Emotion regulation deficits in eating disorders: A marker of eating pathology or general psychopathology?

2012 ◽  
Vol 197 (1-2) ◽  
pp. 103-111 ◽  
Author(s):  
Jennifer Svaldi ◽  
Julia Griepenstroh ◽  
Brunna Tuschen-Caffier ◽  
Thomas Ehring
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.


2021 ◽  
Author(s):  
Sónia Ferreira Gonçalves ◽  
Sofia Ramalho ◽  
Bárbara Machado ◽  
Ana Isabel Vieira

Abstract Purpose:Research on the interplay between eating pathology, difficulties in emotion regulation and negative urgency is needed to better inform and tailor the current intervention approaches for patients with eating disorders and non-suicidal self-injury. The current study aimed to investigate the phenotypic characterization of patients with eating disorders and history of lifetime non-suicidal self-injury when considering eating pathology, emotion dysregulation and negative urgency. Methods: This is a cross-sectional study evaluating 73 patients with eating disorders and history of lifetime non-suicidal self-injury (14-55 years; 68 Female). A cluster analysis (K-means) was performed using eating pathology, difficulties in emotion regulation and negative urgency. Differences between clusters were explored on sociodemographic/psychological variables, distribution of the DSM-5 eating disorder diagnostics and past/current non-suicidal self-injury engagement Results: Three clusters were identified. Cluster 1 (n = 29) (moderate severity) was characterized by high levels of eating pathology, but moderate emotion dysregulation and negative urgency. Cluster 2 (n = 29) (high severity) was characterized by the highest scores in eating pathology, emotion dysregulation and negative urgency. Within this cluster there was the highest prevalence of patients with current non-suicidal self-injury. Cluster 3 (n = 15) (low severity) was characterized by the lowest levels of eating pathology, emotion dysregulation and negative urgency and included more patients with past non-suicidal self-injury. Conclusion: The three distinctive profiles highlights the importance of emotion dysregulation and negative urgency as a personalized treatment target for eating disorders patients with current NSSI. Level III: Evidence obtained from well-designed cohort or case-control analytic studies


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.


2017 ◽  
Vol 26 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Núria Mallorquí-Bagué ◽  
Cristina Vintró-Alcaraz ◽  
Isabel Sánchez ◽  
Nadine Riesco ◽  
Zaida Agüera ◽  
...  

Author(s):  
Aaron J. Blashill ◽  
Tiffany A. Brown ◽  
Patrycja Klimek

Eating disorders are serious mental health disorders that are associated with significant medical and psychiatric comorbidities, and they have one of the highest mortality rates of any psychiatric disorder. Although considerable research has demonstrated that sexual minority males represent a high-risk group for eating disorders and body image disturbance, less research has been conducted on evidence-based practice for this population. This chapter describes the prevalence of body image disturbance and eating pathology/disorders among sexual minority men. Next, it reviews leading theoretical models that explain these concerns among sexual minority men, including objectification theory, tripartite theory, and sexual minority stress theory. It then discusses clinical interventions and prevention programs tailored to sexual minority men and briefly reviews leading treatment packages for eating pathology in the general population. A case example of enhanced cognitive–behavioral therapy with a hypothetical sexual minority male patient is presented. The chapter concludes with future directions.


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