The paradoxical moderating effects of metacognition in the relationships between self-esteem, depressive symptoms, and quality of life in anorexia and bulimiaстатья
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Дата последнего поиска статьи во внешних источниках: 20 февраля 2024 г.
Аннотация: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, selfesteem, 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 selfesteem 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.