Validation psychométrique et affinage du Questionnaire sensoriel de l'interoception (ISQ) chez les adolescents et les adultes sur le spectre de l'autisme

Titre original en anglais : Psychometric validation and refinement of the Interoception Sensory Questionnaire (ISQ) in adolescents and adults on the autism spectrum

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Suzman, E., Williams, Z. J., Feldman, J. I., Failla, M. D., Cascio, C. J., Wallace, M. T., Niarchou, M., Sutcliffe, J. S., Wodka, E. L., & Woynaroski, T. G. (2021). Psychometric validation and refinement of the Interoception Sensory Questionnaire (ISQ) in adolescents and adults on the autism spectrum. Molecular Autism, 12(1), 42-42. https://doi.org/10.1186/s13229-021-00440-y

Date de publication: 07/06/2021 Ajout dans AutiHub: 07/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
10
Auteur·ices de la publication identifié·es comme autistes
1 / 10 (10,0 %)
  1. Evan Suzman
  2. Zachary J. Williams *
  3. Jacob I. Feldman
  4. Michelle D. Failla
  5. Carissa J. Cascio
  1. Mark T. Wallace
  2. Maria Niarchou
  3. James S. Sutcliffe
  4. Ericka L. Wodka
  5. Tiffany G. Woynaroski

Résumé

CONTEXTE : Il est rapporté que les personnes sur le spectre de l'autisme présentent des altérations de l'interoception, le sens de l'état interne du corps. Le Questionnaire sensoriel de l'interoception (ISQ) est une mesure d'auto-évaluation de l'interoception comportant 20 items, spécifiquement destinée à mesurer ce construit chez les personnes autistes. Les propriétés psychométriques de l'ISQ n'avaient toutefois pas auparavant été évaluées dans un large échantillon de personnes autistes. MÉTHODES : À l'aide d'une analyse factorielle confirmatoire, nous avons évalué la structure latente de l'ISQ dans un large échantillon en ligne d'adultes sur le spectre de l'autisme et avons constaté que le modèle unidimensionnel s'ajustait mal aux données. À l'aide d'une analyse de mauvaise spécification pour identifier les zones de mauvais ajustement local et de la théorie de réponse à l'item pour étudier l'adéquation de l'échelle de réponse à sept points, nous avons supprimé les items redondants et regroupé les options de réponse afin de proposer un nouvel ISQ à huit items et à cinq choix de réponse. RÉSULTATS : L'ISQ révisé à cinq choix de réponse (ISQ-8) a montré un ajustement bien meilleur tout en maintenant une fiabilité interne élevée. Les analyses de fonctionnement différentiel des items (DIF) ont indiqué que les items de l'ISQ-8 recevaient des réponses comparables de la part des adolescents et des adultes autistes, ainsi qu'au sein de plusieurs autres groupes sociodémographiques. LIMITES : Nos résultats étaient limités par le fait que nous n'avons pas recueilli de données auprès de témoins au développement typique, ce qui empêchait l'analyse du DIF selon le statut diagnostique. De plus, bien que cette étude propose une nouvelle échelle à 5 réponses pour l'ISQ-8, nos données n'ont pas été recueillies à l'aide de cette méthode ; ainsi, les propriétés psychométriques de la version révisée de cet instrument nécessitent des investigations supplémentaires. CONCLUSION : L'ISQ-8 est prometteur en tant que mesure fiable et valide de l'interoception chez les adolescents et les adultes sur le spectre de l'autisme, mais des travaux supplémentaires sont nécessaires pour examiner ses propriétés psychométriques dans cette population. Un calculateur de score en ligne gratuit a été créé pour faciliter l'utilisation des scores de trait latent de l'ISQ-8 dans de futures études sur les adolescents et les adultes autistes (disponible à l'adresse https://asdmeasures.shinyapps.io/ISQ_score/).

BACKGROUND: Individuals on the autism spectrum are reported to display alterations in interoception, the sense of the internal state of the body. The Interoception Sensory Questionnaire (ISQ) is a 20-item self-report measure of interoception specifically intended to measure this construct in autistic people. The psychometrics of the ISQ, however, have not previously been evaluated in a large sample of autistic individuals. METHODS: Using confirmatory factor analysis, we evaluated the latent structure of the ISQ in a large online sample of adults on the autism spectrum and found that the unidimensional model fit the data poorly. Using misspecification analysis to identify areas of local misfit and item response theory to investigate the appropriateness of the seven-point response scale, we removed redundant items and collapsed the response options to put forth a novel eight-item, five-response choice ISQ. RESULTS: The revised, five-response choice ISQ (ISQ-8) showed much improved fit while maintaining high internal reliability. Differential item functioning (DIF) analyses indicated that the items of the ISQ-8 were answered in comparable ways by autistic adolescents and adults and across multiple other sociodemographic groups. LIMITATIONS: Our results were limited by the fact that we did not collect data for typically developing controls, preventing the analysis of DIF by diagnostic status. Additionally, while this study proposes a new 5-response scale for the ISQ-8, our data were not collected using this method; thus, the psychometric properties for the revised version of this instrument require further investigation. CONCLUSION: The ISQ-8 shows promise as a reliable and valid measure of interoception in adolescents and adults on the autism spectrum, but additional work is needed to examine its psychometrics in this population. A free online score calculator has been created to facilitate the use of ISQ-8 latent trait scores for further studies of autistic adolescents and adults (available at https://asdmeasures.shinyapps.io/ISQ_score/ ).

Bibliographie citée par cette référence

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
95
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
2 / 95 (2,1 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
2 / 572 (0,3 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 2 / 63 (3,2 %). Auteurices cité·es distinct·es identifié·es comme autistes : 2 / 543 (0,4 %).
Occurrences citées rattachées à la base AutiHub
63 / 572 (11,0 %)
Auteurices cité·es distinct·es rattaché·es : 50 / 543 (9,2 %)
Occurrences rattachées, non identifiées comme autistes
61 / 63 (96,8 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 61 / 572 (10,7 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 48 / 50 (96,0 %).
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