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Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa: A conceptual review of the empirical literature
Open accessAbstract
Several existing conceptual models and psychological interventions address or emphasize the role of emotion dysregulation in eating disorders. The current article uses Gratz and Roemer's (2004) multidimensional model of emotion regulation and dysregulation as a clinically relevant framework to review the extant literature on emotion dysregulation in anorexia nervosa (AN) and bulimia nervosa (BN). Specifically, the dimensions reviewed include: (1) the flexible use of adaptive and situationally appropriate strategies to modulate the duration and/or intensity of emotional responses, (2) the ability to successfully inhibit impulsive behavior and maintain goal-directed behavior in the context of emotional distress, (3) awareness, clarity, and acceptance of emotional states, and (4) the willingness to experience emotional distress in the pursuit of meaningful activities. The current review suggests that both AN and BN are characterized by broad emotion regulation deficits, with difficulties in emotion regulation across the four dimensions found to characterize both AN and BN, although a small number of more specific difficulties may distinguish the two disorders. The review concludes with a discussion of the clinical implications of the findings, as well as a summary of limitations of the existing empirical literature and suggestions for future research.
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“One recent review concluded that both AN and BN had demonstrated consistent associations with particular emotion regulation difficulties, including lack of awareness of emotions, lack of acceptance of emotions, negative beliefs about emotions or coping, and avoidance/suppression of emotions.”
From The Renfrew Unified Treatment for Eating Disorders and Comorbidity: Long-Term Effects of an Evidence-Based Practice Implementation in Residential Treatment (2021) · cites this paper as [15]
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Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Diagnostic and Statistical Manual of Mental Disorders
&NA; (1988) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-198802020-00022 · Cited by 12,603
Gross, J. J., & John, O. P. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.2.348 · Cited by 11,929
The emerging field of emotion regulation: an integrative review
Gross, J. J. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.3.271 · Cited by 9,916 · cited 1×
“A potential alternative framework would have been based on another model of emotion regulation, such as Gross’ (1998a; 1998b) process model, which classifies regulatory processes as antecedent-focused (i.e., those employed early in the emotion generation process) or response-focused (i.e., those…”
MethodGratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · cited 2×
“Dimensions of the Gratz and Roemer (2004) Multidimensional Model Dimension 1: To what extent is one able to flexibly use adaptive and situationally appropriate strategies to modulate emotional duration/intensity?”
BackgroundResultCarver, C. S., & White, T. L. (1994) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.67.2.319 · Cited by 7,306
Emotion-regulation strategies across psychopathology: A meta-analytic review
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.11.004 · Cited by 6,686
How do you feel — now? The anterior insula and human awareness
(Bud) Craig, A. D. (2009) · Nature Reviews Neuroscience · doi:10.1038/nrn2555 · Cited by 6,657 · cited 2×
“…speculation that the insula, a brain region that is important for emotional processing and self-awareness, may play a critical role in altered interoceptive awareness and ED symptoms in AN and BN (Craig, 2009; Nunn, Frampton, Fuglset, Törzsök-Sonnevend, & Lask, 2011; Wagner et al., 2008).”
BackgroundBagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90005-1 · Cited by 5,293
The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication
Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.03.040 · Cited by 4,973 · cited 1×
“For instance, high rates of co-occurring mood and anxiety disorders have been reported in both AN and BN (e.g., Hudson et al., 2007; Kaye et al., 2004; Lilenfeld, 2004).”
Background
Cited by
Sorted by citations
Sloan, E., Hall, K., Moulding, R., Bryce, S., Mildred, H., & Staiger, P. K. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.09.002 · Cited by 1,052
“…ER strategies that predominantly examine non-clinical samples, overall difficulties in ER are more frequently examined within clinical treatment-seeking populations, including individuals with eating related pathology (Lavender et al., 2015) and BPD (Bornovalova et al., 2008; Stepp et al., 2014).”
BackgroundGuendelman, S., Medeiros, S., & Rampes, H. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00220 · Cited by 577
“, 2015), and anorexia and bulimia nervosa (Lavender et al., 2015).”
BackgroundCan interoception improve the pragmatic search for biomarkers in psychiatry?
Khalsa, S. S., & Lapidus, R. C. (2016) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2016.00121 · Cited by 366
“Interoceptive dysfunction in AN can also be located within descriptions of “emotion dysregulation” (190), “poor distress tolerance,” (191) and perhaps most tellingly, “alexithymia” or the inability to discriminate between emotional states and bodily sensations (192, 193).”
