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Development and Validation of a State-Based Measure of Emotion Dysregulation: The State Difficulties in Emotion Regulation Scale (S-DERS)
Open accessAbstract
Existing measures of emotion dysregulation typically assess dispositional tendencies and are therefore not well suited for study designs that require repeated assessments over brief intervals. The aim of this study was to develop and validate a state-based multidimensional measure of emotion dysregulation. Psychometric properties of the State Difficulties in Emotion Regulation Scale (S-DERS) were examined in a large representative community sample of young adult women drawn from four sites ( N = 484). Exploratory factor analysis suggested a four-factor solution, with results supporting the internal consistency, construct validity, and predictive validity of the total scale and the four subscales: Nonacceptance (i.e., nonacceptance of current emotions), Modulate (i.e., difficulties modulating emotional and behavioral responses in the moment), Awareness (i.e., limited awareness of current emotions), and Clarity (i.e., limited clarity about current emotions). S-DERS scores were significantly associated with trait-based measures of emotion dysregulation, affect intensity/reactivity, experiential avoidance, and mindfulness, as well as measures of substance use problems. Moreover, significant associations were found between the S-DERS and state-based laboratory measures of emotional reactivity, even when controlling for the corresponding original DERS scales. Results provide preliminary support for the reliability and validity of the S-DERS as a state-based measure of emotion regulation difficulties.
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“Non-acceptance demonstrated convergent validity, showing significant moderate-to-large correlations with the DERS non-acceptance subscale ( r= .44) and the AAQ ( r =.41).”
From Psychometric properties of acceptance measures: A systematic review (2019) · cites this paper as Lavender et al. (2017)
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Despite being styled on the DERS, EFA demonstrated a different factor solution; four of the original six factors remained, one of which was the non-acceptance scale.”
From Psychometric properties of acceptance measures: A systematic review (2019) · cites this paper as Lavender et al. (2017)
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“Lavender, Tull, DiLillo, Messman-Moore, and Gratz (2017) developed the S-DERS with the aim of assessing emotional regulation difficulties at a particular moment in time”
From Psychometric properties of acceptance measures: A systematic review (2019) · cites this paper as Lavender, Tull, DiLillo, Messman-Moore, and Gratz (2017)
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“However, internal consistency of the non-acceptance scale was excellent (α=.92).”
From Psychometric properties of acceptance measures: A systematic review (2019) · cites this paper as Lavender et al. (2017)
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Cites
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“Given that two-item scales may be weaker and less stable (Costello & Osborne, 2005), findings pertaining to the Clarity subscale should be interpreted with caution.”
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Background
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“…brief/short versions (DERS-16, DERS-18, DERS-SF; Bjureberg et al., 2016; Kaufman et al., 2016; Victor & Klonsky, 2016), a state version (S-DERS; Lavender et al., 2017), and non-English versions (e.g., Brazilian, Chinese, Korean, Portuguese; Cancian et al., 2018; Cho & Hong, 2013; Coutinho et…”
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“Emotion regulation abilities are most often measured using the Difficulties with Emotion Regulation Scale (DERS) [8], its short versions ( DERS-16 ) [24], ( DERS-18 ) [25], a state measure ( S-DERS ) [26], and more recently a measure of positive emotion regulation ( DERS-P ) [27].”
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“The S-DERS consists of four subscales, including Non-acceptance (ie, non-acceptance of current emotions), Modulate (ie, momentary difficulties modulating emotional and behavioural reactions), Awareness (ie, limited awareness of current emotions) and Clarity (ie, limited clarity about current emotions).”
