Department of Psychiatry and Behavioral Sciences, Child and Adolescent Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA, 94305, USA.
Eating Disorder Unit, Child and Adolescent Psychiatry, Soroka Medical Center, Beer-Sheva, Israel.
J Abnorm Child Psychol. 2018 Aug;46(6):1351-1358. doi: 10.1007/s10802-017-0365-7.
Emotion regulation appears to play a key role in eating disorders. However, prior attempts to associate specific emotion regulation abilities with specific types of eating disorders resulted in inconsistent findings. Moreover, far less is known about emotion regulation in eating disorders during adolescence, a critical period of emotional development. The current study addresses this gap, comparing emotion regulation characteristics between adolescents with restrictive types of eating disorders and those with binge eating or purging types of eating disorders. Ninety-eight adolescents with eating disorders (49 with restrictive and 49 with binge eating/purging eating disorders) completed a set of questionnaires including the Difficulties in Emotion Regulation Scale (DERS). The results revealed that binge eating/purging types of eating disorders were associated with greater difficulties in a variety of emotion regulation dimensions including impulse control, goal-directed behavior and access to effective emotion regulation strategies. Awareness and clarity of emotions were also worse in the binge eating/purging types of eating disorders, but this difference did not remain when comorbid psychopathology measures were controlled for. Moreover, the emotion regulation profile of adolescents with anorexia nervosa-binging/purging type was more similar to that of adolescents with bulimia nervosa than to that of adolescents with anorexia nervosa-restrictive type. While both restrictive and binge eating/purging eating disorders have been associated with emotion regulation difficulties, the current study shows that the presence of binge eating or purging episodes is linked with greater severity of emotion regulation deficits among adolescents with eating disorders.
情绪调节似乎在进食障碍中起着关键作用。然而，先前尝试将特定的情绪调节能力与特定类型的进食障碍联系起来的结果并不一致。此外，青少年时期进食障碍中的情绪调节知之甚少，而青少年时期是情绪发展的关键时期。本研究填补了这一空白，比较了限制型进食障碍和暴食/清除型进食障碍青少年的情绪调节特征。98 名患有进食障碍的青少年（49 名限制型和 49 名暴食/清除型）完成了一套问卷，包括情绪调节困难量表（DERS）。结果表明，暴食/清除型进食障碍与各种情绪调节维度的困难有关，包括冲动控制、目标导向行为和获得有效的情绪调节策略。暴食/清除型进食障碍的情绪意识和情绪清晰度也较差，但当控制共病精神病理学测量时，这种差异就不存在了。此外，神经性贪食症-暴食/清除型青少年的情绪调节特征与神经性贪食症青少年的情绪调节特征更为相似，而与神经性厌食症-限制型青少年的情绪调节特征不相似。虽然限制型和暴食/清除型进食障碍都与情绪调节困难有关，但本研究表明，暴食或清除发作的存在与进食障碍青少年情绪调节缺陷的严重程度增加有关。
