Abstract
Purpose
Metacognition refers to how people think about their own thoughts. Existing studies have found that compared to healthy controls, individuals with eating disorders manifest elevated levels of dysfunctional metacognitive beliefs. No studies to date have investigated what role metacognitive beliefs play in the manifestation of emotional eating, a well-known risk factor for the development of eating disorders. The purpose of the current study was to assess the associations between metacognitive beliefs and emotional eating in a community sample of adolescents.
Methods
Participants were 135 middle school students (Mean age = 13.62 years; SD = 0.57) who completed the Emotional Eating Scale Adapted for Children and Adolescents-Short-Form, Metacognition Questionnaire for Children, Positive and Negative Affect Schedule for Children, and a demographic questionnaire.
Results
Participants classified as high emotional eaters reported statistically significant higher negative metacognitive beliefs (Mean = 15.56; SD = 4.22) compared to participants classified as low emotional eaters (Mean = 12.85; SD = 4.31; p ≤ 0.001; t = − 3.69). There was a significant positive association between emotional eating and negative metacognitive beliefs in the hierarchical multiple linear regression analysis (standardized beta coefficient = 0.25; p < 0.05) after controlling for socio-demographic variables and negative affect.
Conclusions
The current findings provide preliminary evidence that negative metacognitive beliefs may play a role in the manifestation of emotional eating in adolescents. Future prospective studies are needed to elucidate the temporal associations between emotional eating and negative metacognitive beliefs in this population.
Level of Evidence
Level III, case-control analytic study.
Similar content being viewed by others
References
Flavell JH (1979) Metacognition and cognitive monitoring: a new area of cognitive—developmental inquiry. Am Psychol 34:906–911. https://doi.org/10.1037/0003-066X.34.10.906
Wells A, Matthews G (1994) Attention and emotion: a clinical perspective. Lawrence Erlbaum Associates, Hillsdale NJ
Wells A (2013) Advances in metacognitive therapy. Int J Cogn Ther 6:186–201. https://doi.org/10.1521/ijct.2013.6.2.186
Olstad S et al (2015) Metacognition in eating disorders: Comparison of women with eating disorders, self-reported history of eating disorders or psychiatric problems, and healthy controls. Eat Behav 16:17–22. https://doi.org/10.1016/j.eatbeh.2014.10.019
Cooper M et al (2007) Metacognition in anorexia nervosa, dieting and non-dieting controls: a preliminary investigation. Br J Clin Psychol 46:113–117. https://doi.org/10.1348/014466506X115245
Wilson G, Grilo C, Vitousek K (2007) Psychological treatment of eating disorders. Am Psychol 62:199–216. https://doi.org/10.1037/0003-066X.62.3.199
Vann A, Strodl E, Anderson E (2013) Thinking about internal states, a qualitative investigation into metacognitions in women with eating disorders. J Eat Disord 1:22. https://doi.org/10.1186/2050-2974-1-24
Sapuppo W et al (2018) The body of cognitive and metacognitive variables in eating disorders: need of control, negative beliefs about worry uncontrollability and danger, perfectionism, self-esteem and worry. Isr J Psychiatry Relat Sci 55:55–65
Stice E, Shaw H (2002) Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. J Psychosom Res 53:985–993. https://doi.org/10.1016/s0022-3999(02)00488-9
Young D, Limbers CA (2017) Avoidant coping moderates the relationship between stress and depressive emotional eating in adolescents. Eat Weight Disord 22:683–691. https://doi.org/10.1007/s40519-017-0396-7
Bruch H (1973) Eating disorders: obesity, anorexia nervosa, and the person within. Basic Books, US
Faith MS, Allison DB, Geliebter A (1997) Overweight and weight management: the health professional’s guide to understanding and practice. In: Dalton S (ed) Emotional eating and obesity: theoretical considerations and practical recommendations. Aspen Publishers, Maryland
