Emotion dysregulation across the span of eating disorder symptoms: Findings from a community sample of adolescents.
adolescence
disordered eating
eating disorders
emotion dysregulation
emotion regulation difficulties
Journal
The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
revised:
08
09
2021
received:
24
03
2021
accepted:
09
09
2021
pubmed:
25
9
2021
medline:
26
11
2021
entrez:
24
9
2021
Statut:
ppublish
Résumé
Emotion dysregulation is proposed as a key factor within eating disorder pathology. However, less is known about specific emotion regulation difficulties experienced by adolescents with varying levels of eating disorders symptoms. The present study examined the relationship between eating disorder behaviors and specific facets of emotion dysregulation, and differences in emotion dysregulation between eating disorder diagnostic groups. Participants were 2,783 adolescents, 11-19 years (M = 14 years, 9 months, SD = 1 year, 6 months), who completed self-report measures as part of the EveryBODY study. Adolescents were identified as not having eating disorder symptoms (n = 2,122) or meeting diagnostic criteria for symptoms of specific eating disorder, including: anorexia nervosa or atypical anorexia nervosa (n = 57), bulimia nervosa (n = 136), binge-eating disorder (n = 57), other specified feeding or eating disorder characterized by binge eating or purging (n = 381), and unspecified feeding or eating disorder (n = 30). Binge eating, driven exercise, and fasting were each uniquely associated with emotion dysregulation, whereas purging was not. Similar findings were obtained within specific domains of emotion dysregulation. Findings from diagnostic groups showed a significant main effect of diagnosis on overall emotion dysregulation and most domains of emotion dysregulation. Adolescents with eating disorder symptoms consistently reported higher emotion dysregulation compared to those without these symptoms. Findings indicate that emotion dysregulation is a key factor across eating disorder pathology, and potential treatment target across the spectrum of eating disorder diagnoses in adolescents.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1946-1955Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Allison, K. C., Lundgren, J. D., O'Reardon, J. P., Martino, N. S., Sarwer, D. B., Wadden, T. A., … Stunkard, A. J. (2008). The Night Eating Questionnaire (NEQ): Psychometric properties of a measure of severity of the Night Eating Syndrome. Eating Behaviors, 9(1), 62-72. https://doi.org/10.1016/j.eatbeh.2007.03.007
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, D.C.: American Psychiatric Association.
Anderson, L. K., Claudat, K., Cusack, A., Brown, T. A., Trim, J., Rockwell, R., … Kaye, W. H. (2018). Differences in emotion regulation difficulties among adults and adolescents across eating disorder diagnoses. Journal of Clinical Psychology, 74(10), 1867-1873. https://doi.org/10.1002/jclp.22638
Austin, A., Flynn, M., Richards, K., Hodsoll, J., Duarte, T. A., Robinson, P., … Schmidt, U. (2020). Duration of untreated eating disorder and relationship to outcomes: A systematic review of the literature. European Eating Disorders Review, 29, 329-345. https://doi.org/10.1002/erv.2745
Australian Bureau of Statistics. (2016). Census of population and housing: Socio-economic indexes for areas (SEIFA). http://www.abs.gov.au/websitedbs/censushome.nsf/home/seifa
Binford, R. B., Le Grange, D., & Jellar, C. C. (2005). Eating Disorders Examination versus Eating Disorders Examination-Questionnaire in adolescents with full and partial-syndrome bulimia nervosa and anorexia nervosa. International Journal of Eating Disorders, 37(1), 44-49. https://doi.org/10.1002/eat.20062
Brockmeyer, T., Skunde, M., Wu, M., Bresslein, E., Rudofsky, G., Herzog, W., & Friederich, H. C. (2014). Difficulties in emotion regulation across the spectrum of eating disorders. Comprehensive Psychiatry, 55(3), 565-571. https://doi.org/10.1016/j.comppsych.2013.12.001
Bulik, C. M., Sullivan, P. F., Carter, F. A., & Joyce, P. R. (1997). Initial manifestations of disordered eating behavior: Dieting versus binging. International Journal of Eating Disorders, 22(2), 195-201. https://doi.org/10.1002/(SICI)1098-108X(199709)22:2<195::AID-EAT12>3.0.CO;2-0
Burton, A. L., & Abbott, M. J. (2019). Processes and pathways to binge eating: Development of an integrated cognitive and behavioural model of binge eating. Journal of Eating Disorders, 7(1), 18. https://doi.org/10.1186/s40337-019-0248-0
Castellini, G., Lo Sauro, C., Mannucci, E., Ravaldi, C., Rotella, C. M., Faravelli, C., & Ricca, V. (2011). Diagnostic crossover and outcome predictors in eating disorders according to DSM-IV and DSM-V proposed criteria: A 6-year follow-up study. Psychosomatic Medicine, 73, 270-279. https://doi.org/10.1097/PSY.0b013e31820a1838
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York, NY: Psychology Press.
