Evidence-based Assessment and Psychological Interventions Doctoral School, Babeș-Bolyai University, Cluj-Napoca, Romania; The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeș-Bolyai University, Cluj-Napoca, Romania.
The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeș-Bolyai University, Cluj-Napoca, Romania; Department of Clinical Psychology and Psychotherapy, Babeș-Bolyai University, Cluj-Napoca, Romania.
Appetite. 2019 Dec 1;143:104438. doi: 10.1016/j.appet.2019.104438. Epub 2019 Aug 31.
The goal of this meta-analysis was to examine the associations between specific emotion regulation abilities (emotional awareness, emotional clarity) and strategies (acceptance of emotions, reappraisal, problem-solving, rumination, avoidance of emotions, and suppression), and eating pathology. A total of 96 studies and 239 effect sizes were included in the analysis. Relations between global and specific emotion regulation abilities and strategies and eating disorders and eating-related symptoms were examined. Results indicated medium-to-large effect sizes for the associations between adaptive emotion regulation and eating disorder and eating-related symptoms, and medium-to-large effect sizes for the associations between maladaptive emotion regulation and eating disorders and eating-related symptoms. In terms of specific emotion regulation strategies, large magnitude of associations were identified for the relations between lack of emotional awareness, clarity, acceptance, reappraisal, problem-solving, and eating disorders. Rumination, avoidance of emotions, and suppression also showed large associations with anorexia nervosa and bulimia nervosa. Overall, emotion regulation did not differ across eating disorders, a finding supporting the transdiagnostic character of emotion regulation problems in eating pathology. These findings have important theoretical and practical implications for prevention and intervention programs.
本荟萃分析旨在研究特定情绪调节能力（情绪觉察、情绪明晰）和策略（情绪接纳、情绪重评、问题解决、反刍、情绪回避和情绪抑制）与进食障碍的关联。该分析共纳入 96 项研究和 239 个效应量。研究考察了整体和特定情绪调节能力与策略与进食障碍和进食相关症状之间的关系。结果表明，适应性情绪调节与进食障碍和进食相关症状之间存在中等至较大的关联，而不良的情绪调节与进食障碍和进食相关症状之间存在中等至较大的关联。就特定的情绪调节策略而言，情绪觉察、明晰、接纳、重评、问题解决能力不足与进食障碍存在很大关联。反刍、情绪回避和抑制与神经性厌食症和神经性贪食症也存在很大关联。总体而言，情绪调节在进食障碍中没有差异，这一发现支持了情绪调节问题在进食障碍中的跨诊断特征。这些发现对预防和干预计划具有重要的理论和实践意义。
