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Development and Validation of a Brief Version of the Difficulties in Emotion Regulation Scale: The DERS-16
Open accessAbstract
The Difficulties in Emotion Regulation Scale (DERS) is a widely-used, theoretically-driven, and psychometrically-sound self-report measure of emotion regulation difficulties. However, at 36-items, the DERS may be challenging to administer in some situations or settings (e.g., in the course of patient care or large-scale epidemiological studies). Consequently, there is a need a briefer version of the DERS. The goal of the present studies was to develop and evaluate a 16-item version of the DERS - the DERS-16. The reliability and validity of the DERS-16 were examined in a clinical sample (N = 96) and two large community samples (Ns = 102 and 482). The validity of the DERS-16 was evaluated comparing the relative strength of the association of the two versions of the DERS with measures of emotion regulation and related constructs, psychopathology, and clinically-relevant behaviors theorized to stem from emotion regulation deficits. Results demonstrate that the DERS-16 has retained excellent internal consistency, good test-retest reliability, and good convergent and discriminant validity. Further, the DERS-16 showed minimal differences in its convergent and discriminant validity with relevant measures when compared to the original DERS. In conclusion, the DERS-16 offers a valid and brief method for the assessment of overall emotion regulation difficulties.
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“A total score was calculated using the remaining five subscales (30 items total), consistent with a recently developed short-form measure (DERS-SF-5; Bjureberg et al., 2016). The α for the included scales ranged from .82 to .90.”
From Facets of Mindfulness Mediate the Relationship Between Attachment Orientation and Emotion Regulation in University Students (2024) · cites this paper as Bjureberg et al., 2016
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The DERS-16 has good psychometric properties in adolescents [159]”
From Efficacy of a transdiagnostic Internet prevention approach in adolescents (EMPATIA study): study protocol of a randomized controlled trial (2024) · cites this paper as [159]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“It uses a 5-point Likert scale and has shown acceptable test-retest reliability and internal consistency in adolescent populations [137-140].”
From Family Support Protocol for Adolescent Internalizing Disorders: Protocol for a Pre-Post Quantitative Treatment Development Study (2024) · cites this paper as [137]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The DERS’s psychometric properties are favorable, having moderate to very strong internal consistency (α=.69-.97) and strong retest reliability (r=0.88; ρI=0.85) [29, 46-49].”
From A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept Randomized Controlled Trial (2023) · cites this paper as [29]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
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“DERS-16 reported good test–retest reliability [46] and excellent internal consistency (Cronbach’s alphas between 0.87 and 0.96) [47].”
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“Correlating with anxiety, depression, stress, borderline traits, and more, the DERS-16 has good construct validity [29,47,50].”
From A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept Randomized Controlled Trial (2023) · cites this paper as [29]
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In the citing paper
“The DERS-16 is a short, valid measure of emotion regulation [29,44].”
From A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept Randomized Controlled Trial (2023) · cites this paper as [29]
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Cites
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“Finally, the absence of significant correlations between both DERS versions and the FFMQ observe subscale is in-line with previous research (Baer et al., 2006), and suggests that the omission of items from the lack of emotional awareness subscale from the DERS-16 did not negatively influence the strength of its relati…”
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Method
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“6 Abbreviated versions: clinical populations The DERS-16 was positively correlated with the DERS-36, anxiety and depression symptoms, and one-week test-retest reliability was demonstrated in a clinical sample (Bjureberg et al., 2016).”
