scholarly journals Eating Disorders and Non-suicidal Self-injury: Cluster Analysis Considering Eating Pathology, Emotion Dysregulation, and Negative Urgency

2021 ◽  
Author(s):  
Sónia Ferreira Gonçalves ◽  
Sofia Ramalho ◽  
Bárbara Machado ◽  
Ana Isabel Vieira
Keyword(s):  
Cluster Analysis ◽  
Eating Disorders ◽  
Emotion Regulation ◽  
Emotion Dysregulation ◽  
Eating Pathology ◽  
Phenotypic Characterization ◽  
Negative Urgency ◽  
Self Injury ◽  
Difficulties In Emotion Regulation ◽  
History Of

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

scholarly journals Emotional regulation in eating disorders and gambling disorder: A transdiagnostic approach

2021 ◽  
Author(s):  
Lucero Munguía ◽  
Susana Jiménez-Murcia ◽  
Roser Granero ◽  
Isabel Baenas ◽  
Zaida Agüera ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Personality Traits ◽  
Linear Relationship ◽  
Emotional Regulation ◽  
Emotion Dysregulation ◽  
Gambling Disorder ◽  
Treatment Strategies ◽  
Chi Square ◽  
Difficulties In Emotion Regulation

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.

Measurement Invariance of Three Brief Emotion Regulation Questionnaires in People With and Without a History of Non-Suicidal Self-Injury

2019 ◽  
Vol 35 (6) ◽  
pp. 835-841 ◽  
Author(s):  
Glenn Kiekens ◽  
Penelope Hasking ◽  
Mark Boyes
Keyword(s):  
Emotion Regulation ◽  
Measurement Invariance ◽  
Factor Structure ◽  
Short Form ◽  
Psychometric Evaluation ◽  
Cognitive Emotion Regulation ◽  
Statistical Inferences ◽  
Self Injury ◽  
Difficulties In Emotion Regulation ◽  
History Of

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.

scholarly journals Factor Structure of the Difficulties in Emotion Regulation Scale in Treatment Seeking Adults with Eating Disorders

2019 ◽  
Vol 42 (1) ◽  
pp. 111-126 ◽  
Author(s):  
Line Nordgren ◽  
Elin Monell ◽  
Andreas Birgegård ◽  
Johan Bjureberg ◽  
Hugo Hesser
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Measurement Invariance ◽  
Factor Structure ◽  
Eating Pathology ◽  
Bifactor Model ◽  
General Factor ◽  
Difficulties In Emotion Regulation

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.

Binge Eating and Problem Gambling are Associated with Common and Distinct Deficits in Emotion Regulation among Community Women: Results from a Prospective Study

2020 ◽  
Author(s):  
Sarah Farstad ◽  
Kristin M. von Ranson
Keyword(s):  
At Risk ◽  
Emotion Regulation ◽  
Binge Eating ◽  
Problem Gambling ◽  
Prospective Study ◽  
Emotion Dysregulation ◽  
Behavioral Addiction ◽  
Negative Urgency ◽  
Cross Sectional ◽  
Severe Problem

To elucidate similarities and differences between binge eating and a behavioral addiction, this prospective study compared facets of emotion regulation that were associated with problem gambling, the only formally recognized behavioral addiction, and binge eating. Community-based women (N = 202) who engaged in at-risk binge eating (n = 79), at-risk gambling (n = 36), or both (n = 87) completed four online assessments over six months. Baseline and six-month surveys assessed self-reported emotion dysregulation (using the DERS and UPPS-P), binge eating (using the EDE-Q), and gambling (using the PGSI); abbreviated two- and four-month surveys assessed only binge eating and gambling. Binge eating and problem gambling were both associated with emotion dysregulation, and greater positive urgency was correlated with more severe problem gambling but less frequent binge eating. Negative urgency explained no unique variance in binge eating or problem gambling changes over time, once other facets of emotion dysregulation (i.e., positive urgency and facets assessed by the DERS) were included. Thus, previous cross-sectional research may have overestimated the association of negative urgency with both binge eating and problem gambling. Overall, these findings suggest that binge eating and problem gambling are associated with common as well as distinct emotion regulation deficits.

Intimate Partner Violence and Posttraumatic Stress Symptoms: Indirect Effects Through Negative and Positive Emotion Dysregulation

2021 ◽  
pp. 088626052110063
Author(s):  
Lauren E. Simpson ◽  
Alexa M. Raudales ◽  
Miranda E. Reyes ◽  
Tami P. Sullivan ◽  
Nicole H. Weiss
Keyword(s):  
Intimate Partner Violence ◽  
Emotion Regulation ◽  
Posttraumatic Stress ◽  
Symptom Severity ◽  
Partner Violence ◽  
Emotion Dysregulation ◽  
Positive Emotion ◽  
Intimate Partner ◽  
Difficulties In Emotion Regulation

