Research Article
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Multidimensional assessment of ınteroceptive awareness (MAIA 2): psychometric properties of the Turkish version

Year 2021, Volume: 4 Issue: 2, 132 - 136, 28.03.2021
https://doi.org/10.32322/jhsm.836361

Abstract

Aim: Interoception, defined as the perception of internal bodily changes. The aim of this study is to evaluate the Turkish validity and reliability study of the Multidimensional Assessment of Interoceptive Awareness) Scale (MAIA 2 developed by William Mehling et al. (2018).
Material and Method: The research is methodological. Research data was collected between April 2020 and May 2020 (N= 400). Forward and backward translation were used to translate the MAIA-2 into Turkish. We conducted exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to analyze the psychometrics of the MAIA-2 in a 70:30 split sample. Statistical analysis were done with R Project.
Results: The Kaiser-Meyer-Olkin value (KMO=0.910) was acceptable, and there exists a significant correlation structure with Bartlett’s test of sphericity (χ2=5134.120, p <0.001). We observed six factors with Horn’s Parallel analysis. The Cronbach Alphas of these six factors were acceptable (α>0.60). Standardized loadings were positive and >0.40 with significant results (p<0.05) (r=0.71, p<0.05). The RMSEA is nearly zero and SRMR is extremely low.
Conclusions: As a result, the Turkish version of the Multidimensional Assessment of Interoceptive Awareness Scale (MAIA 2) developed by Mehling et al. and originally in English is valid and reliable according to our results.

Supporting Institution

yok

Project Number

yok

Thanks

We are extremely grateful to all study participants for the use of their personal data. We would like to express our deepest gratitude to everyone who participated and cooperated in the surveys.

References

  • Craig AD, Bushnell MC. The thermal grill illusion: unmasking the burn of cold pain. Science. 1994; 265: 252–5.
  • Schmelz M, Schmidt R, Bickel A, Handwerker HO, Torebjork HE. Specific C-receptors for itch in human skin. J Neurosci 1997; 17: 8003–8.
  • Lahuerta J, Bowsher D, Campbell J, Lipton S. Clinical and instrumental evaluation of sensory function before and after percutaneous anterolateral cordotomy at cervical level in man. Pain 1990; 42; 23–30.
  • Olausson H, Lamarre Y, Backlund H, et al. Unmyelinated tactile afferents signal touch and project to insular cortex. Nat Neurosci 2002; 5: 900–4.
  • Light AR, Perl ER. Unmyelinated afferent fibers are not only for pain anymore. J Comp Neurol 2003; 461: 137–9.
  • Banzett RB, Mulnier HE, Murphy K, Rosen SD, Wise RJ, Adams L. Breathlessness in humans activates insular cortex. Neuroreport 2000; 11: 2117–20.
  • Feinle C. Role of intestinal chemoreception in the induction of gastrointestinal sensations. Dtsch Tierarztl Wochenschr 1998; 105: 441–4.
  • Robinson SK, Viirre ES, Bailey KA, Gerke MA, Harris JP, Stein MB. Randomized placebo-controlled trial of a selective serotonin reuptake inhibitor in the treatment of nondepressed tinnitus subjects. Psychosom Med 2005; 67: 981–8.
  • Craig AD. How do you feel? Interoception: the sense of the physiological condition of the body. Nat Rev Neurosci 2002; 3: 655–66.
  • Levy Berg A, Sandahl C, Bullington J. Patients’ perspective of change processes in affect-focused body psychotherapy for generalised anxiety disorder. Body Mov Dance Psychother 2010; 5151–69.