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Pruessner, L., Hartmann, S. F., Rubel, J. A., Lalk, C., Barnow, S., & Timm, C. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100514 · Cited by 9
Hartmann, S. F., Pruessner, L., Rubel, J. A., Lalk, C., Barnow, S., & Timm, C. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100512 · Cited by 9
Estilos de apego adulto y regulación emocional en población de Quito, Ecuador
Díaz-Mosquera, E., Sacoto, M.-F. M., & Latorre, G. (2022) · Ciencias Psicológicas · doi:10.22235/cp.v16i2.2684 · Cited by 8
Chang, Y.-C., Rubey, R. L., & Ladd, B. O. (2024) · Behaviour Research and Therapy · doi:10.1016/j.brat.2024.104527 · Cited by 8
Flygare, O., Ojala, O., Pontén, M., Klintwall, L., Karemyr, M., Sjöblom, K., Wallert, J., Hellner, C., Nilbrink, J., Bellander, M., et al. (2024) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2024.2407155 · Cited by 7
Effects of group mindfulness intervention on high-level distance runners: a quasi-experimental study
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The benefits of physical exercise on state anxiety: Exploring possible mechanisms
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Parker, M. N., Michael, M. L., Murray, H. B., Juarascio, A. S., & Manasse, S. M. (2021) · Eating Behaviors · doi:10.1016/j.eatbeh.2021.101478 · Cited by 7
“The modulate subscale of the State Difficulties Regulating Emotions Scale (S-DERS) (Lavender et al., 2017) assess one’s perceived ability to control emotion and behavior, and thus was used to assess momentary emotion modulation.”
BackgroundMethodInfluentialMiller, R. L., Shomaker, L. B., Prince, M. A., Haddock, S. A., Rzonca, A. J., Krause, J. T., Zimmerman, T. S., Lavender, J. M., Sibinga, E. M. S., & Lucas‐Thompson, R. G. (2024) · Stress and Health · doi:10.1002/smi.3414 · Cited by 7
“Participants completed four items from the State-Difficulties in Emotion Regulation Scale (S-DERS; Gratz & Roemer, 2004; Lavender et al., 2017), which is a state-oriented measure of emotion regulation difficulties that is based on the original trait-oriented DERS (Gratz & Roemer, 2004).”
Bridges‐Curry, Z. (2025) · Cognitive Therapy and Research · doi:10.1007/s10608-025-10575-4 · Cited by 7
Roos, C. R., Bricker, J. B., Kiluk, B. D., Trull, T. J., Bowen, S. W., Witkiewitz, K. A., & Hedy Kober, A. (2024) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2024.101338 · Cited by 6
“…and feelings I am having ” Momentary Difficulties in Emotion Regulation 3 items from the State Difficulties in Emotion Regulation Scale (S-DERS) [68] “ I am having difficulty controlling my behaviors ” “ My emotions feel out of control ” “ I believe I will continue feeling this way for a long…”
BackgroundSavir, T., & Baumel, A. (2025) · Journal of Medical Internet Research · doi:10.2196/77802 · Cited by 5
“It is important to note that 2-item scales tend to produce lower reliability coefficients [50-52], often lower than the conventional threshold of 0.7 [53-55]—even for well-established measures such as Generalized Anxiety Disorder Scale– 2 [56].”
InfluentialHammett, J. F., Chen, W., Stappenbeck, C. A., & Davis, K. C. (2022) · Journal of Interpersonal Violence · doi:10.1177/08862605221140054 · Cited by 5
Montgomery, C., & Antshel, K. M. (2023) · Emerging Adulthood · doi:10.1177/21676968231207445 · Cited by 5
“The PASAT-C can reliably induce negative emotions (Lavender et al., 2017).”
Romano, K. A., Peterson, C. B., Forester, G. R., Wonderlich, J. A., Wonderlich, S. A., Engel, S., & Crosby, R. D. (2025) · International Journal of Eating Disorders · doi:10.1002/eat.24415 · Cited by 7
Boutelle, K. N., Manzano, M. A., Pasquale, E. K., Bernard, R. S., Strong, D. R., Rhee, K. E., Eichen, D. M., Engel, S. G., Miller, A. L., & Peterson, C. B. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107640 · Cited by 5
Romano, K. A., Peterson, C. B., Anderson, L. M., & Heron, K. E. (2024) · European eating disorders review · doi:10.1002/erv.3134 · Cited by 5
Borges, L. M., & Naugle, A. E. (2015) · Behavioral Sciences · doi:10.3390/bs5010070 · Cited by 5
Bambrah, V., Wyman, A., & Eastwood, J. D. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1050073 · Cited by 5
“, the extent to which people outwardly display their emotions; Gratz and Roemer, 2004) and mindfulness (i.e., acting with awareness and describing one’s inner experiences; Lavender et al., 2016).”