BackgroundSakiris, N., & Berle, D. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.101751 · Cited by 369
Emotion regulation across eating pathology: A meta-analysis
Prefit, A.-B., Cândea, D. M., & Szentagotai-Tătar, A. (2019) · Appetite · doi:10.1016/j.appet.2019.104438 · Cited by 341
Westwood, H., Kerr-Gaffney, J., Stahl, D., & Tchanturia, K. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.06.007 · Cited by 354
“For example, a review [97] used a multidimensional framework to map out emotion regulation difficulties in AN and BN.”
Bullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D. H. (2019) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12278 · Cited by 216
“Recent research has begun to emphasize disturbances in the experience and appraisal of emotions as a core feature that contributes to the development and maintenance of eating disorders (e.g., Lavender et al., 2015; Oldershaw, Lavender, Sallis, Stahl, & Schmidt, 2015).”
BackgroundRumination and eating disorder psychopathology: A meta-analysis
Smith, K. E., Mason, T. B., & Lavender, J. M. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.03.004 · Cited by 214
“…posit that ED behaviors function as maladaptive strategies to escape from or regulate negative affective states, which is consistent with an extensive body of literature demonstrating emotion regulation difficulties among individuals with EDs (e.g., Lavender et al., 2015; Kittel et al., 2015).”
BackgroundResultSmith, K. E., Mason, T. B., Johnson, J. S., Lavender, J. M., & Wonderlich, S. A. (2018) · International Journal of Eating Disorders · doi:10.1002/eat.22929 · Cited by 170
Self-citationMölbert, S. C., Klein, L., Thaler, A., Mohler, B. J., Brozzo, C., Martus, P., Karnath, H., Zipfel, S., & Giel, K. E. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.08.005 · Cited by 170
Engel, S., Crosby, R., Thomas, G., Bond, D., Lavender, J. M., Mason, T. B., Steffen, K., Green, D. D., & Wonderlich, S. (2016) · Current Psychiatry Reports · doi:10.1007/s11920-016-0672-7 · Cited by 153
Schaefer, L. M., Smith, K. E., Anderson, L., Cao, L., Crosby, R., Engel, S., Crow, S., Peterson, C., & Wonderlich, S. (2020) · Journal of Abnormal Psychology · doi:10.1037/abn0000517 · Cited by 136
“As prior work indicates that individual eating disorder diagnoses may be associated with unique patterns of affective experience and emotional disturbance (Lavender et al., 2015), the application of multilevel modeling approaches to characterize the trajectories of affective experiences surrounding binge eating in BED…”
BackgroundColmenero-Navarrete, L., García-Sancho, E., & Salguero, J. M. (2022) · Archives of Suicide Research · doi:10.1080/13811118.2021.1999872 · Cited by 155
“…have been found to be associated with the use of maladaptive strategies (Kwon, Eoh, & Park, 2020; Vine, Aldao, & Nolen-Hoeksema, 2014) and higher levels of psychopathology (Lavender et al., 2015; McLaughlin, Mennin, & Farach, 2007; Tull, Barrett, McMillan, & Roemer, 2007; Weinberg & Klonsky, 2009).”
BackgroundDunn, E. C., Nishimi, K. M., Gomez, S. H., Powers, A. D., & Bradley, B. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.10.045 · Cited by 166
“, 2015), eating disorders (Lavender et al., 2015), substance-use disorders (Berking et al.”
BackgroundThe Role of Emotion Regulation in Eating Disorders: A Network Meta-Analysis Approach
Leppänen, J., Brown, D., McLinden, H., Tchanturia, K., & Williams, S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.793094 · Cited by 184
“Findings from a review of experimental and self-report studies support this notion reporting links between suppression and non-acceptance of emotion among people with AN and BN (150).”
BackgroundAre the Motives for Food Choices Different in Orthorexia Nervosa and Healthy Orthorexia?
Depa, J., Barrada, J. R., & Roncero, M. (2019) · Nutrients · doi:10.3390/nu11030697 · Cited by 143
“Moreover, it has been demonstrated that difficulties with emotional regulation play an important role in the etiology and maintenance of several mental disorders, such as eating disorders [58].”
BackgroundRobinson, P. H., Hellier, J. M., Barrett, B. M., Barzdaitiene, D., BATEMAN, A. W., Bogaardt, A., Clare, A., Somers, N., O’Callaghan, A., Goldsmith, K., et al. (2016) · Trials · doi:10.1186/s13063-016-1606-8 · Cited by 140
“Moreover, MBT is particularly appropriate for testing in eating disordered patients because the latter have been shown to have several features linked to mentalising function, including attachment insecurity [4], problems with emotion regulation [5, 6], disturbances of emotional theory of mind (eTOM) in anorexia nervo…”
BackgroundMonell, E., Clinton, D. N., & Birgegård, A. (2018) · International Journal of Eating Disorders · doi:10.1002/eat.22925 · Cited by 131
“Among multiple definitions and measures of emotion dysregulation, the trait-level multidimensional approach of Gratz and Roemer (2004) is increasingly used, and relevant for EDs (Lavender et al., 2015).”