  • Hedlund L, Gyllensten AL. The experiences of basic body awareness therapy in patients with schizophrenia. J Bodyw Mov Ther 2010; 14: 245–54.
  • Röhricht F, Papadopoulos N, Holden S, Clarke T, Priebe S. Clinical effectiveness and therapeutic processes of body psychotherapy in chronic schizophrenia—an open clinical trial. Arts Psychother 2011; 38: 196–203.
  • Cali G, Ambrosini E, Picconi L, Mehling WE, Committeri G. Investigating the relationship between interoceptive accuracy, interoceptive awareness, and emotional susceptibility. Front Psychol 2015; 6: 1202.
  • Craig, A. Interoception and emotion: A neuroanatomical perspective. In M. Lewis, J. M. Haviland-Jones & L. F. Barrett (Eds.), Handbook of emotions (3rd., pp. 272–288). New York, NY: Guilford Press.2008.
  • Mehling WE, Gopisetty V, Daubenmier J, Price CJ, Hecht FM, Stewart A. Body awareness: construct and self-report measures. PLoS ONE 2009; 4: e5614.
  • Mehling WE, Price C, Daubenmier JJ, Acree M, Bartmess E, Stewart A. The multidimensional assessment of interoceptive awareness (MAIA). PLoS ONE 2012; 7: e48230.
  • Kabat-Zinn, J. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (15th.). New York, NY: Random House 2008.
  • Multidimensional Assessment of Interoceptive Awareness. https: //osher.ucsf.edu/maia.
  • Mehling WE, Acree M, Stewart A, Silas J, Jones A. The Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2). PLoS ONE 2018; 12: e0208034.
  • Akgul A. Statistical analysis methods for medical research “spss applications”. 3rd ed. Ankara, Turkey: Emek Ofset; 2005.
  • Pierce AG. Measurement. In: Talbot LA (editor). Principles and Practice of Nursing Research. St. Louis, MO, USA: MosbyYear Book; 1995. pp. 265-291.
  • R Core Team R: A language and environment for statistical computing. R Foundation for Statistical Computing, ## Vienna, Austria.2020 URL https: //www.R-project.org/.
  • Revelle, W. Psych: Procedures for Personality and Psychological Research, Northwestern University, Evanston, Illinois, USA, https: //CRAN.R-project.org/package=psych Version=1.8.12.2018.
  • Rosseel Y. Lavaan: An R package for structural equation modeling and more. Version 0.5–12 (BETA). Journal of Statistical Software. 2012; 48: 1-36.
  • Holgado–Tello FP, Chacón–Moscoso S, Barbero–García I, et al. Polychoric versus Pearson correlations in exploratory and confirmatory factor analysis of ordinal variables. Qual Quant 2010; 441: 153.
  • Baranauskas M, Grabauskaitė A, Griškova-Bulanova I. Psychometric characteristics of Lithuanian version of Multidimensional Assessment of Interoceptive Awareness (MAIA). Neurologijos seminarai 2016; 20: 202–6.
  • Valenzuela-Moguillansky C, Reyes-Reyes A. Psychometric properties of the multidimensional assessment of interoceptive awareness (MAIA) in a Chilean population. Front Psychol 2015; 6: 120.
  • Fujino H. Further validation of the Japanese version of the Multidimensional Assessment of Interoceptive Awareness. BMC Res Notes 2019; 12: 530.
  • Wan-Suk Gim, Kyo-Lin Sim, Ok-Kyung Cho. Korean Multidimensional Assessment of Interoceptive Awareness (K-MAIA): Development and Validation. The Korean Journal of Stress Research 2016; 24: 177-90.
  • Shoji M, Mehling WE, Hautzinger M, Herbert BM. Investigating multidimensional interoceptive awareness in a Japanese Population: validation of the Japanese MAIA-J. Front Psychol 2018; 9: 1855.
Year 2021, Volume: 4 Issue: 2, 132 - 136, 28.03.2021
https://doi.org/10.32322/jhsm.836361

