Exploring the relationship between dysfunctional metacognitive processes and orthorexia nervosa: the moderating role of emotion regulation strategies.
Dysfunctional thoughts
Eating disorder
Emotion regulation
Lebanon
Metacognition
Orthorexia Nervosa
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
15 09 2023
15 09 2023
Historique:
received:
28
06
2023
accepted:
12
09
2023
medline:
18
9
2023
pubmed:
16
9
2023
entrez:
15
9
2023
Statut:
epublish
Résumé
Dysfunctional metacognitive processes and emotional dysregulation have been widely documented in the eating disorder literature. Despite numerous research and recent consensus suggesting the categorization of orthorexia nervosa as a form of eating disorder, no previous study has examined whether aberrant metacognitive processes also correlate with orthorexia nervosa tendencies. This paper investigates potential associations between symptoms of orthorexia nervosa and dysfunctional metacognitive processes while also exploring whether such relationships may be influenced by adaptive/maladaptive emotion regulation strategies. We conducted a cross-sectional study in all Lebanese governorates. In total, 423 Lebanese adults completed an online questionnaire including the Teruel Orthorexia Scale, the Emotion Regulation Questionnaire, the Difficulties in Emotion Regulation Scale - 16 Item Version, and the Metacognitions Questionnaire - Short Form. Higher physical activity, expressive suppression, emotion regulation difficulties, positive metacognitive beliefs about worry, and need to control thoughts were significantly associated with higher orthorexia nervosa. Additionally, the emotion regulation strategies moderated the relationships between two dysfunctional metacognitive processes and orthorexia nervosa. Specifically, cognitive self-consciousness was negatively related to orthorexia nervosa only in individuals with low (versus higher) emotion suppression (maladaptive emotion regulation strategy). In contrast, negative beliefs about worry uncontrollability and danger positively predicted orthorexia nervosa only in individuals with lower (versus high) cognitive reappraisal (adaptive emotion regulation strategy). Lower socio-economic status and having a university level of education compared to secondary level were significantly associated with lower orthorexia nervosa. Our study provides the first empirical evidence for the existence of significant associations between dysfunctional metacognitive processes and orthorexia nervosa. It also highlights that these pathways are considerably modulated by individuals' ability to regulate their emotions adaptively versus maladaptively. Our findings thus suggest that therapies aimed at improving thought monitoring and emotional regulation may be beneficial for individuals with symptoms of orthorexia nervosa.
Sections du résumé
BACKGROUND
Dysfunctional metacognitive processes and emotional dysregulation have been widely documented in the eating disorder literature. Despite numerous research and recent consensus suggesting the categorization of orthorexia nervosa as a form of eating disorder, no previous study has examined whether aberrant metacognitive processes also correlate with orthorexia nervosa tendencies. This paper investigates potential associations between symptoms of orthorexia nervosa and dysfunctional metacognitive processes while also exploring whether such relationships may be influenced by adaptive/maladaptive emotion regulation strategies.
METHODS
We conducted a cross-sectional study in all Lebanese governorates. In total, 423 Lebanese adults completed an online questionnaire including the Teruel Orthorexia Scale, the Emotion Regulation Questionnaire, the Difficulties in Emotion Regulation Scale - 16 Item Version, and the Metacognitions Questionnaire - Short Form.
RESULTS
Higher physical activity, expressive suppression, emotion regulation difficulties, positive metacognitive beliefs about worry, and need to control thoughts were significantly associated with higher orthorexia nervosa. Additionally, the emotion regulation strategies moderated the relationships between two dysfunctional metacognitive processes and orthorexia nervosa. Specifically, cognitive self-consciousness was negatively related to orthorexia nervosa only in individuals with low (versus higher) emotion suppression (maladaptive emotion regulation strategy). In contrast, negative beliefs about worry uncontrollability and danger positively predicted orthorexia nervosa only in individuals with lower (versus high) cognitive reappraisal (adaptive emotion regulation strategy). Lower socio-economic status and having a university level of education compared to secondary level were significantly associated with lower orthorexia nervosa.
