Emotion regulation across eating pathology: A meta-analysis
Abstract
The goal of this meta-analysis was to examine the associations between specific emotion regulation abilities (emotional awareness, emotional clarity) and strategies (acceptance of emotions, reappraisal, problem-solving, rumination, avoidance of emotions, and suppression), and eating pathology. A total of 96 studies and 239 effect sizes were included in the analysis. Relations between global and specific emotion regulation abilities and strategies and eating disorders and eating-related symptoms were examined. Results indicated medium-to-large effect sizes for the associations between adaptive emotion regulation and eating disorder and eating-related symptoms, and medium-to-large effect sizes for the associations between maladaptive emotion regulation and eating disorders and eating-related symptoms. In terms of specific emotion regulation strategies, large magnitude of associations were identified for the relations between lack of emotional awareness, clarity, acceptance, reappraisal, problem-solving, and eating disorders. Rumination, avoidance of emotions, and suppression also showed large associations with anorexia nervosa and bulimia nervosa. Overall, emotion regulation did not differ across eating disorders, a finding supporting the transdiagnostic character of emotion regulation problems in eating pathology. These findings have important theoretical and practical implications for prevention and intervention programs.
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Broader measures of emotion regulation difficulties and abilities show consistent associations with internalizing and externalizing symptoms.
“Broader measures of emotion regulation, such as difficulties (Prefit et al., 2019; Seligowski et al., 2015) and abilities (Compas et al., 2017), have also shown consistent associations with internalizing and externalizing symptoms.”
From Emotion regulation as mediator between childhood adversity and psychopathology: A meta-analysis (2022) · cites this paper as Prefit et al., 2019
Reappraisal is negatively associated with psychopathology.
“suppression and rumination have been positively associated (Aldao, Nolen-Hoeksema, & Schweizer, 2010; Compas et al., 2017; Hu et al., 2014; Prefit, Candea, & Szentagotai-Tatar, 2019; Seligowski, Lee, Bardeen, & Orcutt, 2015), and reappraisal has been negatively associated (Aldao et al., 2010; Hu et al., 2014; Prefit et al., 2019; but see Seligowski et al., 2015) with psychopathology.”
From Emotion regulation as mediator between childhood adversity and psychopathology: A meta-analysis (2022) · cites this paper as Prefit et al., 2019
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Interpersonal, affective and compulsive features of driven exercise in anorexia nervosa
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Binge eating as emotion regulation? A meta-analysis of ecological momentary assessment studies
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- Authors
- Prefit, A.-B., Cândea, D. M., & Szentagotai-Tătar, A.
- Affiliations
- Babeș-Bolyai University (RO)
- Corresponding author
- Szentagotai-Tătar, Aurora
- Venue
- Appetite
- Publisher
- Elsevier BV
- Published
- 2019-12
- Volume
- 143
- Pages
- 104438
- ISSN
- 0195-6663 (ISSN-L)
- OpenAlex
- W2970290813
- Cited by
- 341
- References
- 128
- Citations by year
- 2026: 43 · 2025: 54 · 2024: 64 · 2023: 51 · 2022: 54 · 2021: 47 · 2020: 25 · 2019: 2
- FWCI
- 5.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Appetite (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- emotion regulation, eating disorders, anorexia nervosa, bulimia nervosa, emotional awareness, emotional clarity, acceptance, cognitive reappraisal, rumination, emotional suppression, emotion avoidance, problem solving, transdiagnostic mechanisms, maladaptive emotion regulation
- MeSH terms
- Rumination, Cognitive, Emotional Regulation, Adolescent, Adult, Affective Symptoms, Anorexia Nervosa, Feeding and Eating Disorders, Child, Female, Humans, Male, Problem Solving, Bulimia Nervosa, Young Adult
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