Abstract

Project Number

yok

References

  • Craig AD, Bushnell MC. The thermal grill illusion: unmasking the burn of cold pain. Science. 1994; 265: 252–5.
  • Schmelz M, Schmidt R, Bickel A, Handwerker HO, Torebjork HE. Specific C-receptors for itch in human skin. J Neurosci 1997; 17: 8003–8.
  • Lahuerta J, Bowsher D, Campbell J, Lipton S. Clinical and instrumental evaluation of sensory function before and after percutaneous anterolateral cordotomy at cervical level in man. Pain 1990; 42; 23–30.
  • Olausson H, Lamarre Y, Backlund H, et al. Unmyelinated tactile afferents signal touch and project to insular cortex. Nat Neurosci 2002; 5: 900–4.
  • Light AR, Perl ER. Unmyelinated afferent fibers are not only for pain anymore. J Comp Neurol 2003; 461: 137–9.
  • Banzett RB, Mulnier HE, Murphy K, Rosen SD, Wise RJ, Adams L. Breathlessness in humans activates insular cortex. Neuroreport 2000; 11: 2117–20.
  • Feinle C. Role of intestinal chemoreception in the induction of gastrointestinal sensations. Dtsch Tierarztl Wochenschr 1998; 105: 441–4.
  • Robinson SK, Viirre ES, Bailey KA, Gerke MA, Harris JP, Stein MB. Randomized placebo-controlled trial of a selective serotonin reuptake inhibitor in the treatment of nondepressed tinnitus subjects. Psychosom Med 2005; 67: 981–8.
  • Craig AD. How do you feel? Interoception: the sense of the physiological condition of the body. Nat Rev Neurosci 2002; 3: 655–66.
  • Levy Berg A, Sandahl C, Bullington J. Patients’ perspective of change processes in affect-focused body psychotherapy for generalised anxiety disorder. Body Mov Dance Psychother 2010; 5151–69.
  • Hedlund L, Gyllensten AL. The experiences of basic body awareness therapy in patients with schizophrenia. J Bodyw Mov Ther 2010; 14: 245–54.
  • Röhricht F, Papadopoulos N, Holden S, Clarke T, Priebe S. Clinical effectiveness and therapeutic processes of body psychotherapy in chronic schizophrenia—an open clinical trial. Arts Psychother 2011; 38: 196–203.
  • Cali G, Ambrosini E, Picconi L, Mehling WE, Committeri G. Investigating the relationship between interoceptive accuracy, interoceptive awareness, and emotional susceptibility. Front Psychol 2015; 6: 1202.
  • Craig, A. Interoception and emotion: A neuroanatomical perspective. In M. Lewis, J. M. Haviland-Jones & L. F. Barrett (Eds.), Handbook of emotions (3rd., pp. 272–288). New York, NY: Guilford Press.2008.
  • Mehling WE, Gopisetty V, Daubenmier J, Price CJ, Hecht FM, Stewart A. Body awareness: construct and self-report measures. PLoS ONE 2009; 4: e5614.
  • Mehling WE, Price C, Daubenmier JJ, Acree M, Bartmess E, Stewart A. The multidimensional assessment of interoceptive awareness (MAIA). PLoS ONE 2012; 7: e48230.
  • Kabat-Zinn, J. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (15th.). New York, NY: Random House 2008.
  • Multidimensional Assessment of Interoceptive Awareness. https: //osher.ucsf.edu/maia.
  • Mehling WE, Acree M, Stewart A, Silas J, Jones A. The Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2). PLoS ONE 2018; 12: e0208034.
  • Akgul A. Statistical analysis methods for medical research “spss applications”. 3rd ed. Ankara, Turkey: Emek Ofset; 2005.
  • Pierce AG. Measurement. In: Talbot LA (editor). Principles and Practice of Nursing Research. St. Louis, MO, USA: MosbyYear Book; 1995. pp. 265-291.
  • R Core Team R: A language and environment for statistical computing. R Foundation for Statistical Computing, ## Vienna, Austria.2020 URL https: //www.R-project.org/.
  • Revelle, W. Psych: Procedures for Personality and Psychological Research, Northwestern University, Evanston, Illinois, USA, https: //CRAN.R-project.org/package=psych Version=1.8.12.2018.
  • Rosseel Y. Lavaan: An R package for structural equation modeling and more. Version 0.5–12 (BETA). Journal of Statistical Software. 2012; 48: 1-36.
  • Holgado–Tello FP, Chacón–Moscoso S, Barbero–García I, et al. Polychoric versus Pearson correlations in exploratory and confirmatory factor analysis of ordinal variables. Qual Quant 2010; 441: 153.
  • Baranauskas M, Grabauskaitė A, Griškova-Bulanova I. Psychometric characteristics of Lithuanian version of Multidimensional Assessment of Interoceptive Awareness (MAIA). Neurologijos seminarai 2016; 20: 202–6.
  • Valenzuela-Moguillansky C, Reyes-Reyes A. Psychometric properties of the multidimensional assessment of interoceptive awareness (MAIA) in a Chilean population. Front Psychol 2015; 6: 120.
  • Fujino H. Further validation of the Japanese version of the Multidimensional Assessment of Interoceptive Awareness. BMC Res Notes 2019; 12: 530.
  • Wan-Suk Gim, Kyo-Lin Sim, Ok-Kyung Cho. Korean Multidimensional Assessment of Interoceptive Awareness (K-MAIA): Development and Validation. The Korean Journal of Stress Research 2016; 24: 177-90.
  • Shoji M, Mehling WE, Hautzinger M, Herbert BM. Investigating multidimensional interoceptive awareness in a Japanese Population: validation of the Japanese MAIA-J. Front Psychol 2018; 9: 1855.
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Saliha Özpınar 0000-0002-9860-996X

Emre Dunder 0000-0003-0230-8968

Yaşar Demir 0000-0001-9930-8440

Melih Akyol 0000-0001-7912-0651

Project Number yok
Publication Date March 28, 2021
Published in Issue Year 2021 Volume: 4 Issue: 2

Cite

AMA Özpınar S, Dunder E, Demir Y, Akyol M. Multidimensional assessment of ınteroceptive awareness (MAIA 2): psychometric properties of the Turkish version. J Health Sci Med / JHSM. March 2021;4(2):132-136. doi:10.32322/jhsm.836361

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