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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, 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
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“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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Metadata
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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