MethodSchaumberg, K., Reilly, E. E., Gorrell, S., Levinson, C. A., Farrell, N. R., Brown, T. A., Smith, K. M., Schaefer, L. M., Essayli, J. H., Haynos, A. F., et al. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101952 · Cited by 121
Vuillier, L., May, L., Greville-Harris, M., Surman, R., & Moseley, R. L. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-020-00362-9 · Cited by 140
Virtual reality in the treatment of eating disorders
Riva, G., Malighetti, C., & Serino, S. (2021) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2622 · Cited by 138
“…impairment produces difficulties in identifying and using the appropriate strategies to modulate the emotional response, that could lead to behavioural control difficulties in stressful situation, as well as avoiding emotional eliciting situations (Caslini et al., 2016; Lavender et al., 2015).”
BackgroundOldershaw, A., Startup, H. M., & Lavender, T. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00219 · Cited by 131
Riva, G., & Dakanalis, A. (2018) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2018.00049 · Cited by 103
“As reported by various authors, individuals with EDs have emotional (Bydlowski et al., 2005; Lavender et al., 2015), visual (Engel and Keizer, 2017; Feusner et al., 2017), tactile (Keizer et al., 2011; Gaudio et al., 2014), proprioceptive (Case et al., 2012; Guardia et al., 2012) and interoceptive…”
BackgroundImpact of gut microbiota on neurological diseases: Diet composition and novel treatments
Larroya-García, A., Navas-Carrillo, D., & Orenes‐Piñero, E. (2018) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2018.1484340 · Cited by 109
“Anorexia nervosa (AN) is one of the most common chronical diseases in teenagers (Lavender et al. 2015).”
BackgroundDifferences in Emotion Regulation Difficulties Across Types of Eating Disorders During Adolescence
Weinbach, N., Sher, H., & Bohon, C. (2017) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-017-0365-7 · Cited by 107
Burton, A. L., & Abbott, M. J. (2019) · Journal of Eating Disorders · doi:10.1186/s40337-019-0248-0 · Cited by 100
Peterson, C. B., Engel, S. G., Crosby, R. D., Strauman, T. J., Smith, T. L., Klein, M. H., Crow, S. J., Mitchell, J. E., Erickson, A. L., Cao, L., et al. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23324 · Cited by 87
Grant, M., Salsman, N. L., & Berking, M. (2018) · PLoS ONE · doi:10.1371/journal.pone.0205095 · Cited by 109
Restrictive eating is associated with emotion regulation difficulties in a non-clinical sample
Haynos, A. F., Wang, S. B., & Fruzzetti, A. E. (2018) · Eating Disorders · doi:10.1080/10640266.2018.1418264 · Cited by 75
“First, prior work has demonstrated that individuals with eating disorders have emotion regulation deficits (Lavender et al., 2015) and that restrictive eating may function to regulate emotions in these populations (Haynos et al., 2016).”
BackgroundMiller, A. E., & Racine, S. E. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1799804 · Cited by 71
Pisetsky, E. M., Haynos, A. F., Lavender, J. M., Crow, S. J., & Peterson, C. B. (2017) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2016.11.012 · Cited by 69
Lattimore, P. J., Mead, B. R., Irwin, L., Grice, L., Carson, R., & Malinowski, P. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.11.022 · Cited by 78
“example being unable to distinguish hunger from anxiety, stand out as a common feature across anorexia and bulimia nervosa (Lavender et al., 2015; Lavender et al., 2014; Merwin, 2011; Merwin et al., 2013; Merwin et al., 2011; Merwin, Zucker, Lacy, & Elliott, 2010; Milos, Spindler, & Schnyder, 2004).”
BackgroundInfluentialHaynos, A., Berg, K. C., Cao, L., Crosby, R., Lavender, J. M., Utzinger, L. M., Wonderlich, S., Engel, S., Mitchell, J., Grange, D. L., et al. (2016) · Journal of Abnormal Psychology · doi:10.1037/abn0000202 · Cited by 69
“The identification of subtype differences in affective patterns relative to restrictive eating could allow for greater clarity regarding the relationship between affect and restriction and provide critical information for treatment development (Lavender et al., 2015).”
