Munguía Lucero, Jiménez-Murcia Susana, Granero Roser, Baenas Isabel, Agüera Zaida, Sánchez Isabel, Codina Ester, Del Pino-Gutiérrez Amparo, Testa Guilia, Treasure Janet, Fernández-Aranda Fernando
1Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.
2Department of Clinical Sciences, School of Medicine, University of Barcelona, 08907 Barcelona, Spain.
J Behav Addict. 2021 Mar 13;10(3):508-23. doi: 10.1556/2006.2021.00017.
Difficulties in Emotion Regulation (ER) are related to the etiology and maintenance of several psychological disorders, including Eating Disorders (ED) and Gambling Disorder (GD). This study explored the existence of latent empirical groups between both disorders, based on ER difficulties and considering a set of indicators of personality traits, the severity of the disorder, and psychopathological distress.
The sample included 1,288 female and male participants, diagnosed with ED (n = 906) and GD (n = 382). Two-step clustering was used for the empirical classification, while analysis of variance and chi-square tests were used for the comparison between the latent groups.
Three empirical groups were identified, from the most disturbed ER profile (Subgroup 1) to the most functional (Subgroup 3). The ER state showed a linear relationship with the severity of each disorder and the psychopathological state. Different personality traits were found to be related to the level of emotion dysregulation.
In this study, three distinct empirical groups based on ER were identified across ED and GD, suggesting that ER is a transdiagnostic construct. These findings may lead to the development of common treatment strategies and more tailored approaches.
情绪调节困难与多种心理障碍的病因及维持有关，包括饮食失调（ED）和赌博障碍（GD）。本研究基于情绪调节困难，并考虑一系列人格特质指标、障碍严重程度和心理病理困扰，探讨这两种障碍之间潜在实证群体的存在情况。
样本包括1288名男女参与者，其中诊断为饮食失调的有906人，诊断为赌博障碍的有382人。采用两步聚类进行实证分类，同时使用方差分析和卡方检验对潜在群体进行比较。
确定了三个实证群体，从情绪调节最紊乱的概况（亚组1）到功能最正常的（亚组3）。情绪调节状态与每种障碍的严重程度以及心理病理状态呈线性关系。发现不同的人格特质与情绪失调水平有关。
在本研究中，在饮食失调和赌博障碍中基于情绪调节确定了三个不同的实证群体，表明情绪调节是一种跨诊断结构。这些发现可能会促使开发共同的治疗策略和更具针对性的方法。
