scholarly journals Examining emotion regulation in binge-eating disorder

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Anna Walenda ◽  
Barbara Kostecka ◽  
Philip S. Santangelo ◽  
Katarzyna Kucharska
Keyword(s):  
Emotion Regulation ◽  
Eating Disorder ◽  
Depressive Symptoms ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Emotional Regulation ◽  
Emotion Regulation Strategies ◽  
Self Blame ◽  
Difficulties In Emotion Regulation ◽  
Regulation Strategies

Abstract Background Inefficient mechanisms of emotional regulation appear essential in understanding the development and maintenance of binge-eating disorder (BED). Previous research focused mainly on a very limited emotion regulation strategies in BED, such as rumination, suppression, and positive reappraisal. Therefore, the aim of the study was to assess a wider range of emotional regulation strategies (i.e. acceptance, refocusing on planning, positive refocusing, positive reappraisal, putting into perspective, self-blame, other-blame, rumination, and catastrophizing), as well as associations between those strategies and binge-eating-related beliefs (negative, positive, and permissive), and clinical variables (eating disorders symptoms, both anxiety, depressive symptoms, and alexithymia). Methods Women diagnosed with BED (n = 35) according to the DSM-5 criteria and healthy women (n = 41) aged 22–60 years were assessed using: the Eating Attitudes Test-26, the Eating Beliefs Questionnaire-18, the Hospital Anxiety and Depression Scale, the Toronto Alexithymia Scale-20, the Cognitive Emotion Regulation Questionnaire, and the Difficulties in Emotion Regulation Scale. Statistical analyses included: Student t - tests or Mann–Whitney U tests for testing group differences between BED and HC group, and Pearson’s r coefficient or Spearman’s rho for exploring associations between the emotion regulation difficulties and strategies, and clinical variables and binge-eating-related beliefs in both groups. Results The BED group presented with a significantly higher level of emotion regulation difficulties such as: nonacceptance of emotional responses, lack of emotional clarity, difficulties engaging in goal-directed behavior, impulse control difficulties, and limited access to emotion regulation strategies compared to the healthy controls. Moreover, patients with BED were significantly more likely to use maladaptive strategies (rumination and self-blame) and less likely to use adaptive strategies (positive refocusing and putting into perspective). In the clinical group, various difficulties in emotion regulation difficulties occurred to be positively correlated with the level of alexithymia, and anxiety and depressive symptoms. Regarding emotion regulation strategies, self-blame and catastrophizing were positively related to anxiety symptoms, but solely catastrophizing was related to the severity of eating disorder psychopathology. Conclusions Our results indicate an essential and still insufficiently understood role of emotional dysregulation in BED. An especially important construct in this context seems to be alexithymia, which was strongly related to the majority of emotion regulation difficulties. Therefore, it might be beneficial to pay special attention to this construct when planning therapeutic interventions, as well as to the maladaptive emotion regulation strategies self-blame and catastrophizing, which were significantly related to BED psychopathology.

scholarly journals Alexithymia predicts maladaptive but not adaptive emotion regulation strategies in adolescent girls with anorexia nervosa or depression

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Anca Sfärlea ◽  
Sandra Dehning ◽  
Lena Katharina Keller ◽  
Gerd Schulte-Körne
Keyword(s):  
Emotion Regulation ◽  
Anorexia Nervosa ◽  
Depressive Symptoms ◽  
Adolescent Girls ◽  
Mental Health Problems ◽  
Psychiatric Patients ◽  
Regression Analyses ◽  
Emotion Regulation Strategies ◽  
Difficulties In Emotion Regulation ◽  
Regulation Strategies

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.

scholarly journals Binge eating disorder, anxiety, depression and body image in grade III obesity patients

2002 ◽  
Vol 24 (4) ◽  
pp. 165-169 ◽  
Author(s):  
Maria Isabel R Matos ◽  
Luciana S Aranha ◽  
Alessandra N Faria ◽  
Sandra R G Ferreira ◽  
Josué Bacaltchuck ◽  
...  
Keyword(s):  
Body Image ◽  
Eating Disorder ◽  
Depressive Symptoms ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
High Frequency ◽  
Body Image Disturbances ◽  
Severely Obese ◽  
Anxiety Depression ◽  
Grade Iii

INTRODUCTION: The objective of this study was to assess the frequency of Binge Eating Disorder (BED) or Binge Eating episodes (BINGE), anxiety, depression and body image disturbances in severely obese patients seeking treatment for obesity. METHOD: We assessed 50 patients (10M and 40F) with Body Mass Index (BMI) between 40 and 81.7 Kg/m² (mean 52.2±9.2 Kg/m²) and aging from 18 to 56 years (mean 38.5±9.7). Used instruments: Questionnaire on Eating and Weight Patterns <FONT FACE=Symbol>¾</FONT> Revised (QEWP-R) for BED or BINGE assessment, Beck Depression Inventory (BDI) for depressive symptoms, State - Trait Anxiety Inventory (STAI-TRAIT and STAI-STATE) for anxiety and Body Shape Questionnaire (BSQ) for body image assessments. RESULTS: In this population BED and BINGE frequencies were 36% and 54%, respectively. Symptoms of depression were detected in 100% while severe symptomatology was found in 84% of the cases. The frequency of anxiety as a trait was 70%, as a state, 54% and 76% of all patients reported discomfort regarding body image. The frequency of BED was higher in patients with higher anxiety scores as a personality trait (>40) but not as a state (46% vs. 13%; p<0,05). A high frequency of BINGE was found in those with higher scores (>140) in the BSQ assessment. CONCLUSION: Our results indicate a high frequency of binge eating episodes, severe depressive symptoms, anxiety and concern with body image in grade III obesity patients.