Dakanalis, A., Timko, C. A., Clerici, M., Zanetti, M. A., & Riva, G. (2014). Comprehensive examination of the trans-diagnostic cognitive behavioral model of eating disorders in males. Eating Behaviors, 15(1), 63-67. https://doi.org/10.1016/j.eatbeh.2013.10.003
Danner, U. N., Sternheim, L., & Evers, C. (2014). The importance of distinguishing between the different eating disorders (sub)types when assessing emotion regulation strategies. Psychiatry Research, 215(3), 727-732. https://doi.org/10.1016/j.psychres.2014.01.005
Eddy, K. T., Dorer, D. J., Franko, D. L., Tahilani, K., Thompson-Brenner, H., & Herzog, D. B. (2008). Diagnostic crossover in anorexia nervosa and bulimia nervosa: Implications for DSM-V. American Journal of Psychiatry., 165, 245-250. https://doi.org/10.1176/appi.ajp.2007.07060951
Eddy, K. T., Keel, P. K., Dorer, D. J., Delinsky, S. S., Franko, D. L., & Herzog, D. B. (2002). Longitudinal comparison of anorexia nervosa subtypes. International Journal of Eating Disorders, 31(2), 191-201. https://doi.org/10.1002/eat.10016
Engel, S. G., Wonderlich, S. A., Crosby, R. D., Mitchell, J. E., Crow, S. J., Peterson, C. B., … Gordon, K. H. (2013). The role of affect in the maintenance of anorexia nervosa: Evidence from a naturalistic assessment of momentary behaviors and emotion. Journal of Abnormal Psychology, 122(3), 709-719. https://doi.org/10.1037/a0034010
Fairburn, C. G., Cooper, Z., & O'Connor, M. E. (2008). Eating disorder examination. In Cognitive behavior therapy and eating disorders (16th ed., pp. 265-308). New York, NY: Guilford Press.
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. In Behaviour research and therapy (Vol. 41, pp. 509-528). New York, NY: Elsevier Ltd. https://doi.org/10.1016/S0005-7967(02)00088-8
Forbush, K., & Watson, D. (2006). Emotional inhibition and personality traits: A comparison of women with anorexia, bulimia, and normal controls. Annals of Clinical Psychiatry, 18(2), 115-121. https://doi.org/10.1080/10401230600614637
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale (Journal of Psychopathology and Behavioral Assessment (2004) 26, (pp. 41-54). Journal of Psychopathology and Behavioral Assessment, 30(4), 315. https://doi.org/10.1007/s10862-008-9102-4
Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271-299. https://doi.org/10.1037/1089-2680.2.3.271
Haedt-Matt, A. A., & Keel, P. K. (2011). Revisiting the affect regulation model of binge eating: A meta-analysis of studies using ecological momentary assessment. Psychological Bulletin, 137(4), 660-681. https://doi.org/10.1037/a0023660
Harrison, A., Sullivan, S., Tchanturia, K., & Treasure, J. (2010). Emotional functioning in eating disorders: Attentional bias, emotion recognition and emotion regulation. Psychological Medicine, 40(11), 1887-1897. https://doi.org/10.1017/S0033291710000036
Hart, L. M., Granillo, M. T., Jorm, A. F., & Paxton, S. J. (2011). Unmet need for treatment in the eating disorders: A systematic review of eating disorder specific treatment seeking among community cases. Clinical Psychology Review, 31(5), 727-735. https://doi.org/10.1016/j.cpr.2011.03.004
Haynos, A. F., & Fruzzetti, A. E. (2011). Anorexia nervosa as a disorder of emotion dysregulation: Evidence and treatment implications. Clinical Psychology: Science and Practice, 18(3), 183-202. https://doi.org/10.1111/j.1468-2850.2011.01250.x
Kaufman, E. A., Xia, M., Fosco, G., Yaptangco, M., Skidmore, C. R., & Crowell, S. E. (2016). The difficulties in emotion regulation scale short form (DERS-SF): Validation and replication in adolescent and adult samples. Journal of Psychopathology and Behavioral Assessment, 38(3), 443-455. https://doi.org/10.1007/s10862-015-9529-3
