■元认知是理解和归因精神状态的一个关键方面,在进食障碍(ED)的精神病理学中起着关键作用。本研究旨在使用潜在谱分析(LPA)探索ED患者中元认知的不同临床特征。
■共有395例DSM-5诊断为ED的患者(116AN-R,30AN/BP,100BN,149BED)参与了这项研究。他们完成了评估元认知的自我报告措施,吃精神病理学,抑郁症,情绪失调,人格特质,和童年的逆境。进行了LPA和WelchANOVA,以根据元认知得分确定概况,并检查它们之间的心理差异。采用Logistic回归模型来探索个人特征与不同个人资料之间的关联。
■一个3类的解决方案很适合数据,揭示高功能(HF)的轮廓,中间功能(IF),和基于元认知损伤水平的低功能(LF)。IF组的参与者年龄较大,BMI高于HF和LF组。患有BN的个体在很大程度上分为HF和LF谱,而BED参与者主要包括在IF简介中.LF组的参与者报告说心理状况受损,患有高度抑郁,情绪失调,童年的逆境,和人格障碍。多项logistic回归分析显示,元认知概况与情绪和忽视虐待之间存在显着关联,情绪失调,和分离。
■这项探索性研究揭示了ED中独特的元认知特征,为未来的研究和有针对性的干预提供基础。在这种情况下,元认知人际疗法可能是一种有效的ED治疗方法,正如这些患者最初有希望的结果所表明的那样。
UNASSIGNED: Metacognition is a crucial aspect of understanding and attributing mental states, playing a key role in the psychopathology of eating disorders (EDs). This
study aims to explore the diverse clinical profiles of metacognition among patients with EDs using latent profile analysis (LPA).
UNASSIGNED: A total of 395 patients with a DSM-5 diagnosis of ED (116 AN-R, 30 AN/BP, 100 BN, 149 BED) participated in this
study. They completed self-report measures assessing metacognition, eating psychopathology, depression, emotional dysregulation, personality traits, and childhood adversities. LPA and Welch ANOVAs were conducted to identify profiles based on metacognition scores and examine psychological differences between them. Logistic regression models were employed to explore associations between personal characteristics and different profiles.
UNASSIGNED: A 3-class solution had a good fit to the data, revealing profiles of high functioning (HF), intermediate functioning (IF), and low functioning (LF) based on levels of metacognitive impairments. Participants in the IF group were older and had a higher BMI than those in the HF and LF groups. Individuals with BN were largely categorized into HF and LF profiles, whereas participants with BED were mainly included in the IF profile. Participants in the LF group reported an impaired psychological profile, with high levels of depression, emotional dysregulation, childhood adversity, and personality dysfunction. Multinomial logistic regression analyses showed significant associations between metacognitive profiles and emotional and neglect abuse, emotion dysregulation, and detachment.
UNASSIGNED: This exploratory
study unveils distinct metacognitive profiles in EDs, providing a foundation for future research and targeted interventions. In this light, metacognitive interpersonal therapy could be a valid and effective treatment for EDs, as suggested by the initial promising results for these patients.