Identity Functioning and Eating Disorder Symptomatology: The Role of Cognitive Emotion Regulation Strategies
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Introduction: Adolescence is the most critical life period for the development of eating disorder (ED) symptomatology. Although problems in identity functioning and emotion dysregulation have been proven important risk and maintaining factors of ED symptomatology, they have never been integrated in a longitudinal study. Methods: The present study is part of the Longitudinal Identity research in Adolescence (LIA)-study and aimed to uncover the temporal interplay between identity functioning, cognitive emotion regulation, and ED symptomatology in adolescence. A total of 2,162 community adolescents (Time 1: 54% female; Mage = 14.58, SD = 1.88, range = 10–21 years) participated at three measurement points with 1-year intervals. They reported on identity functioning (identity synthesis and identity confusion), cognitive emotion regulation (rumination, catastrophizing, and positive reappraisal), and ED symptomatology (drive for thinness and bulimia symptoms). Results: Cross-lagged paths could be fixed for boys and girls and showed bidirectional associations between both dimensions of identity functioning and both rumination and catastrophizing over time. Similarly, these maladaptive cognitive emotion regulation strategies were bidirectionally related to ED symptomatology over time. Finally, indirect pathways pointed to bidirectional associations between both dimensions of identity functioning and bulimia symptoms through rumination and catastrophizing. Only unidirectional associations emerged for drive for thinness and almost no cross-lagged associations were found with positive reappraisal. Conclusion: The present study demonstrates that identity confusion may contribute to the development of ED symptomatology in adolescence through cognitive emotion dysregulation. It also reveals that these ED symptoms hamper identity development through emotion dysregulation. These results stress the importance of targeting both identity functioning and cognitive emotion regulation in the prevention and intervention of ED symptoms.
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Identity synthesis and confusion predicted eating disorder symptoms one and two years later in Belgian adolescents and emerging adults.
“identity synthesis and confusion predicted eating disorder symptoms one and two years later”
From Identity Development and Social-Emotional Disorders During Adolescence and Emerging Adulthood: A Systematic Review and Meta-Analysis (2022) · cites this paper as Verschueren et al., 2021
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Dropouts in Longitudinal Surveys
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The Relationship Between Eating Disorders and Ego Identity Development
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Flagged first, then by citations
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Cited by
Sorted by citations
Potterton, R., Austin, A., Robinson, L., Webb, H., Allen, K. L., & Schmidt, U. (2022) · Journal of Youth and Adolescence · doi:10.1007/s10964-021-01536-7 · Cited by 106 · see citing works
Félix, S., Gonçalves, S. F., Ramos, R., Tavares, A., Vaz, A. R., Machado, P. P. P., & Conceição, E. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.10.017 · Cited by 23 · see citing works
Trompeter, N., Dârvariu, Ş., Brieva‐Toloza, A. V., Opitz, M., Rabelo‐da‐Ponte, F. D., Sharpe, H., Desrivières, S., Schmidt, U. H., & Micali, N. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-024-02601-9 · Cited by 20 · see citing works
Bogaerts, A., Claes, L., Raymaekers, K., Buelens, T., Bastiaens, T., & Luyckx, K. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1125812 · Cited by 26 · see citing works
Self-citationPellegrini, R. A., Finzi, S., Veglia, F., & Fini, G. D. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.785004 · Cited by 19 · see citing works
Eating disorder symptoms and profiles of emotion regulation strategy use
Salias, C., Gross, J. J., Petrova, K., Forbush, K. T., & Preece, D. A. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.03.050 · Cited by 13 · see citing works
Bogaerts, A., Luyckx, K., Bastiaens, T., Sleuwaegen, E., Berens, A., & Claes, L. (2023) · Assessment · doi:10.1177/10731911221140313 · Cited by 10 · see citing works
Self-citationYang, C., Li, F., & Khalid, N. F. (2025) · BMC Public Health · doi:10.1186/s12889-025-23071-x · Cited by 8 · see citing works
Distinct Patterns of Dynamical Regulation in Passive Sensor Data Following Binge and Purge Behaviors
Butner, J., Thornton, L. M., Kilshaw, R. E., Flatt, R. E., Shi, Q., Deboeck, P. R., Tregarthen, J., Argue, S., Baucom, B., & Bulik, C. M. (2025) · International Journal of Eating Disorders · doi:10.1002/eat.24437 · Cited by 4 · see citing works
Romero‐Mesa, J., Peláez-Fernández, M. Á., & Extremera, N. (2022) · European Journal of Education and Psychology · doi:10.32457/ejep.v15i1.1767 · Cited by 3 · see citing works
Meng, X., Huang, Z., Delvecchio, E., Mazzeschi, C., & Garofalo, C. (2025) · Personality and Individual Differences · doi:10.1016/j.paid.2025.113528 · Cited by 2 · see citing works
Murayama, Y., Ito, H., Hamada, M., Takayanagi, N., Nakajima, T., Myogan, M., & Tsujii, M. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-00991-4 · Cited by 2 · see citing works
Antichi, L., Rabarbari, E., Oasi, O., & Riva, G. (2026) · Eating Disorders · doi:10.1080/10640266.2026.2677623 · Cited by 2 · see citing works
Azarmehr, R., Reck, A., Zhang, L., & Oshri, A. (2023) · Journal of Adolescence · doi:10.1002/jad.12249
The Emotional Cascade Model of Borderline Personality Disorder
Salavati, M., & Selby, E. A. (2024) · Springer eBooks · doi:10.1007/978-3-031-75503-3_8
Jiang, W., Shi, Z., & Zhang, X. (2025) · European Eating Disorders Review · doi:10.1002/erv.3207
Chen, J. X., & de Moor, E. L. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01403-x
Yu, L., & Yan, M. (2026) · Current Psychology · doi:10.1007/s12144-026-09529-0
Croce, S. R., Meyer, D., Malcolm, A., Ralph‐Nearman, C., & Phillipou, A. (2026) · European Eating Disorders Review · doi:10.1002/erv.70166
- Authors
- Verschueren, M., Claes, L., Palmeroni, N., Raemen, L., Buelens, T., Moons, P., & Luyckx, K.
- Affiliations
- KU Leuven (BE)
- University of Antwerp (BE)
- University of Cape Town (ZA)
- University of the Free State (ZA)
- Corresponding author
- Claes, Laurence
- ORCID
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2021-05-28
- Volume
- 12
- Pages
- 667235-667235
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC8194491
- OpenAlex
- W3166649026
- Cited by
- 19
- References
- 109
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 2
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fonds Wetenschappelijk Onderzoek (G062117N)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- eating disorders, identity confusion, identity synthesis, cognitive emotion regulation, rumination, catastrophizing, positive reappraisal, drive for thinness, adolescence, emotional dysregulation, bidirectional relationship, eating disorder prevention
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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