BackgroundSelf-silencing and women’s health: A review
Maji, S., & Dixit, S. (2018) · International Journal of Social Psychiatry · doi:10.1177/0020764018814271 · Cited by 86
Conceptualising Binge Eating: A Review of the Theoretical and Empirical Literature
Burton, A. L., & Abbott, M. J. (2017) · Behaviour Change · doi:10.1017/bec.2017.12 · Cited by 68
“Although deficits in emotional regulation ability have been observed across different eating disorder diagnostic groups (AN, BN, BED) and other psychological conditions such as borderline personality disorder and major depressive disorder (Lavender et al., 2015; Svaldi, Geirpenstroh, Tuschen-Caffier, & Ehring, 2012),…”
BackgroundInfluentialSeidel, M., King, J. A., Ritschel, F., Boehm, I., Geisler, D., Bernardoni, F., Holzapfel, L., Diestel, S., Diers, K., Strobel, A., et al. (2018) · Translational Psychiatry · doi:10.1038/s41398-017-0004-7 · Cited by 67
Anderson, L. K., Claudat, K., Cusack, A., Brown, T. A., Trim, J., Rockwell, R. E., Nakamura, T., Gomez, L., & Kaye, W. H. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22638 · Cited by 64
“A recent review shows that individuals with AN-restricting subtype (AN-R), AN-binge purge subtype (AN-BP), and BN have demonstrated similar levels of impairment in global emotion dysregulation, including a limited repertoire of ER skills, a tendency to utilizemoremaladaptive skills, reduced capacity for tolerating emo…”
InfluentialSmith, K. E., Mason, T. B., Schaefer, L. M., Juarascio, A. S., Dvorak, R. D., Weinbach, N., Crosby, R. D., & Wonderlich, S. A. (2019) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2019.10.017 · Cited by 64
“, BN) and without compensatory behaviors (e.g., BED; Lavender et al., 2015; Leehr et al., 2015).”
BackgroundTomba, E., Tecuta, L., Crocetti, E., Squarcio, F., & Tomei, G. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23095 · Cited by 69
Recent Research on Bulimia Nervosa
Wade, T. D. (2018) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2018.10.002 · Cited by 64
Rowsell, M., MacDonald, D. E., & Carter, J. C. (2016) · Journal of Eating Disorders · doi:10.1186/s40337-016-0108-0 · Cited by 73
“In a recent review article, Lavender and colleagues [11] examined the research evidence for applying Gratz and Roemer’s [12] multidimensional model of emotion dysregulation in conceptualizing emotion regulation difficulties in AN.”
BackgroundDalton, B., Foerde, K., Bartholdy, S., McClelland, J., Kekic, M., Grycuk, L., Campbell, I. C., Schmidt, U. H., & STEINGLASS, J. E. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23267 · Cited by 60
“Maladaptive (excessive) self-control is commonly described in AN, affecting dietary choices, emotion regulation, and the ability to delay gratification, among other processes (Fairburn, Shafran, & Cooper, 1999; Lavender et al., 2015; Steward et al., 2017).”
BackgroundNormal interoceptive accuracy in women with bulimia nervosa
Pollatos, O., & Georgiou, E. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.04.072 · Cited by 60
“On the other hand, BN patients were found to show elevated levels of emotion dysregulation (Lavender et al., 2015), something that could be connected to an impaired IAc, because the perception of bodily changes is a central concept in several theories of emotions (James, 1884; Damasio, 1994; Craig, 2004) and the aware…”
BackgroundEmbodied self-regulation and mindful self-care in the prevention of eating disorders
Cook-Cottone, C. (2016) · Eating Disorders · doi:10.1080/10640266.2015.1118954 · Cited by 56
Processing and regulation of negative emotions in anorexia nervosa: An fMRI study
Seidel, M., King, J. A., Ritschel, F., Boehm, I., Geisler, D., Bernardoni, F., Beck, M., Pauligk, S., Biemann, R., Strobel, A., et al. (2017) · NeuroImage Clinical · doi:10.1016/j.nicl.2017.12.035 · Cited by 60
“Broader impairments in emotion regulation have also been reported (Lavender et al., 2015; Oldershaw et al., 2015) which may entail increased usage of maladaptive emotion regulation strategies such as suppression or rumination (Aldao et al., 2010).”
Racine, S. E., & Horvath, S. A. (2018) · Eating Disorders · doi:10.1080/10640266.2018.1418381 · Cited by 57
“BN and BED are characterized by broad difficulties in emotion regulation, including poor emotional awareness and clarity, impulse control difficulties when upset, and lack of access to effective strategies (Kittel, Brauhardt, & Hilbert, 2015; Lavender et al., 2015).”