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“They were all subjected to the following; ● Mini-International neuropsychiatric interview for children and adolescents (Mini-Kid) if they were between 10 and 18 years old (Sheehan et al., 1998), ● Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) if they were older than 18 years old (Gorgens, 2011), ●…”
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“B SE B SE B SE B SE Age −0.01 0.01 0.01 0.01 0.00 0.00 0.00 0.00 Education level −0.05 0.04 0.11** 0.04 −0.06 0.04 0.03 0.03 Income level 0.02 0.03 0.00 0.03 0.02 0.03 0.01 0.02 CAMS-R −0.77*** 0.08 1.63*** 0.08 −0.36*** 0.10 0.08 0.08 RSES −0.46*** 0.04 −0.12*** 0.03 DERS 0.57*** 0.03 Gender −0.05 0.06 0.06 0.06 CAMS…”
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“Moreover, another reason for shortening the DERS relies in persistent psychometric issues with the Lack of Awareness sub-scale that performs poorly, has weak internal consistency and weak or absent associations with other subscales and indices of psychopathology [49, 59].”
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“The 16 items Difficulties in Emotion-Regulation Scale-Shorter Version (DERS-16) [10] has five subscales: nonacceptance (difficulties in accepting emotions), impulse (difficulties in impulse control), goals (difficulties in maintaining goal-directed behaviour when distressed), clarity (a lack of…”
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“The Difficulties in Emotion Regulation Scale (DERS) was developed to measure the emotion regulation (Gratz & Roemer, 2003 ) and was revised to a short version of 16 ques - tions (DERS-16) (Bjureberg et al., 2016).”
InfluentialZhang, Z. (2025) · Journal of Gambling Studies · doi:10.1007/s10899-025-10466-z · Cited by 3
“This study used a validated Chinese version of the DERS-16 (Bjureberg et al., 2016 ; Chinese adaptation: Xiong et al., 2025) to measure the level of difficulties in emotion regula - tion in lottery gamblers.”
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“The Di ffi culties in Emotion Regulation Scale-16 (DERS-16; Bjureberg et al., 2016) is a brief version of the DERS (Gratz & Roemer, 2004), a self-report measure of emotion dysregulation.”
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“However, it was then revised by Bjureberg et al. (2016) and reduced to 16 items.”
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“It has demonstrated good psychometric properties in both clinical and community samples [47], as well as compared with other DERS versions [48].”
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BackgroundObarska, K., Binkowska, A. A., Marcowski, P., Szymczak, K., Lewczuk, K., Sollich, K., Banaszak, M., Woronowicz, B. T., Nowicka, M., Skorko, M., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1011585 · Cited by 3
Delivering comprehensive school‐based dialectical behavior therapy (CSB‐DBT)
Miller, A. L., Gerardi, N., Mazza, J. J., Dexter‐Mazza, E. T., Graling, K. B., & Rathus, J. H. (2023) · Psychology in the Schools · doi:10.1002/pits.22887 · Cited by 3
Roberts, N. A., Villarreal, L. D., & Burleson, M. H. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1135590 · Cited by 4
Demi̇rci̇, E., Taştepe, N., Özmen, S., & Kılıç, E. (2023) · Psychiatric Quarterly · doi:10.1007/s11126-023-10046-7 · Cited by 3
“The participants were asked to complete the Internet Addiction Scale (IAS), Behavioral Inhibition and Behavioral Activation Scale (BIS-BAS), Barratt Impulsiveness Scale-11 (BIS-11), and Difficulties in Emotion Regulation Scale-16 (DERS-16) [21–24].”
BackgroundMethodLo, C. K. M., Tse, N., & Chiu, J. (2024) · Children and Youth Services Review · doi:10.1016/j.childyouth.2024.107496 · Cited by 3
Munns, L., Demnitz‐King, H., André, C., Rehel, S., Ourry, V., Sayette, V. D. L., Vivien, D., Chételat, G., Rauchs, G., & Marchant, N. L. (2024) · Nature and Science of Sleep · doi:10.2147/nss.s441509 · Cited by 3
“No significant differences in levels of brooding were found and emotional regulation (ie, the ability to appropriately respond to a range of emotions) 52 may play important roles.”
BackgroundElBarazi, A. S. (2023) · Intervention · doi:10.4103/intv.intv_7_23 · Cited by 4
Bielinski, L. L., Wälchli, G., Lange, A., von Känel, E., Demel, L. K., Nissen, C., Moggi, F., & Berger, T. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06365-z · Cited by 3
“Additionally, eligibility for transdiagnostic BT in inpatient settings may be better determined by factors like emotion regulation difficulties, assessed through brief, setting-appropriate questionnaires [30], rather than by diagnosis alone.”
