The role of self-monitoring metacognition sub-function and negative urgency related to binge severity

被引:19
作者
Aloi, Matteo [1 ,2 ]
Rania, Marianna [1 ,2 ]
Carbone, Elvira A. [1 ,2 ]
Calabro, Giuseppina [1 ,2 ]
Caroleo, Mariarita [1 ,2 ]
Carcione, Antonino [3 ]
Nicolo, Giuseppe [3 ]
Semerari, Antonio [3 ]
Segura-Garcia, Cristina [1 ,4 ]
机构
[1] Univ Hosp Mater Domini, Outpatient Unit Clin Res & Treatment Eating Disor, Catanzaro, Italy
[2] Magna Graecia Univ Catanzaro, Dept Hlth Sci, Catanzaro, Italy
[3] Italian Sch Cognit Psychotherapy SICC, Ctr Cognit Psychotherapy 3, Rome, Italy
[4] Magna Graecia Univ Catanzaro, Dept Med & Surg Sci, Viale Europa, Catanzaro 88100, Italy
关键词
binge eating disorder; binge severity; emotional dysregulation; metacognition; negative urgency; DIALECTICAL BEHAVIOR-THERAPY; EATING-DISORDER; ANOREXIA-NERVOSA; ASSESSMENT SCALE; BULIMIA-NERVOSA; FOOD ADDICTION; IMPULSIVITY; PSYCHOTHERAPY; ASSOCIATIONS; METAANALYSIS;
D O I
10.1002/erv.2742
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective This study aims to test a model where low self-monitoring (a sub-function of first-person domain of metacognition) and high negative urgency lead to a worsening of binge severity through the mediation of emotional dysregulation in patients with binge eating disorder (BED). Method Forty non-BED-obese and 46 BED-obese patients completed a battery of tests assessing metacognition and psychopathology. To test our hypothesized model, a structural equation model (SEM) using maximum likelihood estimation was conducted. Results BED-obese patients had significantly higher scores in BES, UPPS-P Negative urgency, and DERS total score, and lower MSAS self-monitoring than non-BED-obese, while no differences emerged in the MSAS others-monitoring subscale. The structural model demonstrated very good fit indexes (chi(2) = 1.377, df = 2; p = .502, CMIN/DF = 0.688, CFI = 1.000, RMSEA = 0.000, TLI = 1.047) and all paths were significant in the predicted directions. Conclusions These preliminary findings show that, low self-monitoring and high negative urgency lead BED-obese patients to express the worsening of binge severity through the mediation of emotional dysregulation. This knowledge may be helpful in the clinical practice to develop a tailor-made treatment. Accordingly, an approach through Metacognitive Interpersonal Therapy could be attempted in BED-obese patients with these characteristics. Highlights Patients with BED exhibited low self-monitoring and high negative urgency. Binge severity was mediated by high level of emotional dysregulation. Metacognitive Interpersonal Therapy may be useful for BED patients.
引用
收藏
页码:580 / 586
页数:7
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