Interoceptive awareness (IA), or the awareness of internal body states, is known to be impaired in individuals with eating disorders (EDs); however, little is understood about how IA and ED symptoms are connected. Network analysis is a statistical approach useful for examining how symptoms interrelate and how comorbidities may be maintained. The present study used network analysis to (1) test central symptoms within an IA-ED network, (2) identify symptoms that may bridge the association between IA and ED symptoms, and (3) explore whether central and bridge symptoms predict ED remission at discharge from intensive treatment. A regularized partial correlation network was estimated in a sample of 428 adolescent (n = 187) and adult (n = 241) ED patients in a partial hospital program. IA was assessed using items from the Multidimensional Assessment of Interoceptive Awareness, and ED symptoms were assessed using items from the Eating Disorder Examination-Questionnaire. Central symptoms within the network were strong desire to lose weight, feeling guilty, and listening for information from the body about emotional state. The most central symptom bridging IA and ED symptoms was (not) feeling safe in one's body. Of the central symptoms, greater desire to lose weight predicted lower likelihood of remission at treatment discharge. Bridge symptoms did not significantly predict remission. Body mistrust may be a mechanism by which associations between IA and EDs are maintained. Findings suggest targeting central and bridge symptoms may be helpful to improve IA and ED symptoms. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

身体上的不信任弥合了感知意识和饮食失调症状。

已知在饮食失调（ED）的个体中，感知觉知觉（IA）或体内状态的觉知受到损害；然而，人们对IA和ED症状之间的联系知之甚少。网络分析是一种统计方法，可用于检查症状之间的相互关系以及可如何维持合并症。本研究使用网络分析来（1）测试IA-ED网络中的中心症状，（2）识别可能桥接IA和ED症状之间联系的症状，以及（3）探索中枢和桥接症状是否预测ED缓解从强化治疗中排出。在部分医院计划的428名青少年（n = 187）和成人（n = 241）ED患者的样本中，估计出一个正规的部分相关网络。IA的评估采用了“互感意识多维评估”的项目，而ED症状则采用了“饮食失调检查问卷”的项目进行评估。网络中的主要症状是强烈的减肥欲望，内感以及倾听身体有关情绪状态的信息。桥接IA和ED症状的最主要症状是（不）使人感到安全。在主要症状中，对减肥的更大渴望预计出院时缓解的可能性更低。桥梁症状并未明显预测缓解。身体不信任可能是维持IA和ED之间关联的一种机制。研究结果表明，针对中枢和桥接症状可能有助于改善IA和ED症状。（PsycInfo数据库记录（c）2020 APA，