Casey M. Stern, Haley Graver, Iman McPherson, Julia Gydus, P. Evelyna Kambanis, Lauren Breithaupt, Helen Burton-Murray, Lázaro Zayas, Kamryn T. Eddy, Jennifer J. Thomas, Kendra R. Becker
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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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>One hundred and thirty-seven adults (age 18–30) from an outpatient clinic with ARFID (<i>n</i> = 27), with other primarily restrictive eating disorders (e.g., anorexia nervosa; <i>n</i> = 34), and with binge/purge eating disorders (e.g., bulimia nervosa; <i>n</i> = 51), as well as nonclinical participants (<i>n</i> = 25) recruited via Amazon Mechanical Turk (MTurk) completed the Difficulties in Emotion Regulation Scale (DERS). We compared DERS scores across groups.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>In line with expectations, patients with ARFID scored significantly higher than nonclinical participants on the DERS Total (<i>p</i> = 0.01) with a large effect size (<i>d</i> = 0.87). Also as hypothesized, those with ARFID did not differ from those with other primarily restrictive (<i>p</i> = 0.99) or binge/purge disorders (<i>p</i> = 0.29) on DERS Total.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"57 11","pages":"2156-2166"},"PeriodicalIF":4.7000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Difficulties in Emotion Regulation in Avoidant/Restrictive Food Intake Disorder\",\"authors\":\"Casey M. Stern, Haley Graver, Iman McPherson, Julia Gydus, P. Evelyna Kambanis, Lauren Breithaupt, Helen Burton-Murray, Lázaro Zayas, Kamryn T. Eddy, Jennifer J. Thomas, Kendra R. Becker\",\"doi\":\"10.1002/eat.24281\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>One hundred and thirty-seven adults (age 18–30) from an outpatient clinic with ARFID (<i>n</i> = 27), with other primarily restrictive eating disorders (e.g., anorexia nervosa; <i>n</i> = 34), and with binge/purge eating disorders (e.g., bulimia nervosa; <i>n</i> = 51), as well as nonclinical participants (<i>n</i> = 25) recruited via Amazon Mechanical Turk (MTurk) completed the Difficulties in Emotion Regulation Scale (DERS). We compared DERS scores across groups.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>In line with expectations, patients with ARFID scored significantly higher than nonclinical participants on the DERS Total (<i>p</i> = 0.01) with a large effect size (<i>d</i> = 0.87). Also as hypothesized, those with ARFID did not differ from those with other primarily restrictive (<i>p</i> = 0.99) or binge/purge disorders (<i>p</i> = 0.29) on DERS Total.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Discussion</h3>\\n \\n <p>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.</p>\\n </section>\\n </div>\",\"PeriodicalId\":51067,\"journal\":{\"name\":\"International Journal of Eating Disorders\",\"volume\":\"57 11\",\"pages\":\"2156-2166\"},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/eat.24281\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/eat.24281","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Difficulties in Emotion Regulation in Avoidant/Restrictive Food Intake Disorder
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.
期刊介绍：
Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.
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