The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia
BACKGROUND: Self-esteem and depressive symptoms contribute to a lower quality of life in people suffering from eating disorders. However, limited research has examined whether other factors may affect how these variables influence one another over time. Metacognition is a previously unexplored deter...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Eco-Vector
2023-07-01
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| Series: | Consortium Psychiatricum |
| Subjects: | |
| Online Access: | https://consortium-psy.com/jour/article/viewFile/6139/pdf |
| _version_ | 1797778131502759936 |
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| author | Cassi R. Springfield Kelsey A. Bonfils Nikita V. Chernov Tatyana V. Moiseeva Marta V. Sozinova Nadezhda G. Dmitryeva Paul H. Lysaker Olga A. Karpenko George P. Kostyuk |
| author_facet | Cassi R. Springfield Kelsey A. Bonfils Nikita V. Chernov Tatyana V. Moiseeva Marta V. Sozinova Nadezhda G. Dmitryeva Paul H. Lysaker Olga A. Karpenko George P. Kostyuk |
| author_sort | Cassi R. Springfield |
| collection | DOAJ |
| description | BACKGROUND: Self-esteem and depressive symptoms contribute to a lower quality of life in people suffering from eating disorders. However, limited research has examined whether other factors may affect how these variables influence one another over time. Metacognition is a previously unexplored determinant that may impact the relationships between self-esteem, depressive symptoms, and quality of life in instances of eating disorders.
AIM: This study sought to examine metacognitive self-reflectivity and mastery as moderators of the relationships between self-esteem, depressive symptoms, and quality of life and to determine if these relationships are different in people with anorexia compared with people with bulimia.
METHODS: Participants with anorexia (n=40) and bulimia (n=40) were recruited from outpatient clinics. The participants were assessed on their metacognitive ability and self-reported on measures to assess their depressive symptoms, self-esteem, and quality of life.
RESULTS: The results indicate that metacognitive self-reflectivity moderates the relationship between self-esteem, depressive symptoms, and quality of life in people with anorexia such that when self-reflectivity is high, lower self-esteem and higher depressive symptoms are associated with a lower quality of life. These relationships did not appear to be significant when self-reflectivity was low. In contrast, in the anorexia and bulimia groups, metacognitive mastery appeared to moderate the relationships between self-esteem, depressive symptoms, and quality of life such that when mastery was low, lower self-esteem and higher depressive symptoms were associated with a lower quality of life. These relationships did not appear significant when mastery was high.
CONCLUSION: Metacognitive self-reflectivity and mastery seem to play paradoxical moderating roles in the relationships between self-esteem, depressive symptoms, and quality of life in people with anorexia and bulimia. These findings pave the way toward further research and have important clinical implications. |
| first_indexed | 2024-03-12T23:12:56Z |
| format | Article |
| id | doaj.art-d714948a1a034d8d96cba62d1e62034d |
| institution | Directory Open Access Journal |
| issn | 2712-7672 2713-2919 |
| language | English |
| last_indexed | 2024-03-12T23:12:56Z |
| publishDate | 2023-07-01 |
| publisher | Eco-Vector |
| record_format | Article |
| series | Consortium Psychiatricum |
| spelling | doaj.art-d714948a1a034d8d96cba62d1e62034d2023-07-17T19:32:24ZengEco-VectorConsortium Psychiatricum2712-76722713-29192023-07-014262010.17816/CP6139109The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimiaCassi R. Springfield0https://orcid.org/0000-0003-1913-3156Kelsey A. Bonfils1https://orcid.org/0000-0002-8556-5961Nikita V. Chernov2https://orcid.org/0000-0001-5347-0231Tatyana V. Moiseeva3Marta V. Sozinova4https://orcid.org/0000-0003-4990-8725Nadezhda G. Dmitryeva5Paul H. Lysaker6Olga A. Karpenko7https://orcid.org/0000-0002-0958-0596George P. Kostyuk8https://orcid.org/0000-0002-3073-6305University of Southern MississippiUniversity of Southern MississippiMental-health clinic No. 1 named after N.A. AlexeevMental-health clinic No. 1 named after N.A. AlexeevMental-health clinic No. 1 named after N.A. AlexeevMental-health clinic No. 1 named after N.A. AlexeevRichard L Roudebush VA Medical CentMental-health clinic No. 1 named after N.A. AlexeevMental-health clinic No. 1 named after N.A. AlexeevBACKGROUND: Self-esteem and depressive symptoms contribute to a lower quality of life in people suffering from eating disorders. However, limited research has examined whether other factors may affect how these variables influence one another over time. Metacognition is a previously unexplored determinant that may impact the relationships between self-esteem, depressive symptoms, and quality of life in instances of eating disorders. AIM: This study sought to examine metacognitive self-reflectivity and mastery as moderators of the relationships between self-esteem, depressive symptoms, and quality of life and to determine if these relationships are different in people with anorexia compared with people with bulimia. METHODS: Participants with anorexia (n=40) and bulimia (n=40) were recruited from outpatient clinics. The participants were assessed on their metacognitive ability and self-reported on measures to assess their depressive symptoms, self-esteem, and quality of life. RESULTS: The results indicate that metacognitive self-reflectivity moderates the relationship between self-esteem, depressive symptoms, and quality of life in people with anorexia such that when self-reflectivity is high, lower self-esteem and higher depressive symptoms are associated with a lower quality of life. These relationships did not appear to be significant when self-reflectivity was low. In contrast, in the anorexia and bulimia groups, metacognitive mastery appeared to moderate the relationships between self-esteem, depressive symptoms, and quality of life such that when mastery was low, lower self-esteem and higher depressive symptoms were associated with a lower quality of life. These relationships did not appear significant when mastery was high. CONCLUSION: Metacognitive self-reflectivity and mastery seem to play paradoxical moderating roles in the relationships between self-esteem, depressive symptoms, and quality of life in people with anorexia and bulimia. These findings pave the way toward further research and have important clinical implications.https://consortium-psy.com/jour/article/viewFile/6139/pdfeating disordersself-reflectivitybulimiaanorexiametacognitive mastery |
| spellingShingle | Cassi R. Springfield Kelsey A. Bonfils Nikita V. Chernov Tatyana V. Moiseeva Marta V. Sozinova Nadezhda G. Dmitryeva Paul H. Lysaker Olga A. Karpenko George P. Kostyuk The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia Consortium Psychiatricum eating disorders self-reflectivity bulimia anorexia metacognitive mastery |
| title | The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia |
| title_full | The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia |
| title_fullStr | The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia |
| title_full_unstemmed | The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia |
| title_short | The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimia |
| title_sort | paradoxical moderating effects of metacognition in the relationships between self esteem depressive symptoms and quality of life in anorexia and bulimia |
| topic | eating disorders self-reflectivity bulimia anorexia metacognitive mastery |
| url | https://consortium-psy.com/jour/article/viewFile/6139/pdf |
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