Starvation and emotion regulation in anorexia nervosa

Brockmeyer, Timo; Holtforth, Martin Grosse; Bents, Hinrich; Kämmerer, Annette; Herzog, Wolfgang; Friederich, Hans‐Christoph

doi:10.1016/j.comppsych.2011.09.003

Cited by 110 publications

(115 citation statements)

References 49 publications

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“…However, the Gratz and Roemer conceptualization provides several benefits compared to this and other approaches. First, the multidimensional model has been directly applied in numerous studies of EDs (e.g., Brockmeyer et al, 2012; Harrison et al, 2009; Harrison, Sullivan, et al, 2010; Racine & Wildes, 2013). Second, the multidimensional model is more strongly clinically-informed, as it was developed specifically in the context of understanding emotion dysregulation as it relates to maladaptive behaviors and psychopathology.…”

Section: Framework For the Current Reviewmentioning

confidence: 99%

Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa: A conceptual review of the empirical literature

Lavender

Wonderlich

Engel

et al. 2015

Clinical Psychology Review

379

312

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Several existing conceptual models and psychological interventions address or emphasize the role of emotion dysregulation in eating disorders. The current article uses Gratz and Roemer’s (2004) multidimensional model of emotion regulation and dysregulation as a clinically relevant framework to review the extant literature on emotion dysregulation in anorexia nervosa (AN) and bulimia nervosa (BN). Specifically, the dimensions reviewed include: (1) the flexible use of adaptive and situationally appropriate strategies to modulate the duration and/or intensity of emotional responses, (2) the ability to successfully inhibit impulsive behavior and maintain goal-directed behavior in the context of emotional distress, (3) awareness, clarity, and acceptance of emotional states, and (4) the willingness to experience emotional distress in the pursuit of meaningful activities. The current review suggests that both AN and BN are characterized by broad emotion regulation deficits, with difficulties in emotion regulation across the four dimensions found to characterize both AN and BN, although a small number of more specific difficulties may distinguish the two disorders. The review concludes with a discussion of the clinical implications of the findings, as well as a summary of limitations of the existing empirical literature and suggestions for future research.

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Section: Framework For the Current Reviewmentioning

confidence: 99%

Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa: A conceptual review of the empirical literature

Lavender

Wonderlich

Engel

et al. 2015

Clinical Psychology Review

379

312

View full text Add to dashboard Cite

show abstract

“…AN patients typically show strong emotional avoidance, emotion dysregulation, and reduced emotional expression [2,3]. AN behaviours such as dietary restraint may serve as maladaptive mechanisms of emotion regulation by reducing aversive emotional experience [3]. High levels of emotional processing during psychotherapy are usually associated with symptom reduction [4].…”

Section: Tablementioning

confidence: 99%

“…Examining elements of the therapeutic process could provide helpful new insights into cognitive and behavioural factors associated with a favourable outcome. AN patients typically show strong emotional avoidance, emotion dysregulation, and reduced emotional expression [2,3]. AN behaviours such as dietary restraint may serve as maladaptive mechanisms of emotion regulation by reducing aversive emotional experience [3].…”

Section: Tablementioning

confidence: 99%

Emotional Expression Predicts Treatment Outcome in Focal Psychodynamic and Cognitive Behavioural Therapy for Anorexia Nervosa: Findings from the ANTOP Study

