ArticleBMC psychiatry2023
Exploring the relationship between dysfunctional metacognitive processes and orthorexia nervosa: the moderating role of emotion regulation strategies.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 12 citations in OpenAlex.
- Metacognitive beliefs and academic performance in Chinese middle school students: A moderated mediation model of emotional dysregulation and anxiety.The British journal of educational psychology · 2026Article
- Mediating role of negative beliefs about losing control on symptoms of obsessive-compulsive disorder and orthorexia nervosa among the general population.Scientific reports · 2026Article
- Exploring early maladaptive schemas in healthy eating and orthorexia nervosa tendencies: a structural equation modeling approach.Journal of eating disorders · 2026Article
- Perfectionism, obsessive-compulsive symptoms, and health-thinness-cleanliness motivations as primary correlates of orthorexia nervosa.Eating and weight disorders : EWD · 2026Article
- Assessing Orthorexic Tendencies and Dietary Patterns: A Cross-Sectional Study of Orthorexia Nervosa and Dietary Patterns in Lithuania.Nutrients · 2026Article
- Affect, Disordered Eating Attitudes and Behaviors, and Orthorexia Nervosa Among Women: Mediation Through Intuitive Eating.Behavioral sciences (Basel, Switzerland) · 2025Article
- Orthorexia in obsessive-compulsive personality disorder: the impact of perfectionism and metacognition.BMC psychiatry · 2025Article
- The risk of believing that emotions are bad and uncontrollable: association with orthorexia nervosa.Eating and weight disorders : EWD · 2025Article
- The Mediating Effect of Coping Strategies and Emotion Regulation in the Relationship between Impulsivity, Metacognition, and Eating Disorders.Nutrients · 2024Article
- Psychometric properties of an Arabic translation of the short form of the metacognition questionnaire (MCQ-30) in a non-clinical adult sample.BMC psychiatry · 2023Article
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Authors and funding
9 authors at 5 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDysfunctional metacognitive processes and emotional dysregulation have been widely documented in the eating disorder literature. Despite numerous research and recent consensus suggesting the categorization of orthorexia nervosa as a form of eating disorder, no previous study has examined whether aberrant metacognitive processes also correlate with orthorexia nervosa tendencies. This paper investigates potential associations between symptoms of orthorexia nervosa and dysfunctional metacognitive processes while also exploring whether such relationships may be influenced by adaptive/maladaptive emotion regulation strategies.
methodsWe conducted a cross-sectional study in all Lebanese governorates. In total, 423 Lebanese adults completed an online questionnaire including the Teruel Orthorexia Scale, the Emotion Regulation Questionnaire, the Difficulties in Emotion Regulation Scale - 16 Item Version, and the Metacognitions Questionnaire - Short Form.
resultsHigher physical activity, expressive suppression, emotion regulation difficulties, positive metacognitive beliefs about worry, and need to control thoughts were significantly associated with higher orthorexia nervosa. Additionally, the emotion regulation strategies moderated the relationships between two dysfunctional metacognitive processes and orthorexia nervosa. Specifically, cognitive self-consciousness was negatively related to orthorexia nervosa only in individuals with low (versus higher) emotion suppression (maladaptive emotion regulation strategy). In contrast, negative beliefs about worry uncontrollability and danger positively predicted orthorexia nervosa only in individuals with lower (versus high) cognitive reappraisal (adaptive emotion regulation strategy). Lower socio-economic status and having a university level of education compared to secondary level were significantly associated with lower orthorexia nervosa.
conclusionOur study provides the first empirical evidence for the existence of significant associations between dysfunctional metacognitive processes and orthorexia nervosa. It also highlights that these pathways are considerably modulated by individuals' ability to regulate their emotions adaptively versus maladaptively. Our findings thus suggest that therapies aimed at improving thought monitoring and emotional regulation may be beneficial for individuals with symptoms of orthorexia nervosa.
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