van Strien T, van der Zwaluw C, Engels R (2010) Emotional eating in adolescents: a gene (SLC6A4/5-HTT) - depressive feelings interaction analysis. J Psychiatr Res 44:1035–1042. https://doi.org/10.1016/j.jpsychires.2010.03.012
Limbers C, et al. (in press) The Emotional Eating Scale Adapted for Children and Adolescents: Development and preliminary validation of a short-form Eating Disorders: The Journal of Treatment and Prevention. https://doi.org/https://doi.org/10.1080/10640266.2019.1580124
Tanofsky-Kraff M et al (2007) Validation of the emotional eating scale adapted for use in children and adolescents (EES-C). J Eat Disord 40:232–240. https://doi.org/10.1002/eat.20362
Bacow T et al (2009) The metacognitions questionnaire for children: development and validation in a clinical sample of children and adolescents with anxiety disorders. J Anxiety Disord 23:727–736. https://doi.org/10.1016/j.janxdis.2009.02.013
Laurent J et al (1999) A measure of positive and negative affect for children: scale development and preliminary validation. Psychol Assess 11:326–338. https://doi.org/10.1037/1040-3590.11.3.326
Trout A et al (2003) Research on the academic status of children with emotional and behavioral disorders: a review of the literature from 1961 to 2000. J Emot Behav Disord 11:198–210. https://doi.org/10.1177/10634266030110040201
Dong Y, Peng J (2013) Principled missing data methods for researchers. Springer Plus 2:222. https://doi.org/10.1186/2193-1801-2-222
Cohen J (1988) Statistical power analysis for the behavioral sciences. Erlbaum, Hillsdale, NJ
Ormel J, Rosmalen J, Farmer A (2004) Neuroticism: A non-informative marker of vulnerability to psychopathology. Soc Psychiatry Psychiatr Epidemiol 39:906–912. https://doi.org/10.1007/s00127-004-0873-y
Stice E, Presnell K, Spangler D (2002) Risk factors for binge eating onset in adolescent girls: a 2-year prospective investigation. Health Psychol 21:131–138. https://doi.org/10.1037/0278-6133.21.2.131
Normann N, Morina N (2018) The efficacy of metacognitive therapy: a systematic review and meta-analysis. Front Psychol 9:1–14. https://doi.org/10.3389/fpsyg.2018.02211
Wells A (1990) Panic disorder in association with relaxation induced anxiety: an attentional training approach to treatment. Beahav Ther 21:273–280. https://doi.org/10.1016/S0005-7894(05)80330-2
Wells A (2000) Emotional disorders and metacognition: innovative cognitive therapy. Wiley, NY
Fergus T, Bardeen J (2016) The attention training technique: a review of a neurobehavioral therapy for emotional disorders. Cogn Behav Pract 23:502–516. https://doi.org/10.1016/j.cbpra.2015.11.001
Knowles M et al (2016) A systematic review of efficacy of the attention training technique in clinical and nonclinical samples. Tech Clin Nonclin 72:999–1025. https://doi.org/10.1002/jclp.22312
McEvoy P et al (2017) Mechanisms of change during attention training and mindfulness in high trait-anxious individuals: a randomized controlled study. Behav Ther 48:678–694. https://doi.org/10.1016/j.beth.2017.04.001
Belcher B et al (2011) The influence of worries on emotional eating, weight concerns, and body mass index in Latina female youth. J Adolesc Health 48:487–492. https://doi.org/10.1016/j.jadohealth.2010.08.008
Funding
No funding was received for the present study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Baylor University Institutional Review Board ID 1351156-5) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Parental permission and informed consent were obtained from all study participants.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Limbers, C.A., Greenwood, E., Shea, K. et al. Metacognitive beliefs and emotional eating in adolescents. Eat Weight Disord 26, 2281–2286 (2021). https://doi.org/10.1007/s40519-020-01078-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40519-020-01078-0