Emotion regulation and disordered eating behaviour in youths: Two daily‐diary studies

Dworschak, Christine; Polack, Reuma Gadassi; Winschel, Julia; Joormann, Jutta; Kober, Hedy

doi:10.1002/erv.2993

Cited by 6 publications

(4 citation statements)

References 73 publications

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“…The current study is part of a larger investigation of children's and adolescents' emotions and social experiences (Deng et al, 2021;Dworschak et al, 2023;Gadassi Polack 2021a,b,c); only relevant measures are described.…”

Section: Methodsmentioning

confidence: 99%

It’s a balancing act: The ratio of maladaptive (vs. all) emotion regulation strategies is associated with depression

Gadassi Polack,

Paganini,

Zhang

et al. 2024

Preprint

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Research on emotion regulation (ER) has increasingly recognized that people use multiple strategies simultaneously, often referred to as ER repertoire. Prior research found that ER repertoire is associated with psychopathology, but results have been mixed. Indeed, research from recent years suggests that it is the quality of ERs, rather than their quantity, that needs to be considered. Based on the combination of the literatures on ER repertoire, polyregulation, and ER flexibility, we propose a novel metric: the ratio of using putatively maladaptive (vs. all) ER strategies. Using this metric, we examine (1) maladaptive ER ratio changes during the transition to adolescence, a developmental period in which the prevalence of depression sharply increases, and (2) how changes in maladaptive ER ratio are associated with depressive symptoms. One-hundred and thirty-nine youths (baseline age: 8-15) reported ER strategies and depression daily for 21 days. One year later, 115 completed another 28-day daily-diary (Nassessments= 5,631). Our results show that almost all youth use at least some maladaptive ERs. Importantly, maladaptive ER ratio decreases over a year of adolescence for most youths. Conversely, an increased maladaptive ER ratio predicted depression increases on the daily and on the yearly level. These results shed light on typical and atypical development of ER flexibility and emphasize the need to consider the balance between ERs in relation to psychopathology.

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Section: Methodsmentioning

confidence: 99%

It’s a balancing act: The ratio of maladaptive (vs. all) emotion regulation strategies is associated with depression

Gadassi Polack,

Paganini,

Zhang

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…This research was part of a larger study on emotions and social experiences in adolescents (Deng et al, 2021;Gadassi Polack et al, 2021a, 2021b, 2021cDworschak et al, 2023); only relevant measures are described.…”

Section: Methodsmentioning

confidence: 99%

Social interpretation inflexibility moderates emotional reactions to social situations in children and adolescents

Gadassi Polack,

Bronstein,

Questel

et al. 2023

Dev Psychopathol

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Interpretation biases and inflexibility (i.e., difficulties revising interpretations) have been linked to increased internalizing symptoms. Although adolescence is a developmental period characterized by novel social situations and increased vulnerability to internalizing disorders, no studies have examined interpretation inflexibility in adolescents. Additionally, no studies (on adolescents or adults) have examined interpretation flexibility as a protective factor against adverse outcomes of interpersonal events. Using a novel task and a 28-day diary we examined relations among interpretation bias and inflexibility, internalizing symptoms, and negative interpersonal events in a sample of children and adolescents (N = 159, ages 9–18). At baseline, negative interpretation bias was positively correlated with social anxiety symptoms, and positive interpretation bias negatively correlated with social anxiety and depressive symptoms. Inflexible positive interpretations were correlated with higher social anxiety and depressive symptoms, while inflexible negative interpretations were correlated with higher social anxiety. Finally, interpretation inflexibility moderated daily associations between negative interpersonal events and depressive symptoms in daily life, such that higher inflexibility was associated with stronger associations between interpersonal events and subsequent depressive symptoms, potentially increasing depressive symptom instability. These results suggest that interpretation biases and inflexibility may act as both risk and protective factors for adolescent anxiety and depression.

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“…[ 4 ] Rumination and cognitive distortion are one of the major underlying factors for the development of DEBs. [ 5 ] These behaviors have their onset mostly in adolescence and early adulthood. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

Disordered eating behaviors, body dissatisfaction and their determinants in Indian adolescents: A cross-sectional observational study

Mohapatra,

Pemde,

Kataria

2024

Indian Journal of Psychiatry

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Objective: Although the prevalence of disordered eating is maximum in high-income countries, the most significant rise occurred in East Asia and South Asia over the last three decades. Body dissatisfaction and disordered eating behaviors (DEBs) are more common than full-blown eating disorders. The cognitive distortion leading to these manifestations mainly occurs during adolescence and early adulthood. In this study, we assess the burden of DEBs in a cohort of Indian adolescents and determine their correlation with body dissatisfaction, calorie intake, and clinicosocial determinants. Methods: The study was conducted from November 2016 to November 2020 and enrolled 180 adolescents of 10-18 years attending the outpatient department of a tertiary-care hospital. Subjects were screened for DEBs, using a 15-item Screening Questionnaire for Eating Distress Syndromes, and for body dissatisfaction, using Photographic-Figure-Rating-Scale. Clinicosocial interviews, dietary and anthropometric evaluation, and psychiatric screening using a Mini-International Neuropsychiatric Interview (MINI-KIDS screen) were conducted. Results: DEB was present in 17.2% of adolescents, while 81.1% had body dissatisfaction and 32.2% had some psychiatric symptoms. The prevalence of DEBs in females was much higher than in males (OR = 7.89, 95%CI: 2.25-27.75, P = 0.001). More males (84.1%) reported body dissatisfaction than females (76.7%) [χ² =9.2, P = 0.010]. However, while females wished to lose weight, males desired weight gain, as measured by body dissatisfaction score (t = 2.9, P = 0.004). Apart from sex, other factors found significant in predicting DEBs in multivariate analysis were education, body dissatisfaction, BMI, and the number of siblings. Conclusion: We conclude that, unlike overt eating disorders, DEBs are common in Indian adolescents. The development of DEBs is influenced by gender, education, body dissatisfaction, BMI, and the number of siblings.

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Emotion regulation and disordered eating behaviour in youths: Two daily‐diary studies

Cited by 6 publications

References 73 publications

It’s a balancing act: The ratio of maladaptive (vs. all) emotion regulation strategies is associated with depression

It’s a balancing act: The ratio of maladaptive (vs. all) emotion regulation strategies is associated with depression

Social interpretation inflexibility moderates emotional reactions to social situations in children and adolescents

Disordered eating behaviors, body dissatisfaction and their determinants in Indian adolescents: A cross-sectional observational study

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