Emotion regulation deficits in eating disorders: a marker of eating pathology or general psychopathology?
Abstract
Preliminary evidence indicates that individuals with eating disorders (ED) show emotion regulation (ER) difficulties. However, it is yet unclear whether different types of ED differ in their ER profile and whether certain ER difficulties are specific for ED or rather a transdiagnostic factor. Twenty women with anorexia nervosa (AN), 18 with bulimia nervosa (BN), 25 with binge eating disorder (BED), 15 with borderline personality disorder (BPD), 16 with major depressive disorder (MDD) and 42 female healthy controls (HC) were administered the Emotion Regulation Questionnaire, the Inventory of Cognitive Affect Regulation Strategies, the Difficulties in Emotion Regulation Scale and the Affect Intensity Measure. The ED groups reported significantly higher levels of emotion intensity, lower acceptance of emotions, less emotional awareness and clarity, more self-reported ER problems as well as decreased use of functional and increased use of dysfunctional emotion regulation strategies when compared to HC. No significant differences between the ED groups emerged for most ER variables. However, there were indications that the BED group may show a slightly more adaptive pattern of ER than the two other ED groups. As a whole, all clinical groups performed very similar on most ER variables and reported more difficulties regulating their emotions than HC. The findings suggest that ER difficulties are not linked to a particular diagnostic category. Instead, ER difficulties appear to be a transdiagnostic risk and/or maintenance factor rather than being disorder-specific.
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Observer-rated adherence to the UT was in the excellent range, with scores ranging from 80-100% across all rated sessions (M = 96.99%, SD = 0.07).
“Observer-rated adherence was in the excellent range, with scores ranging from 80–100% across all rated sessions (M = 96.99%, SD = 0.07).”
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 [31]
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- Authors
- Svaldi, J., Griepenstroh, J., Tuschen-Caffier, B., & Ehring, T.
- Affiliations
- University of Freiburg (DE)
- University of Amsterdam (NL)
- Corresponding author
- Svaldi, Jennifer
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 197
- Issue
- 1-2
- Pages
- 103-111
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2165797531
- Cited by
- 408
- References
- 106
- Citations by year
- 2026: 12 · 2025: 21 · 2024: 30 · 2023: 27 · 2022: 31 · 2021: 41 · 2020: 25 · 2019: 41 · 2018: 32 · 2017: 33 · 2016: 38 · 2015: 27 · 2014: 35 · 2013: 12 · 2012: 2
- FWCI
- 27.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- emotion regulation, eating disorders, anorexia nervosa, bulimia nervosa, binge eating disorder, borderline personality disorder, major depressive disorder, transdiagnostic factors, emotion regulation strategies, emotional intensity, emotional awareness
- MeSH terms
- Adult, Affective Symptoms, Analysis of Variance, Anorexia Nervosa, Feeding and Eating Disorders, Awareness, Borderline Personality Disorder, Major Depressive Disorder, Female, Humans, Psychiatric Status Rating Scales, Surveys and Questionnaires, Statistics as Topic, Bulimia Nervosa, Young Adult, Binge-Eating Disorder
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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