Department of Psychology, Ege University, Bornova, 35030, Izmir, Turkey.
Department of Psychology, Dokuz Eylül University, Izmir, Turkey.
J Clin Psychol Med Settings. 2021 Jun;28(2):239-251. doi: 10.1007/s10880-020-09709-5.
In order to examine psychological mechanisms contributing to the development and maintenance of mood symptoms experienced by individuals with obesity, this study focused on the mediator role of metacognitions in the relationship between adult attachment dimensions (anxious and avoidant) and mood symptoms (depression and anxiety). A 184 individuals with Body Mass Index (BMI) of 30 or above completed a battery of instruments including measures of attachment styles, metacognitive beliefs and processes, depression, and anxiety symptoms. Multiple mediation analyses with bootstrapping demonstrated that while attachment anxiety was predictive of greater levels of depression and anxiety through the effect of beliefs about uncontrollability and dangerousness of worry, metacognitive factors have no mediator role in the relationship between avoidant attachment and mood symptoms. Findings suggest in particular that anxious attachment and metacognitive characteristics might be considered in case conceptualizations and intervention strategies for the psychological problems experienced by individuals with obesity.Level of Evidence: Level V: Descriptive (cross-sectional) study.
为了探究导致肥胖个体出现心境症状及其持续存在的心理机制，本研究聚焦于元认知在成人依恋维度（焦虑型依恋和回避型依恋）与心境症状（抑郁和焦虑）之间关系中的中介作用。共有 184 名 BMI 为 30 或以上的个体完成了一整套工具，包括依恋风格、元认知信念和过程、抑郁和焦虑症状的测量。通过bootstrap 进行的多重中介分析表明，尽管焦虑型依恋通过担忧的不可控性和危险性信念的影响，预测了更高水平的抑郁和焦虑，但在回避型依恋与心境症状之间的关系中，元认知因素没有中介作用。研究结果特别表明，在对肥胖个体所经历的心理问题进行概念化和干预策略时，可能需要考虑焦虑型依恋和元认知特征。证据水平：V 级：描述性（横断面）研究。
