Examination of the difficulties in emotion regulation scale and its relation to disordered eating in a young female sample

Cooper, Jane L.; O’Shea, Anne E.; Atkinson, Melissa; Wade, Tracey D.

doi:10.1002/eat.22278

Cited by 36 publications

(32 citation statements)

References 30 publications

(85 reference statements)

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“…Lyke and Spinella (2004) found significant correlations between motor and attentional impulsivity and disinhibited eating, as well as between attentional impulsivity and feelings of hunger. Others have also found general impulsive traits to relate to disordered eating behaviors and thoughts in non-clinical populations (Cooper, O'Shea, Atkinson, & Wade, 2014;Fischer, Smith, & Anderson, 2003;Guerrieri, Nederkoorn, & Jansen, 2007;Leitch, Morgan, & Yeomans, 2013), though again, there are exceptions (e.g., Cooley, Toray, Valdez, & Tee, 2007).…”

Section: Introductionmentioning

confidence: 99%

Gender differences in the relationship between impulsivity and disordered eating behaviors and attitudes

et al. 2015

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Section: Introductionmentioning

confidence: 99%

Gender differences in the relationship between impulsivity and disordered eating behaviors and attitudes

et al. 2015

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“…However, the ED literature to date has generally focused on the impact of global, rather than specific, deficits in emotion regulation on ED symptoms. The few studies that have examined specific dimensions of emotion regulation in ED populations have found nearly all dimensions to be related to global cognitive ED symptoms, with the greatest evidence base suggesting deficits in emotional awareness [6, 25–27]. Further, impulsivity and the inability to engage in goal-directed behavior while distressed have been linked to specific ED behaviors, including binge eating and purging [25, 26].…”

mentioning

confidence: 99%

“…The few studies that have examined specific dimensions of emotion regulation in ED populations have found nearly all dimensions to be related to global cognitive ED symptoms, with the greatest evidence base suggesting deficits in emotional awareness [6, 25–27]. Further, impulsivity and the inability to engage in goal-directed behavior while distressed have been linked to specific ED behaviors, including binge eating and purging [25, 26]. The existing studies examining the role of varying dimensions of emotion regulation have generally been conducted with non-clinical groups [25] or specific diagnostic groups [26, 27], rather than heterogeneous ED groups.…”

mentioning

confidence: 99%

“…Further, impulsivity and the inability to engage in goal-directed behavior while distressed have been linked to specific ED behaviors, including binge eating and purging [25, 26]. The existing studies examining the role of varying dimensions of emotion regulation have generally been conducted with non-clinical groups [25] or specific diagnostic groups [26, 27], rather than heterogeneous ED groups. However, there is growing interest in examining symptoms and behaviors transdiagnostically in order to identify common mechanisms across a range of severity and presentation [28].…”

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confidence: 99%

“…Given that previous studies have examined the role of dimensions of emotion regulation in non-clinical groups [25] or specific diagnostic groups [26, 27], the first aim of the study was to examine the association between specific dimensions of emotion dysregulation and ED symptoms in a heterogeneous ED sample. The second aim of the study was to examine the association between dimensions of emotion regulation and NSSI in a heterogeneous ED sample in an effort to clarify previous discrepant findings [29, 30].…”

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Associations between emotion regulation difficulties, eating disorder symptoms, non-suicidal self-injury, and suicide attempts in a heterogeneous eating disorder sample

Pisetsky

Haynos

Lavender

et al. 2017

Comprehensive Psychiatry

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Background This study examined the associations between specific dimensions of emotion dysregulation and eating disorder (ED) symptoms and behaviors, non-suicidal self-injury (NSSI), and suicide attempts in a heterogeneous ED sample. Methods Participants (N = 110) completed the Difficulties in Emotion Regulation Scale (DERS), the Eating Disorder Examination Questionnaire (EDE-Q), and self-reported the presence of lifetime NSSI and a lifetime suicide attempt. Results The EDE-Q global score, a primarily cognitive measure of ED symptoms, was significantly positively correlated with DERS strategies, clarity, and awareness subscale scores and DERS total score (ps < 0.01). Only the strategies subscale was uniquely positively associated with EDE-Q global score in a multivariate regression analysis. There was no association between the frequency of binge eating or frequency of driven exercise and any of the DERS subscale scores or total score (ps > 0.01). Frequency of purging was significantly, positively associated with DERS impulse subscale score and total score (p < 0.01). None of the DERS subscale scores were significantly different between those with and without NSSI or between those with and without a lifetime suicide attempt (ps > 0.01). Conclusions Findings indicate that in a heterogeneous ED sample, emotion regulation deficits are more strongly associated with cognitively-oriented symptoms of EDs than behavioral symptoms such as a binge eating, purging, driven exercise, NSSI, or suicide attempts.

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The effects of psychotherapy treatment on outcome in bulimia nervosa: Examining indirect effects through emotion regulation, self‐directed behavior, and self‐discrepancy within the mediation model

Peterson

Berg

Crosby

et al. 2017

Intl J Eating Disorders

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Objective The purpose of this investigation was to examine the indirect effects of Integrative Cognitive-Affective Therapy (ICAT-BN) and Cognitive-Behavioral Therapy-Enhanced (CBT-E) on bulimia nervosa (BN) treatment outcome through three hypothesized maintenance variables: emotion regulation, self-directed behavior, and self-discrepancy. Method Eighty adults with BN were randomized to 21 sessions of ICAT-BN or CBT-E. A regression-based bootstrapping approach was used to test the indirect effects of treatment on outcome at end of treatment through emotion regulation and self-directed behavior measured at mid-treatment, as well as the indirect effects of treatment at follow-up through emotion regulation, self-directed behavior, and self-discrepancy measured at end of treatment. Results No significant differences in outcome between treatment conditions were observed, and no significant direct or indirect effects were found. Examination of the individual paths within the indirect effects models revealed comparable treatment effects. Across treatments, improvements in emotion regulation and self-directed behavior between baseline and mid-treatment predicted improvements in global eating disorder scores but not binge eating and purging frequency at end of treatment. Baseline to end of treatment improvements in emotion regulation and self-directed behavior also predicted improvements in global eating disorder scores at follow-up. Baseline to end of treatment improvements in emotion regulation predicted improvements in binge eating and baseline to end of treatment increases in positive self-directed behavior predicted improvements in purging at follow-up. Discussion These findings suggest that emotion regulation and self-directed behavior are important treatment targets and that ICAT-BN and CBT-E are comparable in modifying these psychological processes among individuals with BN.

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Examination of the difficulties in emotion regulation scale and its relation to disordered eating in a young female sample

Cited by 36 publications

References 30 publications

Gender differences in the relationship between impulsivity and disordered eating behaviors and attitudes

Gender differences in the relationship between impulsivity and disordered eating behaviors and attitudes

Associations between emotion regulation difficulties, eating disorder symptoms, non-suicidal self-injury, and suicide attempts in a heterogeneous eating disorder sample

The effects of psychotherapy treatment on outcome in bulimia nervosa: Examining indirect effects through emotion regulation, self‐directed behavior, and self‐discrepancy within the mediation model

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