Emily M Pisetsky1, Ann F Haynos2, Jason M Lavender3, Scott J Crow4, Carol B Peterson4. 1. Department of Psychiatry, University of Minnesota, F282/2A West, 2450 Riverside Ave., Minneapolis, MN, 55454, USA. Electronic address: episetsk@umn.edu. 2. Department of Psychiatry, University of Minnesota, F282/2A West, 2450 Riverside Ave., Minneapolis, MN, 55454, USA. 3. Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, 58203, USA; Department of Clinical Research, Neuropsychiatric Research Institute, 120 8(th) Street S., Fargo, ND, 58103, USA. 4. Department of Psychiatry, University of Minnesota, F282/2A West, 2450 Riverside Ave., Minneapolis, MN, 55454, USA; The Emily Program, 2265 Como Ave, St Paul, MN, 55108, USA.
Abstract
BACKGROUND: This study examined the associations between specific dimensions of emotion dysregulation and eating disorder (ED) symptoms and behaviors, non-suicidal self-injury (NSSI), and suicide attempts in a heterogeneous ED sample. METHODS: Participants (N=110) completed the Difficulties in Emotion Regulation Scale (DERS), the Eating Disorder Examination Questionnaire (EDE-Q), and self-reported the presence of lifetime NSSI and a lifetime suicide attempt. RESULTS: The EDE-Q global score, a primarily cognitive measure of ED symptoms, was significantly positively correlated with DERS strategies, clarity, and awareness subscale scores and DERS total score (ps<0.01). Only the strategies subscale was uniquely positively associated with EDE-Q global score in a multivariate regression analysis. There was no association between the frequency of binge eating or frequency of driven exercise and any of the DERS subscale scores or total score (ps>0.01). Frequency of purging was significantly, positively associated with DERS impulse subscale score and total score (p<0.01). None of the DERS subscale scores were significantly different between those with and without NSSI or between those with and without a lifetime suicide attempt (ps>0.01). CONCLUSIONS: Findings indicate that in a heterogeneous ED sample, emotion regulation deficits are more strongly associated with cognitively-oriented symptoms of EDs than behavioral symptoms such as a binge eating, purging, driven exercise, NSSI, or suicide attempts.
BACKGROUND: This study examined the associations between specific dimensions of emotion dysregulation and eating disorder (ED) symptoms and behaviors, non-suicidal self-injury (NSSI), and suicide attempts in a heterogeneous ED sample. METHODS:Participants (N=110) completed the Difficulties in Emotion Regulation Scale (DERS), the Eating Disorder Examination Questionnaire (EDE-Q), and self-reported the presence of lifetime NSSI and a lifetime suicide attempt. RESULTS: The EDE-Q global score, a primarily cognitive measure of ED symptoms, was significantly positively correlated with DERS strategies, clarity, and awareness subscale scores and DERS total score (ps<0.01). Only the strategies subscale was uniquely positively associated with EDE-Q global score in a multivariate regression analysis. There was no association between the frequency of binge eating or frequency of driven exercise and any of the DERS subscale scores or total score (ps>0.01). Frequency of purging was significantly, positively associated with DERS impulse subscale score and total score (p<0.01). None of the DERS subscale scores were significantly different between those with and without NSSI or between those with and without a lifetime suicide attempt (ps>0.01). CONCLUSIONS: Findings indicate that in a heterogeneous ED sample, emotion regulation deficits are more strongly associated with cognitively-oriented symptoms of EDs than behavioral symptoms such as a binge eating, purging, driven exercise, NSSI, or suicide attempts.
Authors: Scott G Engel; Stephen A Wonderlich; Ross D Crosby; James E Mitchell; Scott Crow; Carol B Peterson; Daniel Le Grange; Heather K Simonich; Li Cao; Jason M Lavender; Kathryn H Gordon Journal: J Abnorm Psychol Date: 2013-08
Authors: Jason M Lavender; Stephen A Wonderlich; Carol B Peterson; Ross D Crosby; Scott G Engel; James E Mitchell; Scott J Crow; Tracey L Smith; Marjorie H Klein; Andrea B Goldschmidt; Kelly C Berg Journal: Eur Eat Disord Rev Date: 2014-03-12
Authors: Jennifer J Muehlenkamp; Scott G Engel; Andrea Wadeson; Ross D Crosby; Stephen A Wonderlich; Heather Simonich; James E Mitchell Journal: Behav Res Ther Date: 2008-10-21
Authors: Cynthia M Bulik; Laura Thornton; Andréa Poyastro Pinheiro; Katherine Plotnicov; Kelly L Klump; Harry Brandt; Steve Crawford; Manfred M Fichter; Katherine A Halmi; Craig Johnson; Allan S Kaplan; James Mitchell; Detlev Nutzinger; Michael Strober; Janet Treasure; D Blake Woodside; Wade H Berrettini; Walter H Kaye Journal: Psychosom Med Date: 2008-02-06 Impact factor: 4.312
Authors: Lindsay P Bodell; Carolyn M Pearson; Kathryn E Smith; Li Cao; Ross D Crosby; Carol B Peterson; Scott J Crow; Kelly C Berg Journal: Eat Behav Date: 2018-12-28