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The Relationship Between Interoception, Alexithymia, Autistic Traits and Eating Pathology in Autistic Adults

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. (In press). Green open access

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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.

Type: Article
Title: The Relationship Between Interoception, Alexithymia, Autistic Traits and Eating Pathology in Autistic Adults
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10803-024-06708-5
Publisher version: https://doi.org/10.1007/s10803-024-06708-5
Language: English
Additional information: © 2025 Springer Nature. This article is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).
Keywords: Autism, Eating disorder, Body image, Alexithymia, Interoception
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10205209
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