Friederich

Brockmeyer

Wild

et al. 2017

Psychother Psychosom

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“…Hasta ahora las investigaciones, en su conjunto, han puesto de manifiesto que las pacientes con TCA presentan dificultades emocionales diversas (Fox y Power, 2009;Ioannou y Fox, 2006), dificultades de reconocimiento emocional propio, valoradas a través de la utilización de escalas que miden alexitimia (dificultad para identificar y describir estados emocionales; Cochrane, Brewerton, Wilsony Hodges, 1993;Råstam, Gillberg, Gillberg y Johansson, 1997), deficiencias de regulación emocional medidas mediante escalas específicas y opiniones de pacientes, que han informado de la utilización de los síntomas como forma de regular sus emociones (Brockmeyer et al, 2012;Harrison et al, 2009;Harrison, Sullivan, Tchanturia, Treasure, 2010b;Heatherton y Baumeister, 1991;Holliday, Uher, Landau, Collier y Treasure, 2006) y delimitación de cuáles son las emociones predominantes de las pacientes y su relación con las conductas patológicas alimentarias (Fox y Harrison, 2008;Gillberg, Råstam, Wentz y Gillberg, 2007;Keith, Gillanders y Simpson, 2009;Troop, Treasure y Serpell, 2002;Waller et al, 2003;Zaitsoff, Gellery Srikameswaran, 2002).…”

Section: Discussionunclassified

Procesamiento emocional en pacientes TCA adultas vs. adolescentes. Reconocimientoy regulación emocional

et al. 2014

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Objetivo. Las dificultades de procesamiento emocional han sido relacionadas con los trastornos de la conducta alimentaria, aunque existe un debate acerca de si anteceden o son consecuencia de ellos. La mayoría de los estudios han sido realizados en pacientes adultas de larga evolución y pocos han incluido pacientes menores. Nuestro estudio compara las dificultades de reconocimiento y regulación emocional en pacientes adultas y adolescentes y pretende discriminar si estos actúan como factores predisponentes y/o de mantenimiento. Método. Se compararon 48 pacientes (27 adultas, 21 adolescentes), con 41 controles sanos (13 adultas, 28 adolescentes) mediante la Escala de Alexitimia de Toronto (TAS-20) y la Escala de Dificultades de Regulación Emocional (DERS). Resultados. Todas las pacientes presentan mayores dificultades en reconocimiento (alexitimia) y regulación emocional que los sujetos control. No se han obtenido diferencias entre pacientes en función del diagnóstico ni del índice de masa corporal (IMC). La intensidad de las dificultades está modulada por edad y gravedad del trastorno. Las pacientes adultas muestran una alexitimia más intensa que las adolescentes, aunque ambos grupos muestran dificultades similares en aceptación y regulación emocional. Las pacientes más graves (adultas y adolescentes) presentan mayor grado de alexitimia, rechazo y descontrol emocional. Conclusiones. Es esencial incluir intervenciones terapéuticas emocionales desde el inicio del tratamiento. Los programas de prevención deben facilitar el reconocimiento, aceptación y regulación emocional de las personas en riesgo.Objective. Though difficulties in emotional processing have been associated to eating disorders (EDs), the debate as to whether these difficulties are antecedents or consequence of EDs remains a contentious issue. Most studies have focused on long-term adult patients, but few studies have assessed adolescent patients. This study compared difficulties in emotional recognition and regulation in adult and adolescent patients to determine if they were predisposing factors and/or maintenance factors. Method. A total of 48 patients (27 adults, 21 adolescents) were compared with 41 healthy controls (13 adults, and 28 adolescents) using the Toronto Alexithymia Scale (TAS-20) and the Difficulties in Emotion Regulation Scale (DERS). Results. All of the patients exhibited more difficulties in emotional recognition (alexithymia) and regulation than controls. No differences were observed among patients in terms of body mass index (BMI). The intensity of these difficulties was modulated by age and the severity of the disorder. Alexithymia was more intense in adult patients than in adolescent patients, but both groups showed similar difficulties in emotional acceptance and regulation. Severely affected patients (adult and adolescents) exhibited higher levels of alexithymia, rejection, and emotional dysfunction. Conclusion. It is crucial that emotional therapeutic interventions are carried out from the commencement of treatment. Preventio...

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Starvation and emotion regulation in anorexia nervosa

Cited by 110 publications

References 49 publications

Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa: A conceptual review of the empirical literature

Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa: A conceptual review of the empirical literature

Emotional Expression Predicts Treatment Outcome in Focal Psychodynamic and Cognitive Behavioural Therapy for Anorexia Nervosa: Findings from the ANTOP Study

Procesamiento emocional en pacientes TCA adultas vs. adolescentes. Reconocimientoy regulación emocional

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