Division of Psychology, London South Bank University, London, UK.
Studi Cognitivi, Cognitive Psychotherapy School and Research Center, Milan, Italy.
Clin Psychol Psychother. 2021 Sep;28(5):1254-1265. doi: 10.1002/cpp.2573. Epub 2021 Feb 23.
BACKGROUND: Literature has pointed out a probable association between metacognitive beliefs and eating disorders. To date, no study has synthetized all research exploring the differences or similarities in metacognitive beliefs across different eating disorders diagnoses and eating problems. AIMS: To review the evidence on metacognitive beliefs across the spectrum of eating disorders and eating behaviours. METHOD: A comprehensive search was conducted on PubMed and PsycInfo. The search terms used were: 'eating disorders/anorexia/bulimia/binge eating disorder/binge eating' AND 'metacognitions/metacognitive beliefs'. A manual search of reference lists was also run. RESULTS: Eleven studies were identified. Anorexia Nervosa was broadly characterized by higher levels of metacognitive beliefs compared to the general population, particularly negative beliefs about worry and beliefs about the need to control thoughts. Positive beliefs about worry were higher in Anorexia Nervosa compared to Bulimia Nervosa and Eating Disorder Not Otherwise Specified, and in Bulimia Nervosa compared to Eating Disorder Not Otherwise Specified. Negative beliefs about worry were higher in Anorexia Nervosa compared to Bulimia Nervosa. Cognitive self-consciousness was higher in Anorexia Nervosa compared to Bulimia Nervosa and Eating Disorder Not Otherwise Specified. CONCLUSIONS: Metacognitive beliefs appear to be implicated in eating disorders and eating behaviours.
背景:文献指出元认知信念与饮食失调之间可能存在关联。迄今为止,尚无研究综合分析了不同饮食失调诊断和饮食问题中元认知信念的差异或相似之处。
目的:综述饮食障碍和饮食行为范围内的元认知信念证据。
方法:在 PubMed 和 PsycInfo 上进行了全面检索。使用的检索词为:“饮食障碍/神经性厌食症/贪食症/暴食障碍/暴食”和“元认知/元认知信念”。还手动检索了参考文献列表。
结果:确定了 11 项研究。与一般人群相比,神经性厌食症的元认知信念普遍较高,尤其是对担忧的负面信念和对控制思维的信念。与神经性贪食症和未特定型饮食障碍相比,神经性厌食症的担忧积极信念更高;与未特定型饮食障碍相比,神经性贪食症的担忧积极信念更高。与神经性贪食症相比,神经性厌食症的担忧负面信念更高。与神经性贪食症和未特定型饮食障碍相比,神经性厌食症的认知自我意识更高。
结论:元认知信念似乎与饮食障碍和饮食行为有关。
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