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Metacognitive beliefs and emotional eating in adolescents

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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.

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References

  1. 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

    Article  Google Scholar 

  2. Wells A, Matthews G (1994) Attention and emotion: a clinical perspective. Lawrence Erlbaum Associates, Hillsdale NJ

    Google Scholar 

  3. Wells A (2013) Advances in metacognitive therapy. Int J Cogn Ther 6:186–201. https://doi.org/10.1521/ijct.2013.6.2.186

    Article  Google Scholar 

  4. 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

    Article  PubMed  Google Scholar 

  5. 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

    Article  PubMed  Google Scholar 

  6. 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

    Article  PubMed  Google Scholar 

  7. 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

    Article  PubMed  PubMed Central  Google Scholar 

  8. 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

    PubMed  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. 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

    Article  PubMed  Google Scholar 

  11. Bruch H (1973) Eating disorders: obesity, anorexia nervosa, and the person within. Basic Books, US

    Google Scholar 

  12. 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

    Google Scholar 

  13. 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

    Article  PubMed  Google Scholar 

  14. 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

  15. 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

    Article  Google Scholar 

  16. 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

    Article  PubMed  Google Scholar 

  17. 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

    Article  Google Scholar 

  18. 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

    Article  Google Scholar 

  19. Dong Y, Peng J (2013) Principled missing data methods for researchers. Springer Plus 2:222. https://doi.org/10.1186/2193-1801-2-222

    Article  PubMed  PubMed Central  Google Scholar 

  20. Cohen J (1988) Statistical power analysis for the behavioral sciences. Erlbaum, Hillsdale, NJ

    Google Scholar 

  21. 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

    Article  PubMed  Google Scholar 

  22. 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

    Article  PubMed  Google Scholar 

  23. 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

    Article  Google Scholar 

  24. 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

    Article  Google Scholar 

  25. Wells A (2000) Emotional disorders and metacognition: innovative cognitive therapy. Wiley, NY

    Google Scholar 

  26. 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

    Article  Google Scholar 

  27. 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

    Article  Google Scholar 

  28. 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

    Article  PubMed  Google Scholar 

  29. 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

    Article  PubMed  Google Scholar 

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Correspondence to Christine A. Limbers.

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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.

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Parental permission and informed consent were obtained from all study participants.

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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

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