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

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

Research output: Contribution to journalArticleResearchpeer-review

31 Citations (Scopus)

Abstract

Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association. 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.
Original languageEnglish
Pages (from-to)53-61
JournalEuropean Eating Disorders Review
Volume26
Issue number1
DOIs
Publication statusPublished - 1 Jan 2018

Keywords

  • adulthood
  • cognitive behavioural therapy
  • eating disorders
  • emotion regulation
  • treatment outcome

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