Dysfunctional metacognitions in anorexia nervosa

School of Psychological Science, La Trobe University, Bundoora, Victoria 3086, Australia.
Eating and weight disorders: EWD (Impact Factor: 0.79). 03/2011; 16(1):e49-55. DOI: 10.1007/BF03327521
Source: PubMed


The aim was to compare women with anorexia nervosa (AN) and without AN in terms of dysfunctional metacognitions.
167 Australian women with AN (N=74; mean age 24.3 yrs) and without AN (N=93; mean age 27.3 yrs) completed the Metacognitions Questionnaire-30.
Multivariate analyses revealed that relative to controls, AN patients had higher scores on metacognitive dysfunction: they exhibited low confidence in their cognitive competence, reported obsessively monitoring and striving to control their thoughts, and held negative beliefs about the danger of worrying. Furthermore, this was not due to starvation effects. However, patients did not exhibit significantly more positive beliefs about worry than controls once body mass index had been controlled.
Metacognitive dysfunction may play a key role in the maintenance of AN; therefore, metacognitive therapy may be usefully applied to its treatment.

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    • "Cross-sectional and directional relationships between maladaptive metacognition and a wide range of psychological dysfunctions have been extensively demonstrated. These include depression (Wells, 2011), GAD (Wells, 2010), PTSD (Wells, Walton, Lovell, & Proctor, 2014), obsessive-compulsive disorder (Barahmand & Shahbazi, 2013), eating disorders (McDermott & Rushford, 2011), and psychosis (Hutton, Morrison, Wardle, & Wells, 2014). If S-REF theory is correct in identifying dysfunctional metacognition as a generic vulnerability factor underlying psychopathology, this should be also held true for BDD. "
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    ABSTRACT: The present study aims to examine the correlation of body dysmorphic disorder, with metacognitive subscales, metaworry and thought-fusion. The study was conducted in a correlation framework. Sample included 155 high school students in Isfahan, Iran in 2013-2014, gathered through convenience sampling. To gather data about BDD, Yale-Brown Obsessive Compulsive Scale Modified for BDD was applied. Then, Meta Cognitive Questionnaire, Metaworry Questionnaire, and Thought-Fusion Inventory were used to assess metacognitive subscales, metaworry and thought-fusion. Data obtained from this study were analyzed using Pearson correlation and multiple regressions in SPSS 18. Result indicated YBOCS-BDD scores had a significant correlation with scores from MCQ (P<0.05), MWG (P<0.05), and TFI (P<0.05). Also, multiple regressions were run to predict YBOCS from TFI, MWQ, and MCQ-30. These variables significantly predicted YBOCS [F (3,151) =32.393, R2=0.57]. Findings indicated that body dysmorphic disorder was significantly related to metacognitive subscales, metaworry, and thought fusion in high school students in Isfahan, which is in line with previous studies. A deeper understanding of these processes can broaden theory and treatment of BDD, thereby improve the lives of sufferers and potentially protect others from developing this devastating disorder.
    Full-text · Article · Jun 2015 · Global journal of health science
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    • "Previous studies have not investigated the relative impor - tance of the MCQ - 30 subscales . However , McDermott and Rushford ( 2011 ) found that the need for control and negative metacognitive be - liefs were the two subscales that differentiated the most between ano - rectic patients and controls . This metacognitive belief is central in the metacognitive model as it is activated by worry and rumination and its associated symptoms . "
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    ABSTRACT: Objective: The aim of the study was to compare a clinical sample with eating disorders to different control samples on self-report measures of metacognition and eating disorder symptoms, in order to investigate the role of metacognition in eating disorders. Method: The clinical group consisted of 53 female patients with eating disorders who completed the Metacognitions Questionnaire-30 and the Eating Disorder Examination Questionnaire 6.0. One-hundred and fifty women who served as a control group completed the questionnaires as an Internet survey. This control group was divided into three groups based on self-reported history of eating and psychiatric problems (N=47), other psychiatric problems (N=37), or no such problems (healthy controls: N=66). Results: The clinical group scored significantly higher on dysfunctional metacognition than healthy controls, especially on "negative beliefs about uncontrollability and danger", "need to control thoughts", and total MCQ-30 score. Eating disorder symptomatology was positively correlated with metacognition. Metacognition explained 51% of the variance in eating disorder symptoms after controlling for age and BMI, with "need to control thoughts" as the most important factor. Conclusion: Metacognitive beliefs may be central in understanding eating disorders, and metacognitive treatment strategies could be a promising approach in developing new psychological treatments for eating disorders.
    Full-text · Article · Nov 2014 · Eating Behaviors
    • "This instrument was originally developed in order to assess positive and negative metacognitions with regard to worrying. However, it has since been used to investigate metacognitions in other populations as well, such as OCD (Solem, Haland, Vogel, Hansen, & Wells, 2009) or anorexia nervosa (McDermott & Rushford, 2011). The MCQ-30 has five subscales, each including six items. "
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    ABSTRACT: Five types of intervention may be of special relevance and in consequence have been included in treatments targeting generalized anxiety disorder (GAD) symptomology: metacognitive therapy targeting both negative and positive metacognitions concerning worrying; fear imagery exposure, based on the avoidance theory of worrying; interventions developed to increase tolerance of uncertainty; relaxation exercises; and finally, treatment modules focusing on negative problem orientation. This chapter first describes the diagnostic procedures most helpful for the preparation of treatment and then the treatment modules. All these modules have been included in manualized treatments, which have been evaluated with regard to their efficacy in a number of RCTs. The chapter presents an overview of the evidence for the efficacy of variations of this cognitive-behavioral treatment (CBT). Applied relaxation is one of the most regularly used components within standard CBTs for GAD. Besides cognitive-behavioral therapy and psychodynamic psychotherapy, pharmacotherapy offers another evidence-based treatment option for GAD.
    No preview · Chapter · Apr 2014
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