Differences in emotion regulation difficulties among adults and adolescents across eating disorder diagnoses

J Clin Psychol. 2018 Oct;74(10):1867-1873. doi: 10.1002/jclp.22638. Epub 2018 May 13.

Abstract

Objective: Although much empirical attention has been devoted to emotion regulation (ER) in individuals with eating disorders, little is known about ER across a wide age range and among different ED subtypes. The current study sought to examine ER in a sample of eating disorder patients.

Method: A total of 364 adults and adolescents with anorexia nervosa restricting subtype (AN-R), anorexia nervosa binge/purge subtype (AN-BP), or bulimia nervosa (BN) were assessed with the Difficulties in Emotion Regulation Scale (DERS).

Results: Older ages were associated with higher DERS total, nonacceptance, goals, and impulsivity scores. When controlling for age, patients with BN and AN-BP had higher overall DERS scores than those with AN, and there were some differences among diagnostic subtypes on specific facets of ER.

Conclusions: These results indicate that treatments for emotion dysregulation may be applied across eating disorder diagnoses and ages, and inform how these strategies apply to different diagnostic groups.

Keywords: DERS; anorexia nervosa; bulimia nervosa; eating disorders; emotion regulation.

MeSH terms

  • Adolescent
  • Adult
  • Affective Symptoms / physiopathology*
  • Anorexia Nervosa / physiopathology*
  • Bulimia Nervosa / physiopathology*
  • Child
  • Female
  • Humans
  • Middle Aged
  • Self-Control*
  • Young Adult