Kaye, W. (2008). Neurobiology of anorexia and bulimia nervosa. Physiology and Behavior, 94(1), 121-135. https://doi.org/10.1016/j.physbeh.2007.11.037
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S.-L. T., … Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959-976. https://doi.org/10.1017/S0033291702006074
Kolar, D. R., & Gorrell, S. (2021). A call to experimentally study acute affect-regulation mechanisms specific to driven exercise in eating disorders. International Journal of Eating Disorders, 54(3), 280-286. https://doi.org/https://doi.org/10.1002/eat.23427
Kolar, D. R., Neumayr, C., Roth, M., Voderholzer, U., Perthes, K., & Schlegl, S. (2020). Testing an emotion regulation model of physical activity in adolescents with anorexia nervosa: A pilot ecological momentary assessment. European Eating Disorders Review, 28(2), 170-183. https://doi.org/10.1002/erv.2706
Lavender, J. M., Wonderlich, S. A., Peterson, C. B., Crosby, R. D., Engel, S. G., Mitchell, J. E., … Berg, K. C. (2014). Dimensions of emotion dysregulation in bulimia nervosa. European Eating Disorders Review, 22(3), 212-216. https://doi.org/10.1002/erv.2288
Linardon, J., Fairburn, C. G., Fitzsimmons-Craft, E. E., Wilfley, D. E., & Brennan, L. (2017). The empirical status of the third-wave behaviour therapies for the treatment of eating disorders: A systematic review. Clinical Psychology Review, 58, 125-140). Elsevier Inc. https://doi.org/10.1016/j.cpr.2017.10.005
Mallorquí-Bagué, N., Vintró-Alcaraz, C., Sánchez, I., Riesco, N., Agüera, Z., Granero, R., … Fernández-Aranda, F. (2018). Emotion regulation as a transdiagnostic feature among eating disorders: Cross-sectional and longitudinal approach. European Eating Disorders Review, 26(1), 53-61. https://doi.org/10.1002/erv.2570
Mitchison, D., Mond, J., Bussey, K., Griffiths, S., Trompeter, N., Lonergan, A., … Hay, P. (2019). DSM-5 full syndrome, other specified, and unspecified eating disorders in Australian adolescents: Prevalence and clinical significance. Psychological Medicine, 50(6), 1-10. https://doi.org/10.1017/S0033291719000898
Mond, J., Hay, P., Rodgers, B., Owen, C., & Beumont, P. J. V. (2004). Validity of the eating disorder examination questionnaire (EDE-Q) in screening for eating disorders in community samples. Behaviour Research and Therapy, 42(5), 551-567. https://doi.org/10.1016/S0005-7967(03)00161-X
Mond, J., Hay, P., Rodgers, B., Owen, C., & Mitchell, J. E. (2006). Correlates of the use of purging and non-purging methods of weight control in a community sample of women. Australian and New Zealand Journal of Psychiatry, 40(2), 136-142. https://doi.org/10.1111/j.1440-1614.2006.01760.x
Monell, E., Clinton, D., & Birgegård, A. (2018). Emotion dysregulation and eating disorders-Associations with diagnostic presentation and key symptoms. International Journal of Eating Disorders, 51(8), 921-930. https://doi.org/10.1002/eat.22925
Nagl, M., Jacobi, C., Paul, M., Beesdo-Baum, K., Höfler, M., Lieb, R., & Wittchen, H. U. (2016). Prevalence, incidence, and natural course of anorexia and bulimia nervosa among adolescents and young adults. European Child and Adolescent Psychiatry, 25(8), 903-918. https://doi.org/10.1007/s00787-015-0808-z
Peat, C., Mitchell, J. E., Hoek, H. W., & Wonderlich, S. A. (2009). Validity and utility of subtyping anorexia nervosa. The International Journal of Eating Disorders, 42(7), 590-594. https://doi.org/10.1002/eat.20717
Polivy, J., & Herman, C. P. (1993). Etiology of binge eating: Psychological mechanisms. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment, and treatment (pp. 173-205). New York, NY: Guilford Press.
