The Transdiagnostic Nature of Metacognitions in Women With Eating Disorders

Vann, Alix; Strodl, Esben; Anderson, Erin

doi:10.1080/10640266.2014.890447

Cited by 23 publications

(34 citation statements)

References 26 publications

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“…The transdiagnostic construct was demonstrated across all clinical conditions investigated only in a minority (34%) of studies. It was demonstrated in a median of three conditions and one spectrum.…”

Section: Resultsmentioning

confidence: 93%

“…Only a minority (35%) of studies explicitly acknowledged their primary outcome measure, which may be suggestive of suboptimal study quality. There was also a high variability in the number of primary outcome measures, ranging from one to thirteen (median: two measures) per study.…”

Section: Resultsmentioning

confidence: 99%

“…The exact definition of the transdiagnostic construct per study is provided in Table . Only a minority of constructs (36%) involved multiple processes. Most studies (81%) were descriptive in nature.…”

Section: Resultsmentioning

confidence: 99%

“…Less than half (44%) of the studies performed a statistical comparative assessment of the transdiagnostic approach versus a specific‐diagnostic approach. This problem was particularly relevant for interventional studies, half of which lacked a comparative specific‐diagnostic group.…”

Section: Resultsmentioning

confidence: 99%

“…A substantial proportion of studies (40%) did not acknowledge an a priori protocol. There were very few studies reporting industry involvement (4%).…”

Section: Resultsmentioning

confidence: 99%

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Transdiagnostic psychiatry: a systematic review

et al. 2019

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The usefulness of current psychiatric classification, which is based on ICD/DSM categorical diagnoses, remains questionable. A promising alternative has been put forward as the "transdiagnostic" approach. This is expected to cut across existing categorical diagnoses and go beyond them, to improve the way we classify and treat mental disorders. This systematic review explores whether self-defining transdiagnostic research meets such high expectations. A multi-step Web of Science literature search was performed according to an a priori protocol, to identify all studies that used the word "transdiagnostic" in their title, up to May 5, 2018. Empirical variables which indexed core characteristics were extracted, complemented by a bibliometric and conceptual analysis. A total of 111 studies were included. Most studies were investigating interventions, followed by cognition and psychological processes, and neuroscientific topics. Their samples ranged from 15 to 91,199 (median 148) participants, with a mean age from 10 to more than 60 (median 33) years. There were several methodological inconsistencies relating to the definition of the gold standard (DSM/ICD diagnoses), of the outcome measures and of the transdiagnostic approach. The quality of the studies was generally low and only a few findings were externally replicated. The majority of studies tested transdiagnostic features cutting across different diagnoses, and only a few tested new classification systems beyond the existing diagnoses. About one fifth of the studies were not transdiagnostic at all, because they investigated symptoms and not disorders, a single disorder, or because there was no diagnostic information. The bibliometric analysis revealed that transdiagnostic research largely restricted its focus to anxiety and depressive disorders. The conceptual analysis showed that transdiagnostic research is grounded more on rediscoveries than on true innovations, and that it is affected by some conceptual biases. To date, transdiagnostic approaches have not delivered a credible paradigm shift that can impact classification and clinical care. Practical "TRANSD"iagnostic recommendations are proposed here to guide future research in this field.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…A substantial proportion of studies (40%) did not acknowledge an a priori protocol. There were very few studies reporting industry involvement (4%).…”

Section: Resultsmentioning

confidence: 99%

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Transdiagnostic psychiatry: a systematic review

et al. 2019

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Metacognitive beliefs across eating disorders and eating behaviours: A systematic review

Palmieri

Mansueto

Ruggiero

et al. 2021

Clin Psychology and Psychoth

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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.

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Psychometric properties and factor structure of the Revised Beliefs About Emotions Questionnaire

Strodl,

Hubert,

Cooper

2023

Clin Psychology and Psychoth

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ObjectiveGiven that there is an increasing exploration of the role of beliefs about emotions in emotion regulation and psychotherapy, there is a need for a range of valid and reliable measures of beliefs about emotions. The Beliefs About Emotions Questionnaire (BAEQ) has been shown to be a promising measure of beliefs about emotions. However, to date, no study has attempted to replicate the original factor structure of the BAEQ in an English‐speaking country. The present study examined the psychometric properties of the BAEQ in a nonclinical sample.MethodArchival data of 1807 adult participants residing in Australia was divided into three equal groups of participants. A confirmatory factor analysis (CFA) was conducted on the first sub‐sample, an exploratory factor analysis (EFA) was performed on the second sub‐sample, and a second CFA was performed on the third sub‐sample. Divergent validity was tested using the heterotrait–monotrait ratio and the concurrent validity was tested through correlations with the subscales of the Three‐Factor Eating Questionnaire (TFEQ‐R18).ResultsThe first CFA failed to replicate the original factor structure of the BAEQ. An EFA supported five of the original six factors. A five‐factor structure, including 30 out of the original 43 items, was confirmed in a second CFA. The final subscales (Shameful and Irrational, Overwhelming and Uncontrollable, Invalid and Meaningless, Useless and Damaging) demonstrated good construct validity, good internal consistency, and good concurrent and divergent validity.ConclusionThe results from this study support a briefer five‐factor, 30‐item version of the BAEQ (BAEQ‐R) as a reliable and valid measure of beliefs about emotions that can be utilised in future research.

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The Transdiagnostic Nature of Metacognitions in Women With Eating Disorders

Cited by 23 publications

References 26 publications

Transdiagnostic psychiatry: a systematic review

Transdiagnostic psychiatry: a systematic review

Metacognitive beliefs across eating disorders and eating behaviours: A systematic review

Psychometric properties and factor structure of the Revised Beliefs About Emotions Questionnaire

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