Perfectionism in patients with eating disorders: The role of metacognitive beliefs and repetitive negative thinking

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-01-21 DOI:10.1002/cpp.2954
Sara Palmieri, Sandra Sassaroli, Giovanni Maria Ruggiero, Gabriele Caselli, Rosaria Nocita, Ana Nikčević, Marcantonio M. Spada, Giovanni Mansueto
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Abstract

Introduction

Using the Self-Regulatory Executive Function model as a basis, this study explored whether, in patients with eating disorders (EDs), metacognitions and repetitive negative thinking are associated with higher levels of perfectionisms.

Methods

One hundred twenty-three outpatients with EDs were recruited. Perfectionism, metacognitive beliefs, worry, rumination, anger rumination, affective and eating symptoms were assessed. Correlation and hierarchal regression analyses were run.

Results

Higher endorsement of positive beliefs about worry was associated with higher levels of ‘personal standards perfectionism’. Higher endorsement of positive beliefs about worry, need to control thoughts, worry and rumination was associated with higher levels of ‘concern over mistakes perfectionism’.

Conclusions

Among patients with EDs, perfectionism appears to be associated with the endorsement of dysfunctional metacognitive beliefs, worry and rumination. Dysfunctional metacognitive beliefs and repetitive negative thinking could be suitable therapeutic targets to reduce the levels of perfectionism among patients with EDs.

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进食障碍患者的完美主义:元认知信念和重复性消极思维的作用
引言 本研究以自我调节执行功能模型为基础,探讨了进食障碍(ED)患者的元认知和重复性消极思考是否与较高水平的完美主义有关。 方法 招募了 123 名门诊患者。对完美主义、元认知信念、担忧、反刍、愤怒反刍、情感和饮食症状进行了评估。进行了相关分析和分层回归分析。 结果 对担忧的积极信念认可度越高,"个人标准完美主义 "水平越高。对担忧、需要控制思想、担忧和反刍等积极信念的认可度越高,"对错误的担忧完美主义 "的水平就越高。 结论 在 ED 患者中,完美主义似乎与功能失调的元认知信念、担忧和反刍有关。功能失调的元认知信念和重复性消极思维可以成为降低 ED 患者完美主义水平的合适治疗目标。
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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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