BackgroundKiss-Leizer, M., Tóth‐Király, I., & Rigó, A. (2019) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-019-00642-7 · Cited by 69
Christensen, K. A., & Haynos, A. F. (2020) · Journal of Eating Disorders · doi:10.1186/s40337-020-00298-0 · Cited by 62
Wonderlich, J. A., Crosby, R., Engel, S., Crow, S., Peterson, C., Grange, D. L., Wonderlich, S., & Fischer, S. F. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23648 · Cited by 46
“Emotions are functionally associated with a variety of eating disorder behaviors across diagnostic categories (Lavender et al., 2015).”
BackgroundMental Capacity, Decision-Making and Emotion Dysregulation in Severe Enduring Anorexia Nervosa
van Elburg, A., Danner, U. N., Sternheim, L. C., Lammers, M., & Elzakkers, I. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.545317 · Cited by 55
“Diminished MC could function as a marker for more severe deficits in decision-making, and underlying disturbed emotional processing, and serve to guide treatment toward implementing a stronger focus on these emotional issues (33, 40).”
BackgroundBerner, L. A., Crosby, R. D., Cao, L., Engel, S. G., Lavender, J. M., Mitchell, J. E., & Wonderlich, S. A. (2017) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2017.04.009 · Cited by 60
“Individuals with BN report poorer behavioral control when in distress (Harrison et al., 2010; Svaldi et al., 2012), and selfreported emotion regulation difficulties have been associated with eating disorder cognitions and compensatory behaviors in BN (Lavender et al., 2014, 2015).”
BackgroundMonteleone, A. M., Tzischinsky, O., Cascino, G., Alon, S., Pellegrino, F., Ruzzi, V., & Latzer, Y. (2021) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-021-01169-6 · Cited by 54
Schaefer, L. M., & STEINGLASS, J. E. (2021) · Current Psychiatry Reports · doi:10.1007/s11920-020-01213-9 · Cited by 51
Alexithymia may explain the relationship between autistic traits and eating disorder psychopathology
Vuillier, L., Carter, Z., Teixeira, A. R., & Moseley, R. L. (2020) · Molecular Autism · doi:10.1186/s13229-020-00364-z · Cited by 48
“been suggested to increase risk of psychopathology as part of greater difficulties with emotion regulation, including having limited strategies; poorer emotional awareness and differentiation (the alexithymia aspect); poorer inhibition of impulses, especially when distressed; and lower likelihood of being accepting an…”
BackgroundSteenkamp, M. M., Suvak, M. K., Dickstein, B. D., Shea, M. T., & Litz, B. T. (2015) · Journal of Personality Disorders · doi:10.1521/pedi_2014_28_174 · Cited by 51
Computerised analysis of facial emotion expression in eating disorders
Leppänen, J., Dapelo, M. M., Davies, H. A., Lang, K., Treasure, J. L., & Tchanturia, K. (2017) · PLoS ONE · doi:10.1371/journal.pone.0178972 · Cited by 50
“However, BN has also been suggested to be characterised by elevated sensation seeking, urgency, and difficulties in behavioural inhibition during times of distress [42, 43].”
BackgroundResultThe Impact of Alexithymia on Emotion Dysregulation in Anorexia Nervosa and Bulimia Nervosa over Time
Brown, T. A., Avery, J. C., Jones, M. D., Anderson, L. K., Wierenga, C. E., & Kaye, W. H. (2017) · European Eating Disorders Review · doi:10.1002/erv.2574 · Cited by 50
Behavioral functions underlying NSSI and eating disorder behaviors
Muehlenkamp, J. J., Suzuki, T., Brausch, A. M., & Peyerl, N. L. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22745 · Cited by 53
Mallorquí‐Bagué, N., Testa, G., Lozano‐Madrid, M., Vintró‐Alcaraz, C., Sánchez, I., Riesco, N., Granero, R., Perales, J. C., Navas, J. F., Megías‐Robles, A., et al. (2020) · European Eating Disorders Review · doi:10.1002/erv.2734 · Cited by 51
State of the Art: The Therapeutic Approaches to Bulimia Nervosa
Hagan, K. E., & Walsh, B. T. (2020) · Clinical Therapeutics · doi:10.1016/j.clinthera.2020.10.012 · Cited by 48
Dimensions of impulsivity in relation to eating disorder recovery
Bardone‐Cone, A. M., Butler, R. M., Balk, M. R., & Koller, K. A. (2016) · International Journal of Eating Disorders · doi:10.1002/eat.22579 · Cited by 48
Psychological Predictors of Unhealthy Eating Attitudes in Young Adults
Izydorczyk, B., Sitnik‐Warchulska, K., Lizińczyk, S., & Lipiarz, A. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00590 · Cited by 49
“Many studies also confirm the importance of emotional disorders in binge eating and bulimia (Pascual et al., 2011; Svaldi et al., 2012; Lavender et al., 2015).”
