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Emotion dysregulation across the span of eating disorder symptoms: Findings from a community sample of adolescents
Journal article   Peer reviewed

Emotion dysregulation across the span of eating disorder symptoms: Findings from a community sample of adolescents

Nora Trompeter, Kay Bussey, Miriam K. Forbes, Jonathan Mond, Phillipa Hay, Mitchell L. Cunningham and Deborah Mitchison
The International journal of eating disorders, Vol.54(11), pp.1946-1955
11/2021
DOI: https://doi.org/10.1002/eat.23609
PMID: 34558725

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18 Times Cited - Web of Science

Abstract

adolescence disordered eating eating disorders emotion dysregulation emotion regulation difficulties
Objective 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. Method 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). Results 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. Discussion 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.

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