Multidimensional Assessment of Interoceptive Awareness (MAIA): validity and reliability for a Colombian community context
DOI:
https://doi.org/10.47197/retos.v78.118171Keywords:
Interoception, interoceptive awareness, self-perception, physical conditionAbstract
Objective: This study aimed to examine the validity and reliability of the Multidimensional Assessment of Interoceptive Awareness (MAIA) in a Colombian community sample.
Methods: A cross-sectional study was conducted among 487 Colombian people. Participants completed an online survey that included the MAIA and International Fitness Scale (IFIS). Confirmatory factor analysis was conducted to verify the scale's internal structure, reliability analyses (Cronbach's alpha, McDonald's omega, Guttman's lambda 6, and Greatest Lower Bound) were performed at both the overall and factor levels, and test-retest reliability. Correlations with perceived physical condition indicators (as evidence of convergent validity) were also examined.
Results: Confirmatory factor analysis supported the dimensional structure of the scale, with adequate goodness-of-fit indices (CFI = .991; GFI = .990; NFI = .988; RMSEA = .070). Intercorrelations among the MAIA dimensions provided evidence of construct reliability, with high values above .80 for six of the eight factors, acceptable values around .50 for factor 2, and low values only for factor 3. Test-retest reliability was high (rho = .717, p < .001). Direct correlations were found between perceived physical condition and some dimensions of the MAIA, as evidence of convergent validity.
Conclusion: The MAIA demonstrated adequate evidence of internal structural validity, convergent and discriminant validity, and adequate reliability for measuring interoceptive awareness in a healthy Colombian population. The use of the MAIA to assess interoceptive awareness is recommended in future research as a tool for the prevention of mental and physical health conditions. Further studies are recommended to analyze its metric quality in other populations.
References
Alba Maldonado, J. C., Vargas Rodríguez, L. J., & Gordillo Navas, G. (2021). Validación al castellano de la Body Responsiveness Connection Scale (Escala de Respuesta Corporal (ERC) en médicos inter-nos del hospital San Rafael de Tunja in Colombia. Revista de Neuro-Psiquiatria, 84(3). https://doi.org/10.20453/rnp.v84i3.4032
Bonaz, B., Lane, R. D., Oshinsky, M. L., Kenny, P. J., Sinha, R., Mayer, E. A., & Critchley, H. D. (2021). Dis-eases, Disorders, and Comorbidities of Interoception. Trends in Neurosciences, 44(1), 39–51. https://doi.org/10.1016/J.TINS.2020.09.009
Chapman, H. E., & Stewart, A. E. (2024). Interoceptive awareness in a Southeastern US college sample: validation of the multidimensional assessment of interoceptive awareness – version 2. BMC Research Notes, 17(1), 236. https://doi.org/10.1186/s13104-024-06894-6
Chen, W. G., Schloesser, D., Arensdorf, A. M., Simmons, J. M., Cui, C., Valentino, R., Gnadt, J. W., Nielsen, L., Hillaire-Clarke, C. S., Spruance, V., Horowitz, T. S., Vallejo, Y. F., & Langevin, H. M. (2021). The Emerging Science of Interoception: Sensing, Integrating, Interpreting, and Regulating Signals within the Self. Trends in Neurosciences, 44(1), 3–16. https://doi.org/10.1016/J.TINS.2020.10.007
DeVellis, R. (2016). Scale Development: Theory and Applications (L. Bigman & D. Rog, Eds.; 4th ed.). SAGE.