BackgroundLawlor, C., Hepworth, C., Smallwood, J., Carter, B., & Jolley, S. (2019) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2408 · Cited by 51
Emotion Dysregulation within the CBT-E Model of Eating Disorders: A Narrative Review
Trompeter, N., Bussey, K., Forbes, M., & Mitchison, D. (2021) · Cognitive Therapy and Research · doi:10.1007/s10608-021-10225-5 · Cited by 39
“Taken together, these studies suggest that women with eating disorders experience heightened emotional response to acute stressors, supporting the larger base of correlational research indicating that individuals with eating disorders report emotion regulation difficulties when faced with emotional stressors (Lavender…”
BackgroundInfluentialPacanowski, C. R., Diers, L., Crosby, R. D., & Neumark‐Sztainer, D. (2016) · Eating Disorders · doi:10.1080/10640266.2016.1237810 · Cited by 47
“Future research investigating how yoga is able to facilitate reduction in negative affect and related outcomes in eating disorder clients may add to the theoretical literature on affect regulation in eating disorders (Lavender et al., 2015).”
BackgroundOrthorexic tendencies are linked with difficulties with emotion identification and regulation
Vuillier, L., Robertson, S., & Greville-Harris, M. (2020) · Journal of Eating Disorders · doi:10.1186/s40337-020-00291-7 · Cited by 46
“It was interesting to find that emotion regulation difficulties were associated with ON tendencies because this is consistent with previous literature on other eating disorders [9].”
BackgroundResultJuarascio, A. S., Srivastava, P., Presseller, E. K., Clark, K. E., Manasse, S. M., & Forman, E. M. (2021) · JMIR Formative Research · doi:10.2196/18261 · Cited by 49
“A growing body of literature has identified that the use of therapeutic skills such as mood management techniques and the resulting improvements in the ability to manage negative affect during CBT for BN are associated with symptom improvement [12,14].”
Puttevils, L., Vanderhasselt, M., Horczak, P., & Vervaet, M. (2021) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2021.152262 · Cited by 52
“Most of the studies so far have focused on ER difficulties in both AN and BN patients [6,18,20,22,26,27], as well as on conceptually reviewing the existing literature on ER in AN and BN [28] [28].”
BackgroundResultNegative urgency and expectancies increase vulnerability to binge eating in bulimia nervosa
Fischer, S., Wonderlich, J., Breithaupt, L., Byrne, C., & Engel, S. (2018) · Eating Disorders · doi:10.1080/10640266.2018.1418253 · Cited by 43
“High levels of negative emotions increase the vulnerability to binge eating (Lavender et al., 2015; Pearson, Wonderlich, & Smith, 2015).”
BackgroundMethodInfluentialSelf-citationLevinson, C. A., Sala, M., Fewell, L., Brosof, L. C., Fournier, L., & Lenze, E. J. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.03.008 · Cited by 43
Miller, A. E., Trolio, V., Halicki‐Asakawa, A., & Racine, S. E. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23731 · Cited by 44
Smith, K. E., Mason, T. B., Crosby, R. D., Engel, S. G., Crow, S. J., Wonderlich, S. A., & Peterson, C. B. (2017) · Appetite · doi:10.1016/j.appet.2017.09.020 · Cited by 47
Simon, J. J., Stopyra, M. A., & Friederich, H. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8071047 · Cited by 46
“Accordingly, a broad range of emotion regulation deficits have been observed in patients with AN [78,79] and have been shown to correlate with AN psychopathology [80,81].”
BackgroundCassioli, E., Rossi, E., D’Anna, G., Martelli, M., Hazzard, V. M., Crosby, R. D., Wonderlich, S. A., Ricca, V., & Castellini, G. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23647 · Cited by 44
“…of the scientific community in emotion dysregulation and its established relevance in cross-sectional studies (Haynos & Fruzzetti, 2011; Lavender et al., 2015; Treasure & Schmidt, 2013), experts have noted a remarkable lack of clinical evidence from longitudinal studies (Lavender et al., 2015).”
