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. 2020 Sep;28(5):580-586.
doi: 10.1002/erv.2742. Epub 2020 May 17.

The role of self-monitoring metacognition sub-function and negative urgency related to binge severity

Matteo Aloi  1   2 , Marianna Rania  1   2 , Elvira A Carbone  1   2 , Giuseppina Calabrò  1   2 , Mariarita Caroleo  1   2 , Antonino Carcione  3 , Giuseppe Nicolò  3 , Antonio Semerari  3 , Cristina Segura-Garcia  1   4
Affiliations

The role of self-monitoring metacognition sub-function and negative urgency related to binge severity

Matteo Aloi et al. Eur Eat Disord Rev. 2020 Sep.

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 (χ2 = 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.

Keywords: binge eating disorder; binge severity; emotional dysregulation; metacognition; negative urgency.

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