Metacognitive beliefs across eating disorders and eating behaviours: A systematic review

Palmieri, Sara; Mansueto, Giovanni; Ruggiero, Giovanni Maria; Caselli, Gabriele; Sassaroli, Sandra; Spada, Marcantonio M.

doi:10.1002/cpp.2573

Cited by 29 publications

(41 citation statements)

References 34 publications

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“…CAS is problematic, because it causes negative cognitive–affective states to remain in the consciousness rather than spontaneously decay, leading to failures to modify self-beliefs about control over the mind [ 103 ]. Given the association observed between RNT and ED symptoms, and the association between metacognitive beliefs and both EDs and behaviors [ 48 ], the S-REF model could explain the role of RNT in ED symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…The findings of the current meta-analysis suggest that RNT is associated with all subtypes of ED symptoms supporting a vision of RNT as a transdiagnostic process [ 2 ]; nevertheless, some differences may be identified in the strength of the association between RNT and the subtypes of ED symptoms: based on the ES values, the association between RNT and the subtypes of ED symptoms might be stronger in AN than in BN and BED. Taking as a framework the S-REF model [ 101 ], it could be hypothesized that there are differences among the ED symptom subtypes in maladaptive metacognitive beliefs that activate and maintain maladaptive forms of coping such as RNT; as highlighted in a recent systematic review [ 48 ], maladaptive metacognitive beliefs appear to be stronger in AN than in other ED subtypes. Furthermore, the moderate ES for BED could suggest that BED symptoms could be more closely related with a different form of RNT process such as desire thinking [ 78 , 105 ] rather than worry and rumination, albeit the scarce number of published studies on BED suggests caution in this interpretation.…”

Section: Discussionmentioning

confidence: 99%

“…In order to ascertain the validity of the eligible studies, two investigators independently rated each study on the basis of the following markers: homogeneity of the sample regarding the diagnosis if present, appropriateness of random allocation if necessary and presence of a comparable group if appropriate. Disagreements were resolved by consensus [ 46 , 47 , 48 ] (intercoder reliability: Cohen’s Kappa coefficient = 0.80).…”

Section: Methodsmentioning

confidence: 99%

“…In accordance with previous studies [ 46 , 47 , 48 , 49 ], the quality of each eligible study was assessed independently by two investigators (S.P. and G.M.)…”

Section: Methodsmentioning

confidence: 99%

“…and G.M. Consistent with the previous studies [46][47][48], disagreements on eligibility were resolved by consensus among authors (intercoder reliability: Cohen's Kappa coeffi-cient = 0.70). The following assumptions were made: if not specified, participants were considered without co-occurrent psychiatric disorders or neurological or neurocognitive organic impairment.…”

Section: Study Selection Data Collection Process and Data Itemsmentioning

confidence: 99%

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Repetitive Negative Thinking and Eating Disorders: A Meta-Analysis of the Role of Worry and Rumination

Palmieri

Mansueto

Caselli

et al. 2021

JCM

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The role of worry and rumination in eating disorders (EDs) is controversial. This meta-analysis of the literature is aimed at clarifying the relationship between repetitive negative thinking (RNT) and EDs. In accordance with the PRISMA criteria, a comprehensive search of the literature was conducted on PubMed and PsycInfo from inception to March 2021. Search terms: “eating disorder/anorexia/bulimia/binge eating disorder” AND “worry/rumination/brooding/repetitive thinking”. A manual search of reference lists was also run. Forty-three studies were included. RNT was found to be associated with anorexia, bulimia, and binge eating disorder. A moderating effect was found for “presence/absence ED diagnosis” and “subtype of ED symptom”. ED patients showed higher RNT than the general population. No differences were observed for age or between worry and rumination in the magnitude of their association with EDs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…In accordance with previous studies [ 46 , 47 , 48 , 49 ], the quality of each eligible study was assessed independently by two investigators (S.P. and G.M.)…”

