Cited by 341Eating Disorders and BehaviorsNutrition, Health and Food BehaviorAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Emotion regulation across eating pathology: A meta-analysis

Prefit, Alice-Beatrice, Cândea, Diana Mirela, Szentagotai-Tătar, Aurora·2019·Appetite

DOI 10.1016/j.appet.2019.104438

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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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Authors: Prefit, A.-B., Cândea, D. M., & Szentagotai-Tătar, A.
Affiliations: Babeș-Bolyai University (RO)
Corresponding author: Szentagotai-Tătar, Aurora
ORCID: Prefit, Alice-Beatrice
Venue: Appetite
Publisher: Elsevier BV
Published: 2019-12
Volume: 143
Pages: 104438
ISSN: 0195-6663 (ISSN-L)
DOI: 10.1016/j.appet.2019.104438
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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Emotion regulation across eating pathology: A meta-analysis

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