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However, the role of the different psychological processes involved in the interoceptive function has been poorly assessed in AN. We aimed to investigate the associations between adult insecure attachment, interoceptive processes, and psychopathology. One hundred and fifty participants with AN completed self\u2010report questionnaires: the Multidimensional Assessment of Interoceptive Awareness, which measures interoception dimensions; the Attachment Style Questionnaire, assessing adult attachment styles, and the Eating Disorder Inventory\u20102, exploring eating\u2010related core symptoms. Pearson's correlations were employed to assess the relationships between MAIA and EDI\u20102 subscores. Structural equation models (SEM) were performed to investigate the relationships between insecure attachment dimensions, interoception, and AN core symptoms as latent variables. Body listening, self\u2010regulating, and trusting were interoceptive dimensions associated with eating psychopathology. As confirmed by an exploratory factor analysis, these interoceptive dimensions are included in a latent variable which points to \u201cconfidence\u201d in body sensations. SEM showed that insecure, in particular anxious, attachment predicts body \u201cconfidence\u201d and, in turn, AN core symptoms. Confidence in body sensations as a trustworthy source of knowledge represents the specific interoceptive dimension associated with psychopathology in AN. In accordance with Bruch's model of AN, insecure attachment patterns may promote a need to validate inner experiences by external sources conferring vulnerability to symptomatology. These psychopathological pathways could be addressed in clinical interventions.<\/jats:p>","DOI":"10.1002\/cpp.2535","type":"journal-article","created":{"date-parts":[[2020,12,7]],"date-time":"2020-12-07T13:33:52Z","timestamp":1607348032000},"page":"818-827","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Confidence in one\u2010self and confidence in one's own body: The revival of an old paradigm for anorexia nervosa"],"prefix":"10.1002","volume":"28","author":[{"given":"Alessio Maria","family":"Monteleone","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0358-8594","authenticated-orcid":false,"given":"Giammarco","family":"Cascino","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana,\u201d Section of Neurosciences University of Salerno  Salerno Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Martini","sequence":"additional","affiliation":[{"name":"Eating Disorders Center for Treatment and Research, Department of Neuroscience University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppina","family":"Patriciello","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Ruzzi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Delsedime","sequence":"additional","affiliation":[{"name":"Eating Disorders Center for Treatment and Research, Department of Neuroscience University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5826-5664","authenticated-orcid":false,"given":"Giovanni","family":"Abbate\u2010Daga","sequence":"additional","affiliation":[{"name":"Eating Disorders Center for Treatment and Research, Department of Neuroscience University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1328-9678","authenticated-orcid":false,"given":"Enrica","family":"Marzola","sequence":"additional","affiliation":[{"name":"Eating Disorders Center for Treatment and Research, Department of Neuroscience University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3181e4c6f7"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"849","DOI":"10.3389\/fpsyg.2016.00849","article-title":"Is anorexia nervosa a disorder of the self? 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