Prefit, A. B., Cândea, D. M., & Szentagotai-Tătar, A. (2019). Emotion regulation across eating pathology: A meta-analysis. Appetite, 143, 104438. https://doi.org/10.1016/j.appet.2019.104438
Pretorius, N., Waller, G., Gowers, S., & Schmidt, U. (2009). Validity of the Eating Disorders Examination-Questionnaire when used with adolescents with bulimia nervosa and atypical bulimia nervosa. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 14(4), e243-e248. https://doi.org/10.1007/BF03325125
Reilly, E. E., Orloff, N. C., Luo, T., Berner, L. A., Brown, T. A., Claudat, K., … Anderson, L. K. (2020). Dialectical behavioral therapy for the treatment of adolescent eating disorders: A review of existing work and proposed future directions. Eating Disorders, 28(2), 122-141. https://doi.org/10.1080/10640266.2020.1743098
Ruscitti, C., Rufino, K. A., Goodwin, N., & Wagner, R. (2016). Difficulties in emotion regulation in patients with eating disorders. Borderline Personality Disorder and Emotion Dysregulation, 3(1), 3. https://doi.org/10.1186/s40479-016-0037-1
Smyth, J. M., Wonderlich, S. A., Heron, K. E., Sliwinski, M. J., Crosby, R. D., Mitchell, J. E., & Engel, S. G. (2007). Daily and momentary mood and stress are associated with binge eating and vomiting in bulimia nervosa patients in the natural environment. Journal of Consulting and Clinical Psychology, 75(4), 629-638. https://doi.org/10.1037/0022-006X.75.4.629
Svaldi, J., Griepenstroh, J., Tuschen-Caffier, B., & Ehring, T. (2012). Emotion regulation deficits in eating disorders: A marker of eating pathology or general psychopathology? Psychiatry Research, 197(1-2), 103-111. https://doi.org/10.1016/j.psychres.2011.11.009
Trompeter, N., Bussey, K., Forbes, M. K., & Mitchison, D. (2021). Emotion dysregulation within the CBT-E model of eating disorders: A narrative review. Cognitive Therapy and Research, 7, 102255. https://doi.org/10.1007/s10608-021-10225-5
Trompeter, N., Bussey, K., Forbes, M. K., Mond, J., Hay, P., Basten, C., … Mitchison, D. (2021). Differences between Australian adolescents with eating disorder symptoms who are in treatment or not in treatment for an eating disorder. Early Intervention in Psychiatry, 15(4), 882-888. https://doi.org/10.1111/eip.13027
Trompeter, N., Bussey, K., Hay, P., Mond, J., Murray, S. B., Lonergan, A., … Mitchison, D. (2018). Fear of negative evaluation and weight/shape concerns among adolescents: The moderating effects of gender and weight status. Journal of Youth and Adolescence, 47(7), 1398-1408. https://doi.org/10.1007/s10964-018-0872-z
Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL™ 4.0: Reliability and validity of the pediatric quality of life inventory™ version 4.0 generic core scales in healthy and patient populations. Medical Care, 39(8), 800-812. http://www.jstor.org/stable/3767969
Weinbach, N., Sher, H., & Bohon, C. (2018). Differences in emotion regulation difficulties across types of eating disorders during adolescence. Journal of Abnormal Child Psychology, 46(6), 1351-1358. https://doi.org/10.1007/s10802-017-0365-7
Wildes, J. E., Ringham, R. M., & Marcus, M. D. (2010). Emotion avoidance in patients with anorexia nervosa: Initial test of a functional model. International Journal of Eating Disorders, 43(5), 398-404. https://doi.org/10.1002/eat.20730