Section: Methodsmentioning

confidence: 99%

Section: Study Selection Data Collection Process and Data Itemsmentioning

confidence: 99%

See 3 more Smart Citations

Repetitive Negative Thinking and Eating Disorders: A Meta-Analysis of the Role of Worry and Rumination

Palmieri

Mansueto

Caselli

et al. 2021

JCM

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Eating disorder symptoms and control‐seeking behavior

2023

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ObjectiveEating disorders (EDs) are a heterogenous group of disorders characterized by disturbed eating patterns. Links have been made between ED symptoms and control‐seeking behaviors, which may cause relief from distress. However, whether direct behavioral measures of control‐seeking behavior correlate with ED symptoms has not been directly tested. Additionally, existing paradigms may conflate control‐seeking behavior with uncertainty‐reducing behavior.MethodA general population sample of 183 participants completed part in an online behavioral task, in which participants rolled a die in order to obtain/avoid a set of numbers. Prior to each roll, participants could choose to change arbitrary features of the task (such as the color of their die) or view additional information (such as the current trial number). Selecting these Control Options could cost participants points or not (Cost/No‐Cost conditions). Each participant completed all four conditions, each with 15 trials, followed by a series of questionnaires, including the Eating Attitudes Test‐26 (EAT‐26), the Intolerance of Uncertainty Scale, and the Obsessive–Compulsive Inventory—Revised (OCI‐R).ResultsA Spearman's rank test indicated no significant correlation between total EAT‐26 score and total number of Control Options selected, with only elevated scores on a measure of obsessions and compulsivity (OCI‐R) correlating with the total number of Control Options selected (rs = .155, p = .036).DiscussionIn our novel paradigm, we find no relationship between EAT‐26 score and control‐seeking. However, we do find some evidence that this behavior may be present in other disorders that often coincide with ED diagnosis, which may indicate that transdiagnostic factors such as compulsivity are important to control‐seeking.

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The Metacognitions about Binge Eating Questionnaire: Investigation of the association between specific metacognitions and Binge Eating Disorder

Palmieri

Mansueto

Marchant

et al. 2023

Clin Psychology and Psychoth

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Literature suggested that metacognitions are involved in eating problems and may be relevant to the understanding of Binge Eating Disorder (BED). The goal of the current studies was to develop the first self-report instrument on metacognitions about binge eating. In Study 1, a community sample completed the Metacognitions about Binge Eating Questionnaire (MBEQ); an Exploratory Factor Analysis (EFA) was performed. In study 2, a community sample completed the MBEQ and measures assessing severity of binge eating, irrational food beliefs, anxiety, depression, impulsiveness. A Confirmatory Factor Analysis (CFA) was performed. Concurrent and incremental validity were assessed. In study 3, a clinical sample of participants with a diagnosis of BED completed the MBEQ and other measures. Bivariate correlational analysis and hierarchical linear regression were performed. Participants from the general population and participants with a diagnosis of BED were compared. EFA and CFA supported a two-factor solution consisting of positive and negative metacognitions about binge eating. Concurrent and incremental validity were acceptable. The metacognitions factors correlated positively with anxiety, depression, irrational food beliefs, impulsiveness in the community sample, and anxiety, irrational food beliefs, impulsiveness in clinical sample. The metacognitions factors contributed to the prediction of BEDs symptoms, in community and clinical samples, over and above age, gender, impulsiveness, anxiety, depression, irrational food beliefs. The MBEQ possesses good psychometric properties and appears a reliable and valid measure of positive and negative metacognitions about binge eating. Metacognitions about binge eating could be a therapeutic target to reduce the severity of binge eating episodes.

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Metacognitive beliefs across eating disorders and eating behaviours: A systematic review

Cited by 29 publications

References 34 publications

Repetitive Negative Thinking and Eating Disorders: A Meta-Analysis of the Role of Worry and Rumination

Repetitive Negative Thinking and Eating Disorders: A Meta-Analysis of the Role of Worry and Rumination

Eating disorder symptoms and control‐seeking behavior

The Metacognitions about Binge Eating Questionnaire: Investigation of the association between specific metacognitions and Binge Eating Disorder

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