BackgroundResultInfluentialOldershaw, A., Lavender, T., & Schmidt, U. H. (2018) · European Eating Disorders Review · doi:10.1002/erv.2602 · Cited by 42
Emotion regulation, emotion recognition, and empathy in adolescents with anorexia nervosa
Nalbant, K., Kalaycı, B. M., Akdemir, D., Akgül, S., & Kanbur, N. (2019) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-019-00768-8 · Cited by 43
Sfärlea, A., Dehning, S., Keller, L. K., & Schulte‐Körne, G. (2019) · Journal of Eating Disorders · doi:10.1186/s40337-019-0271-1 · Cited by 40
Obeïd, S., Hallit, S. R., Akel, M., & Brytek‐Matera, A. (2021) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-021-01112-9 · Cited by 43
MacDonald, D. E., Trottier, K., & Olmsted, M. P. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22766 · Cited by 45
Brown, T. A., Cusack, A., Berner, L. A., Anderson, L. K., Nakamura, T., Gomez, L., Trim, J., Chen, J. Y., & Kaye, W. H. (2019) · Behavior Therapy · doi:10.1016/j.beth.2019.07.002 · Cited by 44
“DBT has demonstrated efficacy in improving primary ED symptoms for bulimic-spectrum EDs compared to waitlist (Safer, Telch, & Agras, 2001; Telch, Agras, & Linehan, 2001) and active control conditions (Chen et al., 2017; Safer, Robinson, & Jo, 2010).”
InfluentialWonderlich, J. A., Bershad, M., & STEINGLASS, J. E. (2021) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s282554 · Cited by 47
“Affective neuroscience initially focused on the limbic system (ie, amygdala, anterior insula, anterior ventral striatum, and ventral regions of the ACC); however, more recently some have suggested that affective processing extends more broadly to include ventromedial and dorsolateral PFC and OFC.23,79,87 To date, neur…”
BackgroundHunger increases negative and decreases positive emotions in women with a healthy weight
Ackermans, M. A., Jonker, N. C., Bennik, E. C., & de Jong, P. J. (2021) · Appetite · doi:10.1016/j.appet.2021.105746 · Cited by 41
Treasure, J. L., & Cardi, V. (2017) · European Eating Disorders Review · doi:10.1002/erv.2511 · Cited by 46
Monteleone, A. M., Ruzzi, V., Patriciello, G., Cascino, G., Pellegrino, F., Vece, A., Monteleone, P., & Maj, M. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.051 · Cited by 30
Juarascio, A. S., Manasse, S. M., Clark, K. E., Schaumberg, K., Kerrigan, S. G., Goldstein, S. P., Evans, B. C., Wyckoff, E. P., Murray, H. B., Felonis, C. R., et al. (2020) · Personality and Individual Differences · doi:10.1016/j.paid.2020.109859 · Cited by 39
Considering alternative calculations of weight suppression
Schaumberg, K., Anderson, L. M., Reilly, E. E., Gorrell, S., Anderson, D. A., & Earleywine, M. (2015) · Eating Behaviors · doi:10.1016/j.eatbeh.2015.11.003 · Cited by 39
Smith, K. E., Mason, T. B., Crosby, R. D., Engel, S. G., & Wonderlich, S. A. (2019) · Appetite · doi:10.1016/j.appet.2019.01.014 · Cited by 43
“Negative affect and emotion dysregulation have been established as important risk and maintenance factors for binge eating (Lavender et al., 2015; Leehr et al., 2015).”
BackgroundNordgren, L., Monell, E., Birgegård, A., Bjureberg, J., & Hesser, H. (2019) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-019-09765-8 · Cited by 38
Neuropsychological and Cognitive Correlates of Recovery in Anorexia Nervosa
Harper, J. A., Brodrick, B. B., Enkevort, E. A. V., & McAdams, C. J. (2017) · European Eating Disorders Review · doi:10.1002/erv.2539 · Cited by 38
“…been associated with differences in neuropsychological functioning (Westwood, Stahl, Mandy, & Tchanturia, 2016), self-esteem (Collin et al., 2016), emotional processing (Lavender et al., 2015; Westwood, Kerr-Gaffney, Stahl, & Tchanturia, 2017), and interpersonal function (Tchanturia et al., 2013).”
Gender-Related Patterns of Emotion Regulation among Patients with Eating Disorders
Agüera, Z., Paslakis, G., Munguía, L., Sánchez, I., Granero, R., Sánchez-González, J., Steward, T., Jiménez-Múrcia, S., & Fernández-Aranda, F. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8020161 · Cited by 31
“have reported decreased effective ER strategies among female patients with ED when compared with HC [10,56], suggesting that a lack of effective ER skills may prompt individuals to use disordered or abnormal eating behaviors to regulate negative affect [57], as well as contribute to body dissatisfaction and disordered…”
Avoidance in Anorexia Nervosa: Towards a research agenda
Melles, H., Spix, M., & Jansen, A. (2021) · Physiology & Behavior · doi:10.1016/j.physbeh.2021.113478 · Cited by 37
“Furthermore, patients with anorexia nervosa endorse more negative attitudes and beliefs towards intense emotional states (negative and positive) and therefore, might engage in more experiential avoidance or suppression [63, 96].”