Eggart, M., Valdés-Stauber, J., Müller-Oerlinghausen, B., & Heinze, M. (2023). Dysfunctional self-reported interoception predicts residual symptom burden of fatigue in major depressive dis-order: an observational study. BMC Psychiatry, 23(1), 667. https://doi.org/10.1186/s12888-023-05168-y
Farb, N. A. S., Segal, Z. V., & Anderson, A. K. (2013). Mindfulness meditation training alters cortical rep-resentations of interoceptive attention. Social Cognitive and Affective Neuroscience, 8(1), 15–26. https://doi.org/10.1093/scan/nss066
Fiskum, C., Eik-Nes, T. T., Abdollahpour Ranjbar, H., Andersen, J., & Habibi Asgarabad, M. (2023). Inter-oceptive awareness in a Norwegian population: psychometric properties of the Multidimen-sional Assessment of Interoceptive Awareness (MAIA) 2. BMC Psychiatry, 23(1), 1–18. https://doi.org/10.1186/S12888-023-04946-Y/TABLES/3
Garfinkel, S. N., Seth, A. K., Barrett, A. B., Suzuki, K., & Critchley, H. D. (2015). Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness. Biological Psychology, 104. https://doi.org/10.1016/j.biopsycho.2014.11.004
Georgiou, E., Matthias, E., Kobel, S., Kettner, S., Dreyhaupt, J., Steinacker, J. M., & Pollatos, O. (2015). In-teraction of physical activity and interoception in children. Frontiers in Psychology, 6. https://doi.org/10.3389/fpsyg.2015.00502
Herbert, B. M., & Pollatos, O. (2012). The Body in the Mind: On the Relationship Between Interoception and Embodiment. Topics in Cognitive Science, 4(4), 692–704. https://doi.org/10.1111/j.1756-8765.2012.01189.x
Hielscher, E., & Zopf, R. (2021). Interoceptive Abnormalities and Suicidality: A Systematic Review. Be-havior Therapy, 52(5), 1035–1054. https://doi.org/10.1016/J.BETH.2021.02.012
Idrobo, F., Hessel, P., Harker, A., Evans-Lacko, S., & Avendaño, M. (2018). Mental health of victims and ex-FARC members: a challenge for the peace process in Colombia. The Lancet Psychiatry, 5(6), 467–468. https://doi.org/10.1016/S2215-0366(18)30134-2
Leão, L. M. M., Meneses Rêgo, A. C., & Araújo-Filho, I. (2025). Interoception: Current Knowledge Gaps and Future Directions in Neuroscience, Psychopathology, and Clinical Applications. Interna-tional Journal of Innovative Research in Medical Science, 10(03), 99–117. https://doi.org/10.23958/ijirms/vol10-i03/2041
Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., & Tomás-Marco, I. (2014). El análisis facto-rial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de Psicología, 30(3), 1151–1169. https://doi.org/10.6018/analesps.30.3.199361
Locatelli, G., Matus, A., James, R., Salmoirago-Blotcher, E., Ausili, D., Vellone, E., & Riegel, B. (2023). What is the role of interoception in the symptom experience of people with a chronic condi-tion? A systematic review. Neuroscience & Biobehavioral Reviews, 148, 105142. https://doi.org/10.1016/J.NEUBIOREV.2023.105142
Li, E., Niu, W., Lu, C., Wang, M., Xu, X., Xu, K., & Xu, P. (2025). Interoception and aging. Ageing research reviews, 108, 102743. https://doi.org/10.1016/j.arr.2025.102743
Machorrinho, J., Veiga, G., Fernandes, J., Mehling, W., & Marmeleira, J. (2018). Multidimensional As-sessment of Interoceptive Awareness: Psychometric Properties of the Portuguese Version. Https://Doi.Org/10.1177/0031512518813231, 126(1), 87–105. https://doi.org/10.1177/0031512518813231
Mehling, W. E., Acree, M., Stewart, A., Silas, J., & Jones, A. (2018). The Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2). PLOS ONE, 13(12), e0208034. https://doi.org/10.1371/JOURNAL.PONE.0208034
Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., & Stewart, A. (2012a). The Multidi-mensional Assessment of Interoceptive Awareness (MAIA). PLOS ONE, 7(11), e48230. https://doi.org/10.1371/JOURNAL.PONE.0048230
Montoya-Hurtado, O., Gómez-Jaramillo, N., Bermúdez-Jaimes, G., Correa-Ortiz, L., Cañón, S., Juárez-Vela, R., Santolalla-Arnedo, I., Criado-Pérez, L., Pérez, J., Sancho-Sánchez, M. C., & Criado-Gutiérrez, J. (2023). Psychometric Properties of the Multidimensional Assessment of Intero-ceptive Awareness (MAIA) Questionnaire in Colombian University Students. Journal of Clinical Medicine, 12(8). https://doi.org/10.3390/jcm12082937
