Difficulties in Emotion Regulation in Avoidant/Restrictive Food Intake Disorder.

Autor: Stern CM; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA., Graver H; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA., McPherson I; Neuroendocrine Unit, Massachusetts General Hospital, Boston, Massachusetts, USA., Gydus J; Neuroendocrine Unit, Massachusetts General Hospital, Boston, Massachusetts, USA., Kambanis PE; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA., Breithaupt L; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, Massachusetts, USA., Burton-Murray H; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.; Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.; Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts, USA., Zayas L; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA., Eddy KT; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA., Thomas JJ; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA., Becker KR; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
Jazyk: angličtina
Zdroj: The International journal of eating disorders [Int J Eat Disord] 2024 Nov; Vol. 57 (11), pp. 2156-2166. Date of Electronic Publication: 2024 Sep 01.
DOI: 10.1002/eat.24281
Abstrakt: Objective: Despite substantial research indicating difficulties with emotion regulation across eating disorder presentations, emotion regulation has yet to be studied in adults with avoidant/restrictive food intake disorder (ARFID). We hypothesized that (1) those with ARFID would report greater overall emotion regulation difficulties than nonclinical participants, and (2) those with ARFID would not differ from those with other eating disorders on the level of emotion regulation difficulty.
Methods: One hundred and thirty-seven adults (age 18-30) from an outpatient clinic with ARFID (n = 27), with other primarily restrictive eating disorders (e.g., anorexia nervosa; n = 34), and with binge/purge eating disorders (e.g., bulimia nervosa; n = 51), as well as nonclinical participants (n = 25) recruited via Amazon Mechanical Turk (MTurk) completed the Difficulties in Emotion Regulation Scale (DERS). We compared DERS scores across groups.
Results: In line with expectations, patients with ARFID scored significantly higher than nonclinical participants on the DERS Total (p = 0.01) with a large effect size (d = 0.87). Also as hypothesized, those with ARFID did not differ from those with other primarily restrictive (p = 0.99) or binge/purge disorders (p = 0.29) on DERS Total.
Discussion: Adults with ARFID appear to exhibit emotion regulation difficulties which are greater than nonclinical participants, and commensurate with other eating disorders. These findings highlight the possibility of emotion regulation difficulties as a maintenance mechanism for ARFID.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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