A systematic review of maladaptive interpersonal behaviors and eating disorder psychopathology

Mason, Tyler B.; Dayag, Rachel; Dolgon-Krutolow, Anna; Lam, Kathy N.; Zhang, Diana

doi:10.1016/j.eatbeh.2022.101601

Cited by 11 publications

(8 citation statements)

References 51 publications

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“…These results are consistent with a growing body of work highlighting the importance of metacognition in eating disorders [16] and adds to recent work examining these constructs within the integrated model of metacognition [18] . Further, these findings extend work suggesting that impairments in the ability to think about oneself and others are transdiagnostic phenomena that have important relationships to outcomes [2,10,33,34] . Importantly, though metacognitive self-reflectivity and metacognitive mastery were not consistently associated at a bivariate level with self-esteem, depressive symptoms, or quality of life across the diagnostic groups, both self-reflectivity and mastery played a significant modifying role in the inter-relations among these variables.…”

Section: Discussionsupporting

confidence: 78%

“…Further, we only focused on relationships between self-esteem, depressive symptoms, and quality of life. Deficits in interpersonal skills, social cognitive impairment, and personality traits have been implicated in eating disorders and are thought to contribute to poor outcomes [2,39] These relationships may also be influenced by metacognition. This is a possible avenue for future work to explore.…”

Section: Discussionmentioning

confidence: 99%

“…As research has evolved, it has been suggested that metacognitive processes underlie not just how persons choose to take discrete actions, but also allow persons to form a larger and evolving sense of themselves and others as unique persons in the world [9] . Following this, deficits in metacognition, in particular those that manifest in difficulties forming an integrated sense of self or others, have been suggested to represent a transdiagnostic phenomenon which affect quality of life across differing forms of mental disorders, including schizophrenia, depression, bipolar disorder, post-traumatic stress disorder, and personality disorders [2,10] . This work suggests that metacognitive capacity may have a complex relationship with quality of life, allowing persons to both be aware of the realities of the challenges they face as well as potentially experiencing the devastation of loss [11-13] .…”

Section: Introductionmentioning

confidence: 99%

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The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia

Chernov¹

2023

Consortium Psychiatricum

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Background: Self-esteem and depression contribute to poor outcomes, including lower quality of life, in eating disorders. However, limited research has examined whether other variables may affect how these variables influence one another over time. Metacognition is a previously unexplored determinant that may impact relationships between self-esteem, depression, and quality of life in eating disorders. Aim: This study sought to examine metacognitive self-reflectivity and mastery as moderators of relationships between self-esteem, depression, and quality of life and to determine if these relationships differed between participants with anorexia and bulimia. Methods: Participants with anorexia (n = 40) and bulimia (n = 40) were recruited from outpatient clinics. Participants were assessed on metacognitive ability and completed self-report measures of depression, self-esteem, and quality of life. Results: Results indicated that metacognitive self-reflectivity moderated the relationship between self-esteem, depression, and quality of life in anorexia such that for those with higher levels of self-reflectivity, lower self-esteem and higher depression were associated with lower quality of life. These relationships were not significant when self-reflectivity was low. In contrast, in anorexia and bulimia groups, metacognitive mastery moderated the relationships between self-esteem, depression, and quality of life such that for those with lower levels of mastery, lower self-esteem and higher depression were associated with lower quality of life. These relationships were not significant when mastery was high. Conclusion: Metacognitive self-reflectivity and mastery serve in paradoxical moderating roles in relationships between self-esteem, depression, and quality of life for people with anorexia and bulimia. These findings introduce options for future work and have important clinical implications.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia

Chernov¹

2023

Consortium Psychiatricum

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“…Regarding the issue of casualty, there are also multiple possibilities to be examined in future research. As previously noted (Lysaker et al, 2020b;Mason et al, 2022), it is possible that deficits in the ability to recognize and think about oneself and others are the effects of different forms of psychopathology or potentially a contributor to the development of psychopathology. For instance, facing greater levels of psychopathology, it may become more difficult to form coherent ideas about oneself and others.…”