CONCLUSION
Our study provides the first empirical evidence for the existence of significant associations between dysfunctional metacognitive processes and orthorexia nervosa. It also highlights that these pathways are considerably modulated by individuals' ability to regulate their emotions adaptively versus maladaptively. Our findings thus suggest that therapies aimed at improving thought monitoring and emotional regulation may be beneficial for individuals with symptoms of orthorexia nervosa.
Identifiants
pubmed: 37715193
doi: 10.1186/s12888-023-05183-z
pii: 10.1186/s12888-023-05183-z
pmc: PMC10504706
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
674Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Behav Res Ther. 2021 Jun;141:103851
pubmed: 33831710
Appetite. 2022 Oct 1;177:106134
pubmed: 35750289
J Psychopathol Behav Assess. 2016 Jun;38(2):284-296
pubmed: 27239096
Perspect Psychiatr Care. 2021 Apr;57(2):809-820
pubmed: 32936945
J Eat Disord. 2021 Sep 28;9(1):122
pubmed: 34583776
J Eat Disord. 2013 Jul 04;1:22
pubmed: 24999403
Int J Eat Disord. 2018 Aug;51(8):921-930
pubmed: 30030942
Behav Res Methods. 2009 Nov;41(4):1149-60
pubmed: 19897823
Int J Environ Res Public Health. 2022 Sep 15;19(18):
pubmed: 36141891
J Pers Soc Psychol. 1998 Jan;74(1):224-37
pubmed: 9457784
Psychol Med. 2010 Nov;40(11):1887-97
pubmed: 20102669
Eat Behav. 2005 Dec;6(4):301-7
pubmed: 16257803
Eat Weight Disord. 2018 Dec;23(6):861-869
pubmed: 30367384
J Eat Disord. 2015 Jul 04;3:24
pubmed: 26146555
Eat Weight Disord. 2021 Dec;26(8):2607-2616
pubmed: 33570743
Appetite. 2016 Jun 1;101:86-94
pubmed: 26923745
Behav Res Ther. 2004 Apr;42(4):385-96
pubmed: 14998733
J Health Psychol. 2008 Oct;13(7):956-60
pubmed: 18809647
Clin Psychol Rev. 2010 Mar;30(2):217-37
pubmed: 20015584
Eat Weight Disord. 2013 Jun;18(2):103-11
pubmed: 23760837
Diabet Med. 2023 Aug;40(8):e15122
pubmed: 37078998
J Epidemiol Community Health. 2004 Jun;58(6):476-80
pubmed: 15143115
Eat Weight Disord. 2022 Mar;27(2):483-493
pubmed: 33840074
J Consult Clin Psychol. 2007 Aug;75(4):629-38
pubmed: 17663616
Appetite. 2019 Sep 1;140:50-75
pubmed: 31075324
Emotion. 2020 Feb;20(1):1-9
pubmed: 31961170
Compr Psychiatry. 2010 Jan-Feb;51(1):49-54
pubmed: 19932826
Eat Weight Disord. 2004 Jun;9(2):151-7
pubmed: 15330084
BMC Psychol. 2023 Mar 15;11(1):72
pubmed: 36922893
Front Psychol. 2019 Nov 19;10:2507
pubmed: 31803090
Compr Psychiatry. 2014 Apr;55(3):565-71
pubmed: 24411653
Eat Disord. 2019 Jul 25;:1-17
pubmed: 31345125
Nutrients. 2022 Mar 18;14(6):
pubmed: 35334945
Psychol Methods. 2018 Sep;23(3):412-433
pubmed: 28557467