Richmond, B. S., Zaidan, A. C. V., Araiza, A. M., Beam, A. J., Lee, A. A., & Wellman, J. D. (2024) · Journal of Health Psychology · doi:10.1177/13591053241302285 · Cited by 3
“See Bjureberg et al. (2016) for past validity and reliability of the scale.”
Koçyi̇ği̇t, M., & Uzun, M. (2025) · Current Psychology · doi:10.1007/s12144-024-07253-1 · Cited by 9
“To determine emotional regulation difficulties within relationships, the scale developed by Gratz and Roemer (2004 ) was shortened by Bjureberg et al. (2016) and adapted into Turkish by Yiğit and Güzey-Yiğit ( 2019 ).”
Pino-Falconí, M., Moreta‐Herrera, R., Moreta, M. E., & Cuesta-Andaluz, E. (2025) · Anuario de Psicología/The UB Journal of Psychology · doi:10.1344/anpsic2025.55.2.5 · Cited by 3
Fryc, A., Raudales, A. M., Nelson, R. J., Risi, M. M., & Weiss, N. H. (2021) · Violence Against Women · doi:10.1177/10778012211005568 · Cited by 3
“The Difficulties in Emotion Regulation Scale–16 (DERS-16; Bjureberg et al., 2016): The DERS-16 is a 16-item questionnaire that assesses emotion dysregulation across five domains: difficulties engaging in goal-directed behaviors when experiencing emotions (e.g., “When I’m upset, I have difficulty getting work done”), d…”
BackgroundInfluentialTobar-Santamaria, A. L., Kiefer, R., Godin, J., Contractor, A. A., & Weiss, N. H. (2021) · Eating Behaviors · doi:10.1016/j.eatbeh.2021.101567 · Cited by 4
Arvidson, E., Hofstedt, A., & Gordh, A. S. (2025) · Trials · doi:10.1186/s13063-025-09147-4 · Cited by 3
“Test– retest reliability is 0.85, and Cronbach´s alpha is between 0.92 and 0.95 [45, 46].”
InfluentialA 3-Tier machine Learning Framework for Early Detection of Learning Difficulties in Basic settingPreprint
Odoom, S., Osei, E. O., Effah, E. Q., Boafo, V., Dusu, S., & Appiah, A. K. (2025) · Research Square · doi:10.21203/rs.3.rs-7876870/v1 · Cited by 3
Hirsig, A., Häfeli, X. A., & Schmidt, S. J. (2024) · Trials · doi:10.1186/s13063-024-08241-3 · Cited by 2
“…has been demonstrated to be a reliable and valid transdiagnostic measure of RNT in adolescents [86]; (4) the Difficulties in Emotion Regulation Scale ( DERS-16 [159]), a 16-item questionnaire measuring emotion regulation on a 5-point Likert-type scale from Almost never (1) to Almost always (5).”
