eprintid: 10205209 rev_number: 9 eprint_status: archive userid: 699 dir: disk0/10/20/52/09 datestamp: 2025-02-26 17:28:50 lastmod: 2025-02-26 17:28:50 status_changed: 2025-02-26 17:28:50 type: article metadata_visibility: show sword_depositor: 699 creators_name: Westwood, Heather creators_name: Mandy, Will creators_name: Brewer, Rebecca title: The Relationship Between Interoception, Alexithymia, Autistic Traits and Eating Pathology in Autistic Adults ispublished: inpress divisions: UCL divisions: B02 divisions: C07 divisions: D05 divisions: F66 keywords: Autism, Eating disorder, Body image, Alexithymia, Interoception note: © 2025 Springer Nature. This article is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/). abstract: This study investigated the mechanisms underlying disordered eating of autistic adults, by investigating associations between eating disorder (ED) symptoms and autistic traits; autism-specific atypical eating; alexithymia; interoception; and body image in autistic and non-autistic participants. Autistic adults (n = 196) and non-autistic adults (n = 206) completed online self-report measures assessing ED pathology, atypical eating, body image dissatisfaction, interoception, alexithymia, and autistic traits. Structural Equation Modelling tested a theoretical model of the relationships between these variables, and whether these relationships were moderated by autism diagnosis. Autistic adults self-reported higher ED pathology than non-autistic adults. The proposed model and the strength of the relationship between body image and ED pathology did not differ between the autistic and non-autistic groups. Atypical eating (not related to over-evaluation of weight/shape), however, was only associated with ED pathology in the autistic group. Both traditional and additional factors, including eating disturbances not driven by weight/shape concern, appear to contribute to ED pathology in autism. date: 2025-02-14 date_type: published publisher: SPRINGER/PLENUM PUBLISHERS official_url: https://doi.org/10.1007/s10803-024-06708-5 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2363104 doi: 10.1007/s10803-024-06708-5 medium: Print-Electronic pii: 10.1007/s10803-024-06708-5 lyricists_name: Mandy, William lyricists_id: WMAND51 actors_name: Mandy, William actors_id: WMAND51 actors_role: owner funding_acknowledgements: [Medical Research Council] full_text_status: public publication: Journal of Autism and Developmental Disorders pages: 14 event_location: United States citation: Westwood, Heather; Mandy, Will; Brewer, Rebecca; (2025) The Relationship Between Interoception, Alexithymia, Autistic Traits and Eating Pathology in Autistic Adults. Journal of Autism and Developmental Disorders 10.1007/s10803-024-06708-5 <https://doi.org/10.1007/s10803-024-06708-5>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10205209/3/Mandy_The%20Relationship%20Between%20Interoception%2C%20Alexithymia%2C%20Autistic%20Traits%20and%20Eating%20Pathology%20in%20Autistic%20Adults_VoR.pdf