Montoya-Hurtado, O. L., Gómez-Jaramillo, N., Criado-Gutiérrez, J. M., Pérez, J., Sancho-Sánchez, C., Sán-chez-Barba, M., Tejada-Garrido, C. I., Criado-Pérez, L., Sánchez-González, J. L., Santolalla-Arnedo, I., del Pozo-Herce, P., & Juárez-Vela, R. (2023b). Exploring the Link between Interocep-tive Body Awareness and Suicidal Orientation in University Students: A Cross-Sectional Study. Behavioral Sciences, 13(11). https://doi.org/10.3390/bs13110945
Morata-Ramírez, M., Holgado-Tello, F., Barbero-García, I. & Mendez, G. (2015). Análisis factorial con-firmatorio. Recomendaciones sobre mínimos cuadrados no ponderados en función del error Tipo I de Ji-Cuadrado y RMSEA. Acción Psicológica, 12(1), 79-90. https://doi.org/10.5944/ap.12.1.14362
Moretta, P., Spisto, M., Ausiello, F. P., Iodice, R., De Lucia, N., Santangelo, G., Trojano, L., Salvatore, E., & Dubbioso, R. (2022). Alteration of interoceptive sensitivity: expanding the spectrum of behav-ioural disorders in amyotrophic lateral sclerosis. Neurological Sciences, 43(9), 5403–5410. https://doi.org/10.1007/S10072-022-06231-4/FIGURES/2
Price, C. J., Thompson, E. A., & Cheng, S. C. (2017). Scale of Body Connection: A multi-sample construct validation study. PLoS ONE, 12(10). https://doi.org/10.1371/journal.pone.0184757
Quadt, L., Critchley, H. D., & Garfinkel, S. N. (2018). The neurobiology of interoception in health and disease. Annals of the New York Academy of Sciences, 1428(1), 112–128. https://doi.org/10.1111/nyas.13915
Rigo, D. & Donolo, D. (2018). Modelos de ecuaciones estructurales. Usos de investigación psicológica y educativa. Revista Interamericana de Psicología, 52(3), 345-357. https://doi.org/10.30849/rip%20ijp.v52i3.388
Ramírez-Vélez, R., Cruz-Salazar, S. M., Martínez, M., Cadore, E. L., Alonso-Martinez, A. M., Correa-Bautista, J. E., Izquierdo, M., Ortega, F. B., & García-Hermoso, A. (2017). Construct validity and test-retest reliability of the International Fitness Scale (IFIS) in Colombian children and adoles-cents aged 9-17.9 years: the FUPRECOL study. PeerJ, 5, e3351. https://doi.org/10.7717/peerj.3351
Rogowska, A. M., Tataruch, R., & Klimowska, K. (2023). Validation of the shortened 24-item multidi-mensional assessment of interoceptive awareness, version 2 (Brief MAIA-2). Scientific Reports 2023 13:1, 13(1), 1–13. https://doi.org/10.1038/s41598-023-48536-0
Tamayo-Agudelo, W., & Bell, V. (2019). Armed conflict and mental health in Colombia. BJPsych Inter-national, 16(02), 40–42. https://doi.org/10.1192/bji.2018.4
Terasawa, Y., Oba, K., Motomura, Y., Katsunuma, R., Murakami, H., & Moriguchi, Y. (2021). Paradoxical somatic information processing for interoception and anxiety in alexithymia. European Jour-nal of Neuroscience, 54(11), 8052–8068. https://doi.org/10.1111/ejn.15528
Trevisan, D. A., Altschuler, M. R., Bagdasarov, A., Carlos, C., Duan, S., Hamo, E., Kala, S., McNair, M. L., Parker, T., Stahl, D., Winkelman, T., Zhou, M., & McPartland, J. C. (2019). A meta-analysis on the relationship between interoceptive awareness and alexithymia: Distinguishing interoceptive accuracy and sensibility. Journal of Abnormal Psychology, 128(8), 765–776. https://doi.org/10.1037/ABN0000454
Valenzuela-Moguillansky, C., & Reyes-Reyes, A. (2015). Psychometric properties of the multidimen-sional assessment of interoceptive awareness (MAIA) in a Chilean population. Frontiers in Psychology, 6(FEB), 132945. https://doi.org/10.3389/FPSYG.2015.00120/BIBTEX
Wallman-Jones, A., Perakakis, P., Tsakiris, M., & Schmidt, M. (2021). Physical activity and interoceptive processing: Theoretical considerations for future research. International Journal of Psycho-physiology, 166, 38–49. https://doi.org/10.1016/j.ijpsycho.2021.05.002
Wallman-Jones, A., Palser, E. R., Benzing, V., & Schmidt, M. (2022). Acute physical-activity related in-creases in interoceptive ability are not enhanced with simultaneous interoceptive attention. Scientific Reports, 12(1), 15054. https://doi.org/10.1038/s41598-022-19235-z
Wallman-Jones, A., & Schmidt, M. (2022b). How Physical Activity Can Help You Listen to Your Body. Frontiers for Young Minds, 10. https://doi.org/10.3389/frym.2022.832483
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