Factor structure and clinical correlates of the original and 16‐item version of the Difficulties In Emotion Regulation Scale in adolescent girls with eating disorders

Monell, Elin; Birgegård, Andreas; Nordgren, Line; Hesser, Hugo; Bjureberg, Johan

doi:10.1002/jclp.23286

Cited by 6 publications

(1 citation statement)

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“…The DERS is optional in Stepwise assessments; 158 participants had both initial and follow‐up DERS. It has good overall psychometric properties (Gratz & Roemer, 2004), as has the Swedish version (Monell et al, 2021; Nordgren et al, 2020). Internal consistency (Cronbach's alpha; α) was good‐excellent for initial (αs = .803–.905; mean α = .867) and good‐excellent for follow‐up subscales forming the Total score (αs = .887–.924; mean α = .906).…”

Section: Methodsmentioning

confidence: 99%

Emotion dysregulation and eating disorder outcome: Prediction, change and contribution of self‐image

2022

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Objectives Eating disorders (EDs) are severe disorders with unsatisfactory outcome. Emotion dysregulation and self‐image are suggested maintenance factors; this study examined emotion dysregulation as potential predictor and/or mechanism of change in relation to ED outcome, and associations between change in emotion dysregulation and self‐image in relation to outcome. Design Registry data from initial and 1‐year follow‐up assessments for 307 patients with a wide range of EDs in specialized ED treatment were used. Methods Initial and change (∆) in emotion dysregulation were examined as predictors of 1‐year outcome. Direct and indirect associations between ∆emotion dysregulation and ∆self‐image as either independent variable or mediator in relation to ∆ED psychopathology as dependent were also examined. Results Higher initial emotion dysregulation was weakly associated with higher follow‐up ED psychopathology, but not remission, while relative increase in emotion dysregulation was associated with both higher follow‐up psychopathology and increased risk of still having a diagnosis. Change in emotion dysregulation primarily had an indirect effect (through change in self‐image), while change in self‐image had a direct effect, on change in ED psychopathology improvement (such that improvement in one was associated with improvement in the other). Conclusions Results identify emotion dysregulation as a potential mechanism of change in relation to ED outcome. However, this association was mainly mediated by change in self‐image. Results indicate that, in order to improve emotion regulation as a means to reduce ED psychopathology, improving self‐image is essential.

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Section: Methodsmentioning

confidence: 99%

Emotion dysregulation and eating disorder outcome: Prediction, change and contribution of self‐image

2022

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Validation of a brief version of the Difficulties in Emotion Regulation Scale (DERS-16) with an older Norwegian population

et al. 2023

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Emotion regulation is proposed to have a salient role in optimal aging. However, currently used measures of emotion regulation have not been validated for older adults. Therefore, we evaluated the psychometric properties of the Difficulties in Emotion Regulation Scale—short form (DERS-16) in a large Norwegian sample consisting of individuals between 70 and 95 years (n = 2525). Tests of internal consistency, reliability, assessment of intra-domain correlations, and confirmatory factor analyses were performed. Construct validity was further investigated by assessing concurrent associations between DERS-16 and well-established measures of psychological disorders, psychological health, and well-being (five-item version of Geriatric Depression Scale, Geriatric Anxiety Inventory—short form, and OECD guidelines on measuring subjective well-being). All subscales derived from the instrument showed adequate internal consistency. Furthermore, we obtained a theoretically consistent factor structure, in which a bifactor model combining a general emotion regulation factor and five additional domain-specific facet-factors had superior model fit. As expected, difficulties in emotion regulation correlated positively with symptoms of depression and anxiety, and negatively with psychological health and well-being. Associations were generally of moderate strength. We can thus conclude that the DERS-16 demonstrates excellent psychometric properties when used in samples with older adults and may safely be employed in studies of emotion regulation difficulties in the older segment of our population.

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Factor Structure of the Difficulties in Emotion Regulation Scale among Early Adolescents: Results from the Adolescent Brain Cognitive Development Study

Smith,

Brinkman,

DiBello

et al. 2024

J Psychopathol Behav Assess

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Introduction Emotion regulation (ER) deficits in early adolescence are associated with subsequent negative health consequences, including anxiety and depression. Yet, limited work has evaluated the factor structure of measures of ER deficits in early adolescents, leaving a methodological gap for at-risk youths. Method This study examined the Difficulties in Emotion Regulation Scale (DERS) factor structure in early adolescents (N = 2300) recruited from the Adolescent Brain Cognitive Development Study. We randomly split the sample into two sub-samples (n = 1150 each) and implemented an a-priori three-pronged approach: (1) A confirmatory factor analysis (CFA) assessed the fit of the six-factor DERS in Sample 1; (2) An exploratory factor analysis (EFA) identified an alternative factor structure in Sample 1; and (3) A second CFA assessed the new model in Sample 2. A bi-factor model was also used to assess the global structure of the DERS total and subscales. Results The original six-factor model yielded poor-to-adequate fit. EFA results supported an alternative five-factor model with different item mappings and ten omitted items. CFA results supported the five-factor solution with good fit. The bi-factor model, estimating a general factor with the five subscales, also demonstrated good fit. Discussion A five-factor structure of the DERS appears supported in a large community sample of early adolescents. Items from the former Awareness and Clarity subscales were combined into a single factor. Nearly all items from the former Strategies subscale were omitted, suggesting there may be developmental considerations rendering those items less relevant.

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Factor structure and clinical correlates of the original and 16‐item version of the Difficulties In Emotion Regulation Scale in adolescent girls with eating disorders

Cited by 6 publications

References 71 publications

Emotion dysregulation and eating disorder outcome: Prediction, change and contribution of self‐image

Emotion dysregulation and eating disorder outcome: Prediction, change and contribution of self‐image

Validation of a brief version of the Difficulties in Emotion Regulation Scale (DERS-16) with an older Norwegian population

Factor Structure of the Difficulties in Emotion Regulation Scale among Early Adolescents: Results from the Adolescent Brain Cognitive Development Study

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