Emotion Regulation as a Transdiagnostic Feature Among Eating Disorders: Cross-sectional and Longitudinal Approach.

Abstract

Emotion regulation (ER) difficulties are observed in eating disorders (EDs). However, few studies have explored ER before and after treatment. The aims are as follows: to explore ER difficulties across ED types and a healthy control (HC) group (Study 1) and to assess pretreatment and post-treatment changes among ED types (Study 2). In Study 1, adult women with EDs (n = 438) and HC (n = 126) completed an assessment including Eating Disorders Inventory-2, Difficulties in Emotion Regulation Scale and Symptom Checklist-90-Revised. Patients in Study 2 (n = 69) were also reassessed after treatment. All ED types reported worse ER compared with HC (p < .001); also, ER differences were found between ED types. Prospective analyses show ER improvements after treatment (p < .001; |d| = 0.51), especially in patients with bulimia nervosa (p < .001; |d| = 1.03; Reliable Change Index = 9.79) with greater improvement in those with a better treatment outcome (p = .034). In conclusion, emotion dysregulation is a part of all forms of EDs. Furthermore, emotional dysregulation can be modified. ED treatments for anorexia nervosa and binge eating disorder might be enhanced by targeting ER skills. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

• Authors: Núria Mallorquí-Bagué, Cristina Vintró-Alcaraz, Isabel Sánchez, Nadine Riesco, Zaida Agüera, Roser Granero, Susana Jiménez-Múrcia, José M Menchón, Janet Treasure, Fernando Fernández-Aranda
• Journal: European eating disorders review : the journal of the Eating Disorders Association (Eur Eat Disord Rev) Vol. 26 Issue 1 Pg. 53-61 (01 2018) ISSN: 1099-0968 [Electronic] England
• PMID: 29168283 (Publication Type: Journal Article)
• Copyright: Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

Topics

• Adult
• Anorexia Nervosa (diagnosis, psychology, therapy)
• Binge-Eating Disorder (diagnosis, psychology, therapy)
• Bulimia Nervosa (diagnosis, psychology, therapy)
• Case-Control Studies
• Cross-Sectional Studies
• Emotions
• Feeding and Eating Disorders (diagnosis, psychology, therapy)
• Female
• Humans
• Longitudinal Studies
• Prospective Studies
• Treatment Outcome