Interoception and disordered eating: a systematic review

Deficits in interoception have been associated with disordered eating but there has been no systematic review of whether the interoceptive deficits are observed across all types of disordered eating and across interoceptive modalities. There has also been no evaluation of whether deficits in interoception play a causal role in the development of disordered eating. Nor has there been a review of the moderating/mediating factors of the relationship between interoception and disordered eating. To address these gaps we conducted a systematic review using PRISMA guidelines. 104 studies with 32883 participants were included. Deficits in interoception were observed across disordered eating types and interoceptive modalities suggesting that interoception may constitute a transdiagnostic feature of disordered eating. There is currently limited evidence on the causal role of interoception in the development of disordered eating and no studies have formally analysed the moderators/mediators. Future mechanistic research examining particular dimensions of interoception will provide insights into the specific interoceptive deficits associated with disordered eating and could lead to the development of improved therapies.