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

  • Marcantonio M. Spada
  • Gabriele Caselli
  • Bruce A. Fernie
  • Ana V. Nikčević
  • Giovanni M. Ruggiero
  • Fabio Boccaletti
  • Giulia Dallari
  • Sandra Sassaroli
Original Article

Abstract

In this study, our principal aim was to investigate whether metacognitions about desire thinking predict the severity of binge eating in women and, if so, whether this relationship is independent of age, self-reported body mass index (BMI), negative affect, irrational food beliefs and craving. One hundred and four women, consisting of 32 consecutive patients with binge eating disorder undergoing initial assessment for cognitive therapy for eating disorders, 39 moderate binge eaters, and 33 non-binge eaters (both from the general population), completed the following measures: Self-reported BMI, Hospital Anxiety and Depression Scale, Irrational Food Beliefs Scale, General Craving Scale, Metacognitions about Desire Thinking Questionnaire, and Binge Eating Scale. A series of Spearman’s rho correlation analyses revealed that self-reported BMI, anxiety, depression, irrational food beliefs, craving, and all three factors of the metacognitions about desire thinking questionnaire were significantly associated with the severity of binge eating. A stepwise regression analysis identified self-reported BMI, craving, and negative metacognitions about desire thinking as significant predictors of the severity of binge eating. These results, taken together, highlight the possible role of metacognitions about desire thinking in predicting the severity of binge eating. The clinical implications of these findings are discussed.

Keywords

Binge eating Binge eating disorder Craving Irrational food beliefs Metacognitions about desire thinking Negative affect, self-reported body mass index 

Notes

Acknowledgments

Author BAF receives salary support from the National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre and Dementia Research Unit at South London and Maudsley NHS Foundation Trust and King’s College London. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

Ethical approval for this study was granted by Studi Cognitivi, Milan, Italy. All participants were informed that data provided in the study would be treated in the strictest confidence and that participation was entirely voluntary.

Informed consent

All participants provided informed consent.

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Marcantonio M. Spada
    • 1
  • Gabriele Caselli
    • 1
    • 2
    • 7
  • Bruce A. Fernie
    • 3
    • 4
  • Ana V. Nikčević
    • 5
  • Giovanni M. Ruggiero
    • 2
  • Fabio Boccaletti
    • 2
  • Giulia Dallari
    • 6
  • Sandra Sassaroli
    • 2
  1. 1.Division of Psychology, School of Applied SciencesLondon South Bank UniversityLondonUK
  2. 2.Studi CognitiviMilanItaly
  3. 3.Department of Psychology, Institute of PsychiatryKing’s College LondonLondonUK
  4. 4.CASCAID, South London and Maudsley NHS Foundation TrustLondonUK
  5. 5.Department of PsychologyKingston UniversityKingston upon ThamesUK
  6. 6.University of PaviaPaviaItaly
  7. 7.Sigmund Freud UniversityMilanItaly

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