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Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2)
Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2)
Updated over 2 months ago

Brief Description

The Multidimensional Assessment of Interoceptive Awareness (MAIA-2) is a refined version of the original MAIA developed to assess various aspects of interoceptive awareness—our capacity to sense and interpret internal bodily states. It is a 37-item self-report questionnaire that evaluates interoceptive awareness across eight distinct domains (see table below). The MAIA-2 measures both adaptive and maladaptive dimensions of interoceptive awareness. Items were designed to capture how individuals perceive, react to, and regulate their bodily experiences, often relevant in the context of mindfulness, somatic therapies, chronic pain management, and trauma recovery.


Assessment Administration Type

Self-report


Number of questions

37


Age Range for Administration

18+


Recommended Frequency of Administration

One-time screener or periodic reassessment (e.g., pre/post intervention, quarterly, or annually in clinical or research settings)


Summary of Scoring and Interpretations

The MAIA-2 consists of 8 subscales measuring different aspects of interoceptive awareness:

Subscale

Description

Items

Noticing

Awareness of body sensations

1, 2, 3, 4, 5

Not-Distracting

Tendency to stay present with bodily sensations

5, 6, 7, 8, 9, 10

Not-Worrying

Neutrality toward body sensations without distress

11, 12, 13, 14, 15

Attention Regulation

Ability to control focus on internal sensations

16, 17, 18, 19, 20, 21, 22

Emotional Awareness

Connection between bodily sensations and emotions

23, 24, 25, 26, 27

Self-Regulation

Using interoception to manage emotions

28, 29, 30, 31

Body Listening

Active engagement with body signals

32, 33, 34

Trusting

Confidence in the body’s internal cues

35, 36, 37

Each item is rated on a 6-point Likert scale (0 = "Never," 5 = "Always"). Items on the Not-Distracting and Not-Worrying subscale are reverse-scored. The subscale scores are computed by summing the items on each scale and dividing by the number of items (i.e., computing the average for items within the subscale).

There is no clinically meaningful total score; only the subscale scores should be interpreted. Higher scores indicate greater interoceptive awareness, while lower scores suggest difficulties in bodily perception and regulation. There are no universal clinical cut-off scores, but scores are used comparatively in research and clinical assessments.


Blueprint Adjustments

N/A


Clinical Considerations

  • Estimated time to completion: 10-15 minutes

  • Please note that this 37 item measure may be lengthy for some respondents, so consider fatigue in clinical settings.

  • Interoceptive awareness varies across individuals and cultural backgrounds, which may affect responses. The MAIA-2 has shown evidence of cross-cultural validity among Chinese and Dutch samples, although more research is needed.

  • The MAIA-2 is especially useful for clients engaged in mindfulness or somatic therapies.

  • There is evidence of the relationship between MAIA-2 subscales and facets of disordered eating among transgender and gender diverse individuals. Specifically MAIA-2 subscales were positively correlated with body appreciation and body satisfaction and negatively associated with depression, anxiety, and stress.

  • The MAIA-2 is not a diagnostic tool, and should be used alongside clinical judgment and other assessments for a comprehensive evaluation.


Citation


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