Metacognitions about desire thinking predict the severity of binge eating in a sample of Italian women

Spada, Marcantonio M.; Caselli, Gabriele; Fernie, Bruce A.; Nikčević, Ana V.; Ruggiero, Giovanni Maria; Boccaletti, Fabio; Dallari, Giulia; Sassaroli, Sandra

doi:10.1007/s40519-015-0205-0

Cited by 9 publications

(3 citation statements)

References 50 publications

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“…These results can be explained in light of previous literature about metacognition in eating and drinking problem behaviors. For example, the need to control thoughts is a maladaptive metacognitive belief that constitutes a well-proven susceptibility factor for dysfunctional eating behaviors [90,91]. Another metacognitive belief, low cognitive confidence, insinuates persistent apprehension of an individual's attention and impedes appropriate adaptive strategies for coping with distress, therefore enhancing worry and rumination, two major maladaptive metacognitive processes tightly allied to eating behaviors [65,92].…”

Section: Discussionmentioning

confidence: 99%

Emotion regulation and drunkorexia behaviors among Lebanese adults: the indirect effects of positive and negative metacognition

et al. 2022

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Background Although metacognition processes are a core feature of restrictive eating and alcohol cravings and entail an individual to control both of his/her emotions and thoughts, yet, to our knowledge, a scarcity of research has examined their potential role in drunkorexia as cognitive and emotional predictors. The following study investigates the different associations between two emotion regulation strategies (i.e. emotional suppression and cognitive reappraisal) and drunkorexia behaviors in a sample of Lebanese adults, exploring the possible indirect effects of positive and negative alcohol-related metacognitions. Methods This was a cross-sectional study that enrolled 335 participants (March-July 2021). Results Higher problematic alcohol use (beta = 5.56), higher physical activity index (beta = 0.08), higher expressive suppression (beta = 0.23), higher negative metacognitive beliefs about cognitive harm due to drinking (beta = 0.75) and higher cognitive reappraisal (beta = 0.20) were significantly associated with more drunkorexic behaviors. The positive metacognitive beliefs about cognitive self-regulation significantly mediated the association between cognitive reappraisal and drunkorexia behaviors. Both the positive metacognitive beliefs about cognitive self-regulation and the negative metacognitive beliefs about the uncontrollability of drinking significantly mediated the association between expressive suppression and drunkorexia behaviors. Conclusion This study demonstrated that emotional and metacognitive processes are associated with drunkorexia, addressing as well the mediating effect between deficient emotional regulation and risky behavioral patterns. Overall, our results would speculate that the lack of emotional and cognitive assets might enhance internal distress perceived out of control, leading individuals to indulge in maladaptive behavioral patterns for managing the underlying impairment.

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Section: Discussionmentioning

confidence: 99%

Emotion regulation and drunkorexia behaviors among Lebanese adults: the indirect effects of positive and negative metacognition

et al. 2022

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“…Although people with BED may binge for many different reasons (e.g., emotional regulation, poor coping, loneliness, interpersonal sensitivity, etc.) (Schulz & Laessle, 2012;Solmi et al, 2018;Spada et al, 2016), focussing on neurocognitive deficits as a central characteristic may help identify a common underpinning to many of the different motivations that individuals report as initiating or maintaining their eating behaviour. If the cognitive problems identified in this analysis are actually core feature of BED, this may have notable clinical implications.…”

Section: Discussionmentioning

confidence: 99%

Neurocognitive findings in young adults with binge eating disorder

Grant

Chamberlain

2019

International Journal of Psychiatry in Clinical Practice

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Objectives: Binge-eating disorder (BED) has been associated with cognitive impairment, including on measures of impulsivity, but it is not clear in prior literature whether these deficits may have been associated with obesity, rather than BED per se. Impulsivity may play a role in predisposing people towards BED as well as in the chronicity of symptoms. The aim of this study was to examine cognitive functions between BED and healthy controls matched for age, gender, and body mass indices. Methods: Individuals with BED and healthy controls were recruited from the general community using media advertisements. After providing informed consent, study participants completed a clinical interview and computerised neuropsychological testing. Group differences were analysed. Results: Groups did not differ significantly on age, gender, education levels, or body mass indices. The BED group (N ¼ 17) exhibited significantly impaired stop-signal response inhibition (Stop-Signal Task) and executive planning (Stockings of Cambridge Task) compared to healthy controls (N ¼ 17). Spatial working memory and set-shifting were intact. Discussion: BED appears to be associated with motor disinhibition and impaired executive planning even controlling for obesity. Longitudinal work is needed to clarify whether motor impulsivity predisposes people to BED, and/or contributes to persistence of symptoms over time. KEY POINTS Binge-eating disorder is common, under-recognised, and associated with untoward physical and health sequelae. The neurobiological basis of binge-eating disorder is unclear; cognitive testing may offer insights. Many prior cognitive studies have not controlled for potential confounds, especially group differences in body mass indices (BMI). Obesity in itself has been linked with cognitive dysfunction. Here, we compared cognition between people with binge-eating disorder and controls, matched for BMI and other measures. Binge-eating disorder was associated with impaired response inhibition and executive planning. These results inform neurobiological models of binge-eating disorder and may suggest new treatment targets for this condition.

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“…The current understanding of the possible role of MCT in eating disorders is very limited. Disordered eating may be associated with perseverative thinking, dysfunctional metacognitive beliefs, and attentional biases [ 45 , 46 ]. Despite existing established evidence on the significance of metacognitive beliefs in anorexia nervosa and bulimia nervosa, no published research was found on the role of MCT in these two diseases.…”

Section: Reviewmentioning

confidence: 99%

The Scope of Metacognitive Therapy in the Treatment of Psychiatric Disorders

Sharma¹,

Sagar²,

Kaloiya³

et al. 2022

Cureus

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Metacognitive therapy (MCT) is a novel and promising transdiagnostic psychotherapy intervention based on the Self-Regulatory Executive Function model of conceptualizing emotional disorders. It was developed by Adrian Wells in 2009. Its therapeutic response occurs by reducing dysfunctional metacognitive beliefs regarding worry and rumination, often seen in patients with psychiatric disorders. Since its inception, it has been increasingly applied to a wide spectrum of psychiatric illnesses, but mainly focusing on mood and anxiety disorders. To our knowledge, no study has detailed its existing therapeutic scope in psychiatry. In this comprehensive narrative review, we describe the various psychiatric illnesses in which MCT has been used, the advantages of MCT, and the limitations of the MCT research. In addition, we propose some solutions to systematically examine its place in psychiatry. We encountered its potential role in treating trauma and stress-related disorders, obsessive-compulsive spectrum disorders, personality disorders, psychotic disorders, substance use disorders, and sexual disorders.

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Metacognitions about desire thinking predict the severity of binge eating in a sample of Italian women

Cited by 9 publications

References 50 publications

Emotion regulation and drunkorexia behaviors among Lebanese adults: the indirect effects of positive and negative metacognition

Emotion regulation and drunkorexia behaviors among Lebanese adults: the indirect effects of positive and negative metacognition

Neurocognitive findings in young adults with binge eating disorder

The Scope of Metacognitive Therapy in the Treatment of Psychiatric Disorders

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