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Understanding interoception across emotional contexts: development and validation of the Emotion-Linked Interoceptive
Tomohiro Arai1,2, Tomoko Komano3, Hideki Ohira2
1Shiseido Co., Ltd., MIRAI Technology Institute, Yokohama, Japan.
Frontiers in Psychology
|April 3, 2026
Summary
The new Emotion-Linked Interoceptive Awareness (ELIA) scale measures bodily sensations during emotions. Higher scores on the Positive Emotions subscale relate to better mental health outcomes.
Area of Science:
- Psychology
- Neuroscience
- Health Sciences
Background:
- Interoceptive awareness, the sense of the internal state of the body, is crucial for emotional regulation.
- Existing measures often lack specificity regarding emotional contexts.
- Developing context-specific measures is vital for understanding nuanced interoceptive processing.
Purpose of the Study:
- To develop and validate the Emotion-Linked Interoceptive Awareness (ELIA) scale.
- To assess bodily sensations within specific emotional contexts.
- To explore the relationship between ELIA scores, psychological traits, and mind-body practice.
Main Methods:
- Four online studies were conducted for scale development and validation.
- Item generation involved free-text reports of bodily sensations during emotions.
- Factor structure, convergent validity, reliability, and associations with psychological traits were examined.
Main Results:
- A 39-item bifactor scale (ELIA) was developed with a general factor and subscales for Positive Emotions, Anxiety, and Irritation.
- ELIA scores showed convergence with existing interoceptive awareness measures and moderate test-retest reliability.
- Positive Emotions subscale scores correlated with lower anxiety and alexithymia; Anxiety and Irritation subscales correlated with higher levels of these traits.
Conclusions:
- The ELIA scale provides a validated, emotion-specific measure of interoceptive awareness.
- Findings highlight the importance of context-specific interoceptive assessment for understanding adaptive and maladaptive attentional styles.
- The ELIA scale can differentiate between various interoceptive processing styles and inform research on mind-body interventions.
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