The role of self‐monitoring metacognition sub‐function and negative urgency related to binge severity. (17th May 2020)

• Record Type: Journal Article
• Authors: Aloi, Matteo; Rania, Marianna; Carbone, Elvira A.; Calabrò, Giuseppina; Caroleo, Mariarita; Carcione, Antonino; Nicolò, Giuseppe; Semerari, Antonio; Segura‐Garcia, Cristina
• Is Part Of: European eating disorders review. Volume 28:Number 5(2020)
• Page Start: 580
• Page End: 586
• Publication Date: 2020-05-17
• Subjects: binge eating disorder -- binge severity -- emotional dysregulation -- metacognition -- negative urgency; Eating disorders -- Periodicals; 616.8526
• DOI: 10.1002/erv.2742
• Languages: English
• ISSNs: 1072-4133

Abstract

Abstract: Objective: This study aims to test a model where low self‐monitoring (a sub‐function of first‐person domain of metacognition) and high negative urgency lead to a worsening of binge severity through the mediation of emotional dysregulation in patients with binge eating disorder (BED). Method: Forty non‐BED‐obese and 46 BED‐obese patients completed a battery of tests assessing metacognition and psychopathology. To test our hypothesized model, a structural equation model (SEM) using maximum likelihood estimation was conducted. Results: BED‐obese patients had significantly higher scores in BES, UPPS‐P Negative urgency, and DERS total score, and lower MSAS self‐monitoring than non‐BED‐obese, while no differences emerged in the MSAS others‐monitoring subscale. The structural model demonstrated very good fit indexes ( χ 2 = 1.377, df = 2; p = .502, CMIN/DF = 0.688, CFI = 1.000, RMSEA = 0.000, TLI = 1.047) and all paths were significant in the predicted directions. Conclusions: These preliminary findings show that, low self‐monitoring and high negative urgency lead BED‐obese patients to express the worsening of binge severity through the mediation of emotional dysregulation. This knowledge may be helpful in the clinical practice to develop a tailor‐made treatment. Accordingly, an approach through Metacognitive Interpersonal Therapy could be attempted in BED‐obese patients with these characteristics. Highlights Patients with BED exhibited low self‐monitoring and high negative urgency. Binge severity was mediated by high level of emotional dysregulation. Metacognitive Interpersonal Therapy may be useful for BED patients.