Emotion regulation difficulties in binge eating disorder with and without the overvaluation of weight and shape

2016 ◽  
Vol 245 ◽  
pp. 436-442 ◽  
Author(s):  
Carmel Harrison ◽  
Deborah Mitchison ◽  
Elizabeth Rieger ◽  
Bryan Rodgers ◽  
Jonathan Mond
Keyword(s):  
Emotion Regulation ◽  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder

Prospective associations of negative mood and emotion regulation in the occurrence of binge eating in binge eating disorder

2019 ◽  
Vol 115 ◽  
pp. 61-68 ◽  
Author(s):  
Jennifer Svaldi ◽  
Dustin Werle ◽  
Eva Naumann ◽  
Eva Eichler ◽  
Matthias Berking
Keyword(s):  
Emotion Regulation ◽  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Negative Mood

scholarly journals Micro-level de-coupling of negative affect and binge eating in relationship to macro-level outcomes in binge eating disorder treatment

2020 ◽  
pp. 1-9
Author(s):  
Kathryn E. Smith ◽  
Tyler B. Mason ◽  
Lauren M. Schaefer ◽  
Lisa M. Anderson ◽  
Vivienne M. Hazzard ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Eating Disorder ◽  
Negative Affect ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Behavioral Treatment ◽  
Future Research ◽  
End Of Treatment ◽  
Pre Treatment

Abstract Background While negative affect reliably predicts binge eating, it is unknown how this association may decrease or ‘de-couple’ during treatment for binge eating disorder (BED), whether such change is greater in treatments targeting emotion regulation, or how such change predicts outcome. This study utilized multi-wave ecological momentary assessment (EMA) to assess changes in the momentary association between negative affect and subsequent binge-eating symptoms during Integrative Cognitive Affective Therapy (ICAT-BED) and Cognitive Behavior Therapy Guided Self-Help (CBTgsh). It was predicted that there would be stronger de-coupling effects in ICAT-BED compared to CBTgsh given the focus on emotion regulation skills in ICAT-BED and that greater de-coupling would predict outcomes. Methods Adults with BED were randomized to ICAT-BED or CBTgsh and completed 1-week EMA protocols and the Eating Disorder Examination (EDE) at pre-treatment, end-of-treatment, and 6-month follow-up (final N = 78). De-coupling was operationalized as a change in momentary associations between negative affect and binge-eating symptoms from pre-treatment to end-of-treatment. Results There was a significant de-coupling effect at follow-up but not end-of-treatment, and de-coupling did not differ between ICAT-BED and CBTgsh. Less de-coupling was associated with higher end-of-treatment EDE global scores at end-of-treatment and higher binge frequency at follow-up. Conclusions Both ICAT-BED and CBTgsh were associated with de-coupling of momentary negative affect and binge-eating symptoms, which in turn relate to cognitive and behavioral treatment outcomes. Future research is warranted to identify differential mechanisms of change across ICAT-BED and CBTgsh. Results also highlight the importance of developing momentary interventions to more effectively de-couple negative affect and binge eating.

The Mediator Role of Negative Cognitive Emotion Regulation Strategies between Interpersonal Problems and Borderline Personality Beliefs

2018 ◽  
Author(s):  
Miray Akyunus ◽  
Tülin Gençöz ◽  
Selin Karakose
Keyword(s):  
Emotion Regulation ◽  
Interpersonal Problems ◽  
Borderline Personality ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Self Blame ◽  
Mediator Role ◽  
Regulation Strategies ◽  
Personality Beliefs

Interpersonal difficulties and emotion regulation are the core characteristics of the borderline personality disorders (BPD). However, how emotion regulation strategies contribute to the association between interpersonal problems and borderline personality symptomatology have not been well-addressed in the literature. The aim of the current study is to examine the mediator role of cognitive emotion regulation strategies between interpersonal problems and borderline personality beliefs. The study consisted of 648 (381 women and 267 male) people from Turkey. In addition to Socio Demographic Form, Cognitive Emotion Regulation Questionnaire (CERQ), Inventory of Interpersonal Problems Circumplex Scales (IIP-32) and Borderline Personality Belief Subscale (PBQ) were used to collect data from participants. Results showed that negative cognitive emotion regulation strategies, particularly catastrophization, blaming-others and self-blame mediated the relationship between interpersonal problems and borderline personality beliefs. With the cognitive level of assessment, the findings of the current study provide enlightening information to understand the underlying processes of the borderline personality pattern, as well as promising clinical implications to improve intervention programs within cognitive therapy approaches.

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