scholarly journals Factor structure and clinical correlates of the original and 16‐item version of the Difficulties In Emotion Regulation Scale in adolescent girls with eating disorders

Author(s):  
Elin Monell ◽  
Andreas Birgegård ◽  
Line Nordgren ◽  
Hugo Hesser ◽  
Johan Bjureberg
2019 ◽  
Vol 42 (1) ◽  
pp. 111-126 ◽  
Author(s):  
Line Nordgren ◽  
Elin Monell ◽  
Andreas Birgegård ◽  
Johan Bjureberg ◽  
Hugo Hesser

AbstractThe Difficulties in Emotion Regulation Scale (DERS) is extensively used as a measure of emotion (dys-)regulation ability in both clinical and nonclinical populations. This is the first study to examine the factor structure of both the original 36-item and short 16-item version of the DERS in adults with eating disorders and to test measurement invariance across diagnostic subgroups. The factor structure of the scale was examined using confirmatory factor analysis in a psychiatric sample of adults with eating disorders (N = 857). Four primary factor structures were fitted to the data: (1) a unidimensional model, (2) a six-factor correlated-traits model, (3) a higher-order factor solution, and (4) a bifactor model. Measurement invariance was tested for diagnostic subgroups of anorexia nervosa and bulimia nervosa and associations between factors and eating pathology were examined in each diagnostic group. Results indicated that a modified bifactor solution fitted the data adequately for both the 36-item and 16-item version of the DERS. A general factor explained most of the variance (86%) and reliability was high for the general factor of DERS (total) but lower for the subscales. Measurement invariance of the bifactor model was supported across diagnostic subgroups and test of factor means reveled that bulimia nervosa had a higher factor mean than anorexia nervosa on the general factor. The general factor accounted for a significant proportion of variance in eating pathology. Our results support the use of the total scale of both the 36-item and 16-item version among adults with eating disorders.


2014 ◽  
Vol 55 (3) ◽  
pp. 565-571 ◽  
Author(s):  
Timo Brockmeyer ◽  
Mandy Skunde ◽  
Mudan Wu ◽  
Esther Bresslein ◽  
Gottfried Rudofsky ◽  
...  

Author(s):  
Lucero Munguía ◽  
Susana Jiménez-Murcia ◽  
Roser Granero ◽  
Isabel Baenas ◽  
Zaida Agüera ◽  
...  

AbstractBackground and aimsDifficulties in Emotion Regulation (ER) are related to the etiology and maintenance of several psychological disorders, including Eating Disorders (ED) and Gambling Disorder (GD). This study explored the existence of latent empirical groups between both disorders, based on ER difficulties and considering a set of indicators of personality traits, the severity of the disorder, and psychopathological distress.MethodsThe sample included 1,288 female and male participants, diagnosed with ED (n = 906) and GD (n = 382). Two-step clustering was used for the empirical classification, while analysis of variance and chi-square tests were used for the comparison between the latent groups.ResultsThree empirical groups were identified, from the most disturbed ER profile (Subgroup 1) to the most functional (Subgroup 3). The ER state showed a linear relationship with the severity of each disorder and the psychopathological state. Different personality traits were found to be related to the level of emotion dysregulation.Discussion and conclusionIn this study, three distinct empirical groups based on ER were identified across ED and GD, suggesting that ER is a transdiagnostic construct. These findings may lead to the development of common treatment strategies and more tailored approaches.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Anca Sfärlea ◽  
Sandra Dehning ◽  
Lena Katharina Keller ◽  
Gerd Schulte-Körne

Abstract Background Among adolescent girls, anorexia nervosa (AN) and major depression (MD) are common and often comorbid mental health problems. Both disorders are characterised by difficulties in recognising and verbalising (alexithymia) as well as regulating one’s emotions, but research in adolescent patients is scarce and little is known about the relation between alexithymia and difficulties in emotion regulation. The aims of this study were to investigate alexithymia and emotion regulation skills in adolescents with AN, adolescents with MD, and healthy adolescents, and to determine whether alexithymia functions as a predictor for emotion regulation skills. Methods Emotion regulation strategies, alexithymia, and depressive symptoms were assessed by questionnaire measures in 12–18 year old girls with AN (n = 26), girls with MD (n = 25), and healthy girls (n = 35). Groups were compared with respect to the these variables and multiple regression analyses were calculated separately for adaptive and maladaptive emotion regulation strategies in order to examine if alexithymia predicted emotion regulation over and above age and depressive symptoms. Results Girls with AN or MD both reported using adaptive emotion regulation strategies less frequently and maladaptive emotion regulation skills more frequently as well as higher levels of alexithymia compared to healthy girls. Alexithymia positively predicted maladaptive emotion regulation strategies, while depressive symptoms negatively predicted adaptive emotion regulation strategies. Conclusions The results suggest that different mechanisms may underlie the lack of adaptive and the surplus of maladaptive emotion regulation strategies in adolescent psychiatric patients.


2019 ◽  
Vol 75 (7) ◽  
pp. 1267-1287 ◽  
Author(s):  
Nicole H. Weiss ◽  
Angela G. Darosh ◽  
Ateka A. Contractor ◽  
Melissa M. Schick ◽  
Katherine L. Dixon‐Gordon

2019 ◽  
Vol 35 (6) ◽  
pp. 835-841 ◽  
Author(s):  
Glenn Kiekens ◽  
Penelope Hasking ◽  
Mark Boyes

Abstract. In this study, we investigated the factor structure and measurement invariance of three brief emotion regulation questionnaires in samples of young adults (17–30 years) with and without a history of non-suicidal self-injury (NSSI; n = 705–836). Results revealed configural, full metric, and full scalar invariance for the Difficulties in Emotion Regulation Scale – Short Form (DERS-SF) and the Cognitive Emotion Regulation Questionnaire – Short (CERQ-S). In addition, the CERQ-S also showed full residual error invariance. In contrast, the proposed factor structure of the Emotion Regulation Questionnaire (ERQ) was not confirmed in either sample. Further, we observed that some items function differently for people who self-injure and people who do not, which could result in artificial differences being reported in use of cognitive reappraisal. While the current findings offer confidence that observed differences using the DERS-SF and CERQ-S reflect reliable discrepancies in emotion regulation processes between people who self-injure and do not, the validity of statistical inferences using the ERQ could not be ensured and need further psychometric evaluation.


2019 ◽  
Vol 8 (2) ◽  
pp. 161 ◽  
Author(s):  
Zaida Agüera ◽  
Georgios Paslakis ◽  
Lucero Munguía ◽  
Isabel Sánchez ◽  
Roser Granero ◽  
...  

Difficulties in emotion regulation (ER) are common in females with eating disorders (ED). However, no study to date has analyzed ER in males with ED. In the study at hand, we assessed ER in males with ED and compared results to both females with ED and healthy controls (HC). We also examined associations between ER difficulties, personality, and psychopathology. A total of 62 males with ED were compared with 656 females with ED, as well as 78 male and 286 female HC. ER was assessed by means of the Difficulties in Emotion Regulation Scale (DERS). We found that males and females with ED showed greater ER difficulties compared to HC. Pronounced general psychopathology was a shared factor associated with higher ER difficulties in both males and females with ED. However, whereas higher novelty seeking, higher cooperativeness, lower reward dependence, and lower self-directedness were related to higher ER difficulties in females with ED, lower persistence was associated with ER difficulties in males with ED. In sum, males and females with ED show similar ER difficulties, yet they are distinct in how ER deficits relate to specific personality traits. Research on strategies promoting ER in the treatment of males with ED is warranted.


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