BackgroundLevinson, C. A., Brosof, L. C., Ma, J., Fewell, L. K., & Lenze, E. J. (2017) · Eating Behaviors · doi:10.1016/j.eatbeh.2017.11.004 · Cited by 37
Cuesta-Zamora, C., González-Martí, I., & López, L. M. G. (2018) · Personality and Individual Differences · doi:10.1016/j.paid.2017.12.021 · Cited by 47
“Recent literature underscores the critical role of difficulties in emotion regulation (Fairburn, Cooper, & Shafran, 2003; Haynos & Fruzzetti, 2011; Lavender et al., 2015; Oldershaw, Lavender, Sallis, Stahl, & Schmidt, 2015; Pisetsky, Haynos, Lavender, Crow, & Peterson, 2017), and emotional…”
Bodell, L. P., Pearson, C. M., Smith, K. E., Cao, L., Crosby, R. D., Peterson, C. B., Crow, S. J., & Berg, K. C. (2018) · Eating Behaviors · doi:10.1016/j.eatbeh.2018.12.005 · Cited by 37
A network analysis of borderline personality disorder symptoms and disordered eating
Paoli, T. D., Fuller‐Tyszkiewicz, M., Huang, C., & Krug, I. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22916 · Cited by 37
“…with ED reporting more emotion regulation difficulties including higher levels of emotion intensity, lower acceptance of emotions, less emotional awareness and clarity, and increased use of dysfunctional emotion regulation strategies when compared to healthy controls (Lavender et al., 2015).”
BackgroundReilly, E. E., Orloff, N. C., Luo, T. J., Berner, L. A., Brown, T. A., Claudat, K., Kaye, W. H., & Anderson, L. K. (2020) · Eating Disorders · doi:10.1080/10640266.2020.1743098 · Cited by 37
“…is a theoretical reason to believe that emotion dysregulation may be implicated across diagnostic presentations (e.g., Haynos & Fruzzetti, 2011; Lavender et al., 2015), future work should directly test whether DBT is best suited to target eating disorder presentations characterized by…”
Body image, self-esteem, emotion regulation, and eating disorders in adults: a systematic review
Abdoli, M., Schiechtl, E., Rosato, M. S., Mangweth‐Matzek, B., Cotrufo, P., & Hüfner, K. (2025) · Neuropsychiatrie · doi:10.1007/s40211-025-00544-4 · Cited by 46
“There has been a clear link between negative emotional states, such as anxiety and depression, and an increase in binge eating episodes [36, 41].”
MacDonald, D. E., McFarlane, T., Dionne, M. M., David, L., & Olmsted, M. P. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000221 · Cited by 39
Smith, K. E., Hayes, N. A., Styer, D. M., & Washburn, J. J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.08.014 · Cited by 36
“Both EDs and NSSI are associated with a range of emotion regulation deficits (e.g., Klonsky, 2007; Lavender et al., 2015).”
BackgroundClaudat, K., Brown, T. A., Anderson, L. K., Bongiorno, G., Berner, L. A., Reilly, E. E., Luo, T. J., Orloff, N. C., & Kaye, W. H. (2020) · Eating Disorders · doi:10.1080/10640266.2020.1740913 · Cited by 36
“Theoretically, it is believed that binge-purge behaviors are more closely linked to substance abuse, as there is evidence for an increased association between these behaviors and impulsivity and emotion regulation difficulties (e.g., Kober, 2014; Lavender et al., 2015).”
Metadata
- Authors
- Lavender, J. M., Wonderlich, S. A., Engel, S. G., Gordon, K. H., Kaye, W. H., & Mitchell, J. E.
- Affiliations
- University of North Dakota (US)
- North Dakota State University (US)
- University of California San Diego (US)
- Corresponding author
- Lavender, Jason M.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 40
- Pages
- 111-122
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC4537813
- OpenAlex
- W585778545
- Cited by
- 512
- References
- 156
- Citations by year
- 2026: 45 · 2025: 45 · 2024: 45 · 2023: 38 · 2022: 58 · 2021: 69 · 2020: 52 · 2019: 50 · 2018: 40 · 2017: 38 · 2016: 26 · 2015: 5
- FWCI
- 5.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Public Health Service (K23 101342)
- National Institute of Mental Health (K23MH101342, T32MH082761)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- emotional dysregulation, anorexia nervosa, bulimia nervosa, eating disorders, emotion regulation, emotional awareness, emotional acceptance, emotional distress, goal-directed behavior, psychological intervention
- MeSH terms
- Self-Control, Anorexia Nervosa, Emotions, Humans, Bulimia Nervosa
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