Section: Discussionmentioning

confidence: 93%

“…E ating disorders, including anorexia nervosa and bulimia nervosa, are associated with broad disruptions in psychosocial functioning and in particular in interpersonal relationships (Leonidas and Dos Santos, 2014;Mason et al, 2022). One possible explanation is that persons with these conditions share in common with other forms of significant mental illness difficulties forming complex and evolving ideas about themselves and others within the flow of life (Mason et al, 2021).…”

mentioning

confidence: 99%

Contrasting Metacognitive, Emotion Recognition and Alexithymia Profiles in Bulimia, Anorexia, and Schizophrenia

Lysaker

Chernov²,

Moiseeva³

et al. 2023

J Nerv Ment Dis

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Alexithymia, or deficits in emotion recognition, and metacognitive capacity have been noted both in psychosis and eating disorders and potentially linked to psychopathology. This study sought to compare levels of impairments in these phenomena and their associations with psychopathology in groups with eating disorders and psychosis. Participants with diagnoses of a schizophrenia spectrum disorder (SSD; n = 53), anorexia (n = 40), or bulimia (n = 40) were recruited from outpatient clinics. Alexithymia was measured with the Toronto Alexithymia Scale; emotion recognition, with the Ekman Faces Test; and metacognition, with the Metacognitive Assessment Scale-Abbreviated. Psychopathology was measured with the Eating Attitudes Test, Body Image Questionnaire, and Positive and Negative Syndrome Scale. Results indicated that the SSD group had significantly poorer metacognitive function than either eating disorder group. Metacognition was related to body image in the anorexia group and a range of different forms of general psychopathology in the bulimia group. Alexithymia was related to eating disorder behaviors in the bulimia group.

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Validation of the Interpersonal Relationships in Eating Disorders (IR‐ED) Scale in an Eating Disorder Sample

Lego,

Raykos,

Tonta

et al. 2024

Intl J Eating Disorders

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ObjectiveInterpersonal problems have been identified as a plausible mechanism underlying the onset and maintenance of eating disorders. The Interpersonal Relationships in Eating Disorders (IR‐ED) scale is the first eating disorders‐specific measure of interpersonal problems, which was developed in a nonclinical sample. The aims of the current study were to (a) confirm the factor structure of the IR‐ED within a large clinical sample, (b) investigate measurement invariance of the IR‐ED across nonclinical and clinical samples, (c) examine the convergent validity of the IR‐ED using a generic measure of interpersonal problems, and (d) investigate the incremental clinical utility of the IR‐ED in uniquely predicting eating disorder symptomatology.MethodTreatment‐seeking individuals (N = 437) completed the IR‐ED at their initial assessment appointment at a specialist eating disorder outpatient service.ResultsA multiple‐group confirmatory factor analysis supported an invariant bifactor structure comprising a general interpersonal problems factor and two group factors—Avoidance of Body Evaluation and Food‐Related Interpersonal Tension. Convergent validity was demonstrated by a large, statistically significant correlation with a generic measure of interpersonal problems (r = 0.62, p < 0.001). A series of structural equation models further revealed unique incremental predictive utility of the IR‐ED for eating disorder symptomatology.DiscussionThe IR‐ED has strong psychometric properties and may prove beneficial in the assessment, formulation, and treatment of eating‐specific interpersonal problems among patients with eating disorders.

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A systematic review of maladaptive interpersonal behaviors and eating disorder psychopathology

Cited by 11 publications

References 51 publications

The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia

The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia

Contrasting Metacognitive, Emotion Recognition and Alexithymia Profiles in Bulimia, Anorexia, and Schizophrenia

Validation of the Interpersonal Relationships in Eating Disorders (IR‐ED) Scale in an Eating Disorder Sample

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