Women who experience intimate partner violence (IPV) are at heightened risk for developing posttraumatic stress (PTS). Emotion dysregulation has been linked to both IPV and PTS, separately, however, unknown is the role of emotion dysregulation in the relation of IPV to PTS among women who experience IPV. Moreover, existing investigations in this area have been limited in their focus on negative emotion dysregulation. Extending prior research, this study investigated whether physical, sexual, and psychological IPV were indirectly associated with PTS symptom severity through negative and positive emotion dysregulation. Participants were 354 women who reported a history of IPV recruited from Amazon’s MTurk platform ( Mage = 36.52, 79.9% white). Participants completed self-report measures assessing physical (Conflict Tactics Scale), sexual (Sexual Experiences Scale), and psychological (Psychological Maltreatment of Women) IPV; negative (Difficulties in Emotion Regulation Scale) and positive (Difficulties in Emotion Regulation Scale-Positive) emotion dysregulation; and PTS symptom severity (PTSD Checklist for DSM-5) via an online survey. Pearson’s correlation coefficients examined intercorrelations among the primary study variables. Indirect effect analyses were conducted to determine if negative and positive emotion dysregulation explained the relations between physical, sexual, and psychological IPV and PTS symptom severity. Physical, sexual, and psychological IPV were significantly positively associated with both negative and positive emotion dysregulation as well as PTS symptom severity, with the exception that psychological IPV was not significantly associated with positive emotion dysregulation. Moreover, negative and positive emotion dysregulation accounted for the relationships between all three IPV types and PTS symptom severity, with the exception of positive emotion dysregulation and psychological IPV. Our findings provide support for the potential underlying role of both negative and positive emotion dysregulation in the associations of IPV types to PTS symptom severity. Negative and positive emotion dysregulation may be important factors to integrate into interventions for PTS among women who experience IPV.

scholarly journals Lifetime prevalence of non-suicidal self-injury in patients with eating disorders: a systematic review and meta-analysis

2016 ◽  
Vol 46 (7) ◽  
pp. 1345-1358 ◽  
Author(s):  
A. Cucchi ◽  
D. Ryan ◽  
G. Konstantakopoulos ◽  
S. Stroumpa ◽  
A. Ş. Kaçar ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Eating Disorders ◽  
Suicide Attempts ◽  
Meta Analysis ◽  
Weighted Average ◽  
Average Percentage ◽  
Lifetime History ◽  
Self Injury ◽  
History Of ◽  
Meta Analyses

BackgroundAgainst a backdrop of increasing research, clinical and taxonomic attention in non-suicidal self-injury (NSSI), evidence suggests a link between NSSI and eating disorders (ED). The frequency estimates of NSSI in ED vary widely. Little is known about the sources of this variation, and no meta-analysis has quantified the association between ED and NSSI.MethodUsing random-effects meta-analyses, meta-regression analyses, and 1816–6466 unique participants with various ED, we estimated the weighted average percentage of individuals with ED, those with anorexia nervosa (AN) and those with bulimia nervosa (BN) who are reported to have a lifetime history of NSSI across studies. We further examined predictors of NSSI in ED.ResultsThe weighted average percentage of patients with a lifetime history of NSSI was 27.3% [95% confidence interval (CI) 23.8–31.0%] for ED, 21.8% (95% CI 18.5–25.6%) for AN, and 32.7% (95% CI 26.9–39.1%) for BN. The difference between BN and AN was statistically significant [odds ratio (OR) 1.77, 95% CI 1.14–2.77, p = 0.013]. The odds of NSSI increased by 24% for every 10% increase in the percentage of participants with histories of suicide attempts (OR 1.24, 95% CI 1.04–1.48, p = 0.020) and decreased by 26% for every 10% increase in the percentage of participants with histories of substance abuse (OR 0.74, 95% CI 0.58–0.95, p = 0.023).ConclusionsIn the specific context of ED, NSSI is highly prevalent and correlates positively with attempted suicide, urging for NSSI-focused treatments. A novel finding is that NSSI is potentially antagonized by substance abuse.

Dysregulation of emotions among pathological gamblers: The role of savoring

2017 ◽  
Vol 41 (S1) ◽  
pp. S394-S394
Author(s):  
G. Rogier ◽  
P. Velotti
Keyword(s):  
Emotion Regulation ◽  
Pathological Gambling ◽  
Emotion Dysregulation ◽  
Positive Emotions ◽  
Clinical Sample ◽  
Emotional States ◽  
Pathological Gamblers ◽  
Difficulties In Emotion Regulation ◽  
Regulation Strategies

IntroductionTheories have conceptualized pathological gambling as an attempt to cope with emotional states. However, there is a lack of research about emotion dysregulation in this population. In a similar way, few is known about the nature of emotion regulation strategies used by pathological gamblers. Furthermore, it is not clear if pathological gamblers have difficulties to regulate negative emotions (as sadness) or positive ones (as excitement).ObjectivesWe sought to explore the associations among pathological gambling, emotion dysregulation and different types of emotion regulation strategies, comparing a clinical sample with community participants.AimsTo highlight similarities and differences in emotion dysregulation between pathological gamblers and healthy participants.MethodsA sample of pathological gamblers and a sample of healthy men, were administered the South Oaks Gambling Screen (SOGS), Difficulties in Emotion Regulation Scale (DERS), Difficulties in Emotion regulation Scale-Positive (DERS-P), Emotion Regulation Questionnaire (ERQ) and the Ways of Savoring Checklist (WOSC).ResultsAs expected, both levels of emotion dysregulation and suppression were significantly higher in the clinical sample while levels of savoring and reappraisal were significantly higher in the community sample.ConclusionsSuch results confirm the theorization of pathological gambling as a dysfunctional response to emotional states and underline the role of positive emotions. Specifically, pathological gamblers may be prone to suppress negative emotions instead to engage in functional strategies as reappraisal. Gamblers also fail to regulate positive emotions showing a poor capacity of savoring positive moments.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Difficulties in emotion regulation across the spectrum of eating disorders

2014 ◽  
Vol 55 (3) ◽  
pp. 565-571 ◽  
Author(s):  
Timo Brockmeyer ◽  
Mandy Skunde ◽  
Mudan Wu ◽  
Esther Bresslein ◽  
Gottfried Rudofsky ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Difficulties In Emotion Regulation
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