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Related Concept Videos

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Interoceptive-based interventions for eating disorders: A systematic review.

Salvatore M Diana1, Laura Barca2

  • 1Institute of Cognitive Sciences and Technologies, National Research Council, Rome, Italy; Sapienza University of Rome, Italy.

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|April 10, 2026
PubMed
Summary
This summary is machine-generated.

Interoceptive-based interventions (IBIs) show promise for treating eating disorders (EDs) by improving emotional regulation and reducing symptoms. Mindfulness-based interventions (MBIs) were most effective, though more research is needed to address limitations.

Keywords:
Body awarenessEating disordersEmotional regulationInteroceptionInteroceptive-based interventionsMindfulness

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychiatry

Background:

  • Disruptions in interoception, the awareness of internal bodily signals, are linked to eating disorders (EDs).
  • Interoceptive-based interventions (IBIs) show potential for treating EDs but are under-explored.
  • Altered interoceptive processing is considered central to the development and maintenance of EDs.

Purpose of the Study:

  • To systematically review the application and efficacy of IBIs in treating EDs.
  • To evaluate the impact of IBIs on eating disorder symptom severity, interoceptive functioning, and affective variables.
  • To synthesize current literature and identify areas for future research in IBIs for EDs.

Main Methods:

  • A comprehensive systematic review adhering to PRISMA guidelines was conducted.
  • Searches included PsycINFO, Web of Science, PubMed, and Scopus.
  • Included studies were randomized controlled trials, quasi-experimental studies, case series, and single-case studies.

Main Results:

  • Thirteen studies with 454 participants were included.
  • Mindfulness-based interventions (MBIs) consistently improved emotional regulation, reduced compensatory behaviors, and enhanced bodily awareness.
  • Interoceptive exposure (IE) and biofeedback showed potential for reducing avoidance and anxiety, particularly in anorexia nervosa and binge-eating disorder.

Conclusions:

  • IBIs, particularly MBIs, demonstrate promise in treating eating disorders.
  • Further research is needed to address limitations such as high risk of bias and lack of standardized outcome measures.
  • IBIs offer a potential avenue for enhancing clinical application and refining treatment approaches for EDs.