BackgroundMethodMeyer, E. C., Roth, S. G., Coe, E., Taylor, D. J., & Gulliver, S. B. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1452976 · Cited by 2
Hogue, A., Bobek, M., Porter, N. P., MacLean, A., Henderson, C. E., Jensen-Doss, A., Diamond, G. M., Southam-Gerow, M. A., & Ehrenreich-May, J. (2024) · JMIR Research Protocols · doi:10.2196/64332 · Cited by 2
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Prevalence and Influencing Factors of Body-focused Repetitive Behaviors in Turkish Medical Students
Korkmaz, Ş. A. (2024) · Genel Tıp Dergisi · doi:10.54005/geneltip.1505724 · Cited by 2
Nixon, R. D. V., Elizabeth, M., Fassnacht, D. B., van Agteren, J. E., Edney, L. C., & Wild, J. (2024) · European Journal of Psychotraumatology · doi:10.1080/20008066.2024.2420459 · Cited by 3
Sadeh, N., Stumps, A. D., & Huerta, W. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.12.085 · Cited by 3
Nyoni, P., Tomita, A. M., Mkhwanazi, S., & Gibbs, A. (2024) · International Journal of Social Psychiatry · doi:10.1177/00207640241306062 · Cited by 2
“…(ED; Cronbach’s alpha = .91) was the main outcome of the study, measured by the Difficulties in Emotional Dysregulation Scale-16 (DERS-16; Bjureberg et al., 2016) as a valid and reliable scale used in various settings (Fekih-Romdhane et al., 2023; Demirpence Secinti & Sen, 2023; Visted…”
Proof of Concept personalisierter modularer Psychotherapie bei depressiven Erwachsenen
Elsaeßer, M., Herpertz, S. C., & Schramm, E. (2025) · Die Psychotherapie · doi:10.1007/s00278-024-00765-y · Cited by 2
Büyüköksüz, E., & Kayaalp-pehlivan, R. (2025) · Muğla Sıtkı Koçman Üniversitesi Eğitim Fakültesi Dergisi · doi:10.21666/muefd.1643883 · Cited by 10
Attenuation of Self‐Induced Pain in Women With Nonsuicidal Self‐Injury and Healthy Controls
Lalouni, M., Fust, J., Bjureberg, J., Blomé, S., Thompson, W. H., Jayaram‐Lindström, N., Kosek, E., Hellner, C., Ehrsson, H. H., Kilteni, K., et al. (2025) · European Journal of Pain · doi:10.1002/ejp.70057 · Cited by 2
“Questionnaires about borderline symptoms (the short version of the Borderline Symptom List; BSL-23) (Bohus et al. 2009), self-criticism (the Self-Rating Scale; SRS) (Hooley et al. 2010), and emotion dysregulation (the brief 16 item version of the Difficulties with Emotion Regulation Scale; DERS-16) (Bjureberg et al. 2…”
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Murphy, E., Dakhili, A. H., Ganesan, S., Zalesky, A., Glarin, R. K., Thomson, H. M., Paloubis, A., Kamboj, S. K., Moffat, B. A., Poudel, G. R., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-105854 · Cited by 3
“They will also be provided with support services, such as Beyond Blue and Headspace, should they require mental health support.”
Warton, W., Byrne, M. L., & Allen, K. (2025) · Psychological Science · doi:10.1177/09567976251372130 · Cited by 2
“The brief 16-item Difficulties in Emotion Regulation Scale (DERS-16; Bjureberg et al., 2016) was used to measure emotion dysregulation.”
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“2016 ) (Bjureberg et al., 2016 ).”
Metadata
- Authors
- Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L.-G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., & Gratz, K. L.
- Affiliations
- Karolinska Institutet (SE)
- University of Mississippi Medical Center (US)
- Lund University (SE)
- University of Nebraska–Lincoln (US)
- Corresponding author
- Bjureberg, Johan
- ORCID
- Venue
- Journal of Psychopathology and Behavioral Assessment
- Published
- 2015-09-14
- Volume
- 38
- Issue
- 2
- Pages
- 284-296
- ISSN
- 0164-0305 (ISSN-L)
- 0882-2689
- 1573-3505
- PMC
- PMC4882111
- OpenAlex
- W2172838886
- Cited by
- 1,081
- References
- 76
- Citations by year
- 2026: 217 · 2025: 186 · 2024: 170 · 2023: 151 · 2022: 128 · 2021: 104 · 2020: 61 · 2019: 38 · 2018: 19 · 2017: 6 · 2016: 1
- FWCI
- 13.10
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Psychopathology and Behavioral Assessment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD062226)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- Difficulties in Emotion Regulation Scale, emotional dysregulation, scale shortening, psychometric validation, self-report measures, psychopathology, convergent and discriminant validity, test-retest reliability, internal consistency
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