BackgroundSicorello, M., Elsaeßer, M., & Kolar, D. R. (2025) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-025-00299-y · Cited by 4
“This is in contrast to the analyses performed by Laven-der et al. [22] and was considered as the esem package did not exist at the time of preregistration and the only validated procedure was performed with this estimation procedure.”
InfluentialBrockdorf, A. N., Gratz, K. L., Messman, T. L., & DiLillo, D. (2022) · Psychology of Violence · doi:10.1037/vio0000432 · Cited by 5
Atalay, A. A., Gökdağ, C., King, N., Tezel, S., & Sözeri, Y. (2023) · International Journal of Cognitive Therapy · doi:10.1007/s41811-023-00197-7 · Cited by 4
“This state‑based scale was developed by Lavender et al. (2017) and is composed of 21 items in a 5‑Likert‑type format.”
InfluentialMERGE: Misophonia and emotion regulation in a guided experience sampling study
Pavlacic, J. M., Dixon, L. J., Freshley, A., Buchanan, E. M., Cortese, B. M., Rheingold, A. A., Young, J. N., & Uhde, T. W. (2026) · Hearing Research · doi:10.1016/j.heares.2026.109709 · Cited by 3
Linking a latent variable trait-state-occasion model of emotion regulation to cognitive control
Olatunji, B. O., Knowles, K. A., Adamis, A. M., & Cole, D. A. (2024) · Cognition & Emotion · doi:10.1080/02699931.2024.2332594 · Cited by 4
“Situational factors such as emotion type, emotional intensity, and social context all may in fl uence state ER (Aldao, 2013; Colombo et al., 2020; Lavender et al., 2017).”
Zangri, R. M., Roca, P., Blanco, I., Kulis, M., Díez, G. G., Martín-Subero, J. I., & Vázquez, C. (2024) · Mindfulness · doi:10.1007/s12671-024-02410-w · Cited by 3
Zhang, Y., Jiang, H., Bian, Y., & Zhang, F. (2025) · Journal of Psychology in Africa · doi:10.32604/jpa.2025.065774 · Cited by 3
Johnson, D. A., Stone, A., & Marsh, S. (2022) · Measurement and Evaluation in Counseling and Development · doi:10.1080/07481756.2022.2066545 · Cited by 3
“Due to mindfulness being positively associated with empathy (Fulton & Cashwell, 2015) and a negatively associated with affect dysregulation (Lavender et al., 2017), we expected Mindful State and Mindful Trait scores to be positively associated with Empathic State and Perspective State scores, and…”
Habibi, N., Bernabé, J. R. Y., Basharpoor, S., Varzaneh, A. H., & Narimani, M. (2023) · Current Psychology · doi:10.1007/s12144-023-05297-3 · Cited by 3
Metadata
- Authors
- Lavender, J. M., Tull, M. T., DiLillo, D., Messman-Moore, T., & Gratz, K. L.
- Affiliations
- Neuropsychiatric Research Institute (US)
- University of Mississippi Medical Center (US)
- University of Nebraska–Lincoln (US)
- Miami University, Oxford, OH, USA
- Corresponding author
- Lavender, Jason M.
- Venue
- Assessment
- Publisher
- SAGE Publications
- Published
- 2016-07-27
- Volume
- 24
- Issue
- 2
- Pages
- 197-209
- ISSN
- 1073-1911 (ISSN-L)
- 1552-3489
- PMC
- PMC5243864
- OpenAlex
- W2126477718
- Cited by
- 164
- References
- 70
- Citations by year
- 2026: 20 · 2025: 16 · 2024: 30 · 2023: 17 · 2022: 26 · 2021: 15 · 2020: 13 · 2019: 17 · 2018: 6 · 2017: 2 · 2016: 1
- FWCI
- 5.02
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Assessment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Lincoln (University of Nebraska) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (K23MH101342)
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD062226)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- emotional dysregulation, emotional reactivity, emotional awareness, emotional clarity, experiential avoidance, mindfulness, problematic substance use, young adult women, scale development and validation
- MeSH terms
- Adaptation, Psychological, Adolescent, Affective Symptoms, Arousal, Character, Female, Humans, Life Change Events, Personality Assessment, Prospective Studies, Psychometrics, Substance-Related Disorders, Young Adult, Emotional Intelligence
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