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Dysfunctional metacognition processes as risk factors for drunkorexia during adolescence
Fiorenzo Laghi1, Sara Pompili1, Dora Bianchi1
1Department of Developmental and Social Psychology, Sapienza University of Rome, Rome, Italy.
Journal of Addictive Diseases
|May 6, 2020
Summary
Drunkorexia in adolescents is linked to poor metacognition, specifically concerning thought control and alcohol beliefs. Training self-regulation strategies may help prevent this behavior.
Area of Science:
- Psychology
- Neuroscience
- Public Health
Background:
- Metacognitive dysfunction is linked to eating disorders.
- No prior studies have explored metacognition in drunkorexia.
- Drunkorexia involves restricting food intake to compensate for alcohol consumption.
Purpose of the Study:
- To investigate the role of metacognitive processes in drunkorexia among adolescents.
- To identify specific metacognitive factors associated with drunkorexia.
Main Methods:
- A sample of 719 adolescents (ages 15-20) completed self-report surveys.
- Validated scales measured compensatory eating, alcohol consumption, general metacognitions, and alcohol-related metacognitions.
- Logistic regression analysis was used to identify predictors of drunkorexia.
Main Results:
- Drunkorexia was significantly associated with dysfunctional metacognitive processes.
- Negative beliefs about thought uncontrollability and danger, and positive beliefs about alcohol use predicted drunkorexia.
- The need to control thoughts was also a significant predictor.
Conclusions:
- Metacognitive processes play a relevant role in drunkorexia among adolescents.
- Prevention efforts should focus on training adaptive self-regulation and thought monitoring strategies.
- Further research is needed to understand the causal mechanisms.
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