J Clin Med. 2022 Apr 14;11(8):
pubmed: 35456298
Eat Weight Disord. 2019 Apr;24(2):209-246
pubmed: 30414078
Eat Behav. 2015 Jan;16:17-22
pubmed: 25464061
Behav Res Ther. 2003 May;41(5):509-28
pubmed: 12711261
Appetite. 2017 Feb 1;109:137-143
pubmed: 27889495
J Eat Disord. 2021 Feb 15;9(1):22
pubmed: 33588943
Eat Weight Disord. 2011 Mar;16(1):e49-55
pubmed: 21727782
Ann Card Anaesth. 2019 Jan-Mar;22(1):67-72
pubmed: 30648682
Int J Eat Disord. 2020 Mar;53(3):362-371
pubmed: 31749199
J Eat Disord. 2022 Jan 11;10(1):6
pubmed: 35016711
Eur Eat Disord Rev. 2018 Jan;26(1):53-61
pubmed: 29168283
Eat Weight Disord. 2015 Jun;20(2):161-6
pubmed: 25543324
Psychiatry Res. 2012 May 15;197(1-2):103-11
pubmed: 22401969
J Eat Disord. 2020 Apr 23;8:15
pubmed: 32337044
Eat Weight Disord. 2022 Dec;27(8):3695-3711
pubmed: 36436144
Eat Weight Disord. 2019 Jun;24(3):481-493
pubmed: 30603929
Eat Weight Disord. 2022 Mar;27(2):619-627
pubmed: 33939127
Appetite. 2019 Mar 1;134:40-49
pubmed: 30543837
Behav Res Ther. 1996 Nov-Dec;34(11-12):881-8
pubmed: 8990539
Br J Psychol. 2014 Aug;105(3):399-412
pubmed: 24844115
J Health Psychol. 2006 Nov;11(6):942-56
pubmed: 17035265
BMC Psychiatry. 2022 Jul 14;22(1):470
pubmed: 35836242
Psychiatry Res. 2012 Oct 30;199(3):174-80
pubmed: 22771173
J Behav Ther Exp Psychiatry. 2015 Sep;48:192-9
pubmed: 25912677
Source Code Biol Med. 2008 Dec 16;3:17
pubmed: 19087314
Eur Eat Disord Rev. 2016 Sep;24(5):377-82
pubmed: 27103100
Eur Eat Disord Rev. 2008 Jan;16(1):11-20
pubmed: 17890636
Front Psychol. 2021 Sep 09;12:705112
pubmed: 34566784
Arch Gerontol Geriatr. 2018 Sep - Oct;78:127-131
pubmed: 29957267
Nutrients. 2020 Nov 13;12(11):
pubmed: 33202994
J Eat Disord. 2017 Aug 25;5:37
pubmed: 28852502
Appetite. 2017 Jan 1;108:303-310
pubmed: 27756637
Neuropsychiatr Dis Treat. 2015 Feb 18;11:385-94
pubmed: 25733839
Clin Psychol Rev. 2015 Aug;40:111-22
pubmed: 26112760
Span J Psychol. 2015 Jun 16;18:E39
pubmed: 26076977
Eat Weight Disord. 2021 Dec;26(8):2577-2588
pubmed: 33566324
BMC Psychiatry. 2023 Oct 31;23(1):795
pubmed: 37907838
J Pers Soc Psychol. 2003 Aug;85(2):348-62
pubmed: 12916575
Clin Psychol Psychother. 2021 Sep;28(5):1254-1265
pubmed: 33606916
Behav Res Ther. 2010 Oct;48(10):974-83
pubmed: 20591413
Behav Res Ther. 2007 Jan;45(1):139-49
pubmed: 16530723
Eat Behav. 2007 Apr;8(2):162-9
pubmed: 17336786
Eat Behav. 2010 Aug;11(3):193-6
pubmed: 20434069
Behav Cogn Psychother. 2013 May;41(3):301-16
pubmed: 23102095
Appetite. 2012 Feb;58(1):124-32
pubmed: 21983047
J Behav Ther Exp Psychiatry. 2008 Dec;39(4):467-88
pubmed: 18328461
Eat Weight Disord. 2018 Feb;23(1):67-74
pubmed: 29260414