift
ISSN: 1613-7671
Titre abrégé: Wien Klin Wochenschr
Pays: Austria
ID NLM: 21620870R
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
09
01
2020
accepted:
29
04
2020
pubmed:
21
5
2020
medline:
31
8
2022
entrez:
21
5
2020
Statut:
ppublish
Résumé
The interrelation of interoception, cognitive appraisal of bodily signals and conscious self-regulatory behavior is insufficiently understood although it may be relevant for health and disease. Therefore, it was intended to develop a novel self-report measure targeting this link. Item development was theoretically based on the multidimensional conceptual framework of the psychosomatic intelligence hypothesis and included an iterative process of refinement of items. In a preliminary test a principal components analysis (PROMAX rotation) and item analysis were calculated for item reduction. In the field test an item response theory approach was used for development of final scales and items. For validation purposes, associations with established measures of related constructs were analyzed. The final 44-item questionnaire consisted of 6 interrelated scales: (1) interoceptive awareness, (2) mentalization, (3) body-related cognitive congruence, (4) body-related health literacy, (5) general self-regulation, and (6) stress experience and stress regulation. Psychometric properties of this instrument demonstrated good model fit, internal consistency and construct validity. According to the validation, the final instrument measures a form of competence rather than intelligence and was termed the psychosomatic competence inventory. Interoceptive awareness and conscious body-related self-regulation seem to jointly contribute to a basic competence which may serve homeostatic/allostatic control; however, further research is needed to confirm the reported preliminary findings in a large-scale test.
Sections du résumé
BACKGROUND
BACKGROUND
The interrelation of interoception, cognitive appraisal of bodily signals and conscious self-regulatory behavior is insufficiently understood although it may be relevant for health and disease. Therefore, it was intended to develop a novel self-report measure targeting this link.
METHODS
METHODS
Item development was theoretically based on the multidimensional conceptual framework of the psychosomatic intelligence hypothesis and included an iterative process of refinement of items. In a preliminary test a principal components analysis (PROMAX rotation) and item analysis were calculated for item reduction. In the field test an item response theory approach was used for development of final scales and items. For validation purposes, associations with established measures of related constructs were analyzed.
RESULTS
RESULTS
The final 44-item questionnaire consisted of 6 interrelated scales: (1) interoceptive awareness, (2) mentalization, (3) body-related cognitive congruence, (4) body-related health literacy, (5) general self-regulation, and (6) stress experience and stress regulation. Psychometric properties of this instrument demonstrated good model fit, internal consistency and construct validity. According to the validation, the final instrument measures a form of competence rather than intelligence and was termed the psychosomatic competence inventory.
CONCLUSION
CONCLUSIONS
Interoceptive awareness and conscious body-related self-regulation seem to jointly contribute to a basic competence which may serve homeostatic/allostatic control; however, further research is needed to confirm the reported preliminary findings in a large-scale test.
Identifiants
pubmed: 32430611
doi: 10.1007/s00508-020-01670-5
pii: 10.1007/s00508-020-01670-5
pmc: PMC9418284
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
581-592Informations de copyright
© 2020. The Author(s).
Références
Front Psychol. 2015 Apr 28;6:502
pubmed: 25972827
Wien Klin Wochenschr. 2010 Dec;122(23-24):660-5
pubmed: 21082270
PLoS One. 2012;7(5):e36646
pubmed: 22606278
Med Sci Sports Exerc. 2003 Aug;35(8):1381-95
pubmed: 12900694
Ann N Y Acad Sci. 2011 Apr;1225:72-82
pubmed: 21534994
J Int Neuropsychol Soc. 2004 May;10(3):392-400
pubmed: 15147597
PLoS One. 2009;4(5):e5614
pubmed: 19440300
Psychother Psychosom. 2018;87(1):12-31
pubmed: 29306954
Philos Trans R Soc Lond B Biol Sci. 2016 Nov 19;371(1708):
pubmed: 28080961
Elife. 2017 Aug 08;6:
pubmed: 28784203
Neurosci Biobehav Rev. 2009 Jul;33(7):1004-23
pubmed: 19580915
Public Health Nutr. 2006 Sep;9(6):755-62
pubmed: 16925881
Nat Rev Neurosci. 2002 Aug;3(8):655-66
pubmed: 12154366
Cereb Cortex. 2015 Oct;25(10):3654-72
pubmed: 25249407
J Pers Soc Psychol. 1999 Jul;77(1):68-77
pubmed: 10434409
J Anal Psychol. 2006 Feb;51(1):109-24
pubmed: 16451324
PLoS One. 2012;7(11):e48230
pubmed: 23133619
Brain Behav. 2014 Mar;4(2):238-46
pubmed: 24683516
Curr Opin Neurobiol. 2013 Jun;23(3):361-72
pubmed: 23352202
Front Psychol. 2015 Jun 09;6:763
pubmed: 26106345
Psychosom Med. 2018 Jun;80(5):412-415
pubmed: 29677034
Conscious Cogn. 2017 Feb;48:129-137
pubmed: 27866005
Nat Hum Behav. 2017;1:
pubmed: 28983518
J Health Psychol. 1999 Mar;4(2):115-27
pubmed: 22021474
Nat Rev Neurosci. 2015 Jul;16(7):419-29
pubmed: 26016744
J Genet Psychol. 2020 Mar-Apr;181(2-3):127-149
pubmed: 32151204
Philos Trans R Soc Lond B Biol Sci. 2016 Nov 19;371(1708):
pubmed: 28080971