University of Freiburg, Department of Clinical Psychology and Psychotherapy, Germany.
Psychiatry Res. 2012 May 15;197(1-2):103-11. doi: 10.1016/j.psychres.2011.11.009. Epub 2012 Mar 7.
Preliminary evidence indicates that individuals with eating disorders (ED) show emotion regulation (ER) difficulties. However, it is yet unclear whether different types of ED differ in their ER profile and whether certain ER difficulties are specific for ED or rather a transdiagnostic factor. Twenty women with anorexia nervosa (AN), 18 with bulimia nervosa (BN), 25 with binge eating disorder (BED), 15 with borderline personality disorder (BPD), 16 with major depressive disorder (MDD) and 42 female healthy controls (HC) were administered the Emotion Regulation Questionnaire, the Inventory of Cognitive Affect Regulation Strategies, the Difficulties in Emotion Regulation Scale and the Affect Intensity Measure. The ED groups reported significantly higher levels of emotion intensity, lower acceptance of emotions, less emotional awareness and clarity, more self-reported ER problems as well as decreased use of functional and increased use of dysfunctional emotion regulation strategies when compared to HC. No significant differences between the ED groups emerged for most ER variables. However, there were indications that the BED group may show a slightly more adaptive pattern of ER than the two other ED groups. As a whole, all clinical groups performed very similar on most ER variables and reported more difficulties regulating their emotions than HC. The findings suggest that ER difficulties are not linked to a particular diagnostic category. Instead, ER difficulties appear to be a transdiagnostic risk and/or maintenance factor rather than being disorder-specific.
初步证据表明，饮食失调（ED）患者存在情绪调节（ER）困难。然而，不同类型的 ED 在 ER 特征上是否存在差异，以及某些 ER 困难是特定于 ED 还是跨诊断因素，目前尚不清楚。研究纳入了 20 名神经性厌食症（AN）患者、18 名神经性贪食症（BN）患者、25 名暴食症（BED）患者、15 名边缘型人格障碍（BPD）患者、16 名重性抑郁症（MDD）患者和 42 名健康对照（HC）。所有参与者均完成了情绪调节问卷、认知情感调节策略量表、情绪调节困难量表和情绪强度测量。与 HC 相比，ED 组报告的情绪强度显著更高，对情绪的接受度更低，情绪意识和清晰度更低，自我报告的 ER 问题更多，功能型情绪调节策略的使用减少，非功能型情绪调节策略的使用增加。然而，在大多数 ER 变量上，ED 组之间没有显著差异。但是，有迹象表明，BED 组的 ER 模式可能比另外两个 ED 组更具适应性。总的来说，所有临床组在大多数 ER 变量上的表现非常相似，并且报告的情绪调节困难比 HC 更多。这些发现表明，ER 困难与特定的诊断类别无关。相反，ER 困难似乎是跨诊断的风险和/或维持因素，而不是特定于障碍的。
