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Which dimensions of emotion dysregulation predict the onset and persistence of eating disorder behaviours? A prospective study

McClure, Zoe, Messer, Mariel, Anderson, Cleo, Liu, C and Linardon, Jake 2022, Which dimensions of emotion dysregulation predict the onset and persistence of eating disorder behaviours? A prospective study, Journal of Affective Disorders, vol. 310, pp. 123-128, doi: 10.1016/j.jad.2022.05.041.

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Title Which dimensions of emotion dysregulation predict the onset and persistence of eating disorder behaviours? A prospective study
Author(s) McClure, ZoeORCID iD for McClure, Zoe orcid.org/0000-0002-7186-7264
Messer, Mariel
Anderson, CleoORCID iD for Anderson, Cleo orcid.org/0000-0003-4475-7139
Liu, C
Linardon, Jake
Journal name Journal of Affective Disorders
Volume number 310
Start page 123
End page 128
Total pages 6
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2022-08-01
ISSN 0165-0327
1573-2517
Keyword(s) Eating disorders
Binge eating
Emotion dysregulation
Prospective design
Binge-eating disorder
Bulimia nervosa
Disordered eating
Depression
Summary Background: Theoretical models highlight the importance of emotion dysregulation as a key risk and maintaining factor for eating disorders. However, most studies testing these theories are cross-sectional. It remains unclear which dimensions of emotion dysregulation account for the onset and persistence of eating disorder behaviours over time. Methods: To address these gaps, data were analyzed from 1321 adult women who completed study measures at baseline and eight-month follow-up. The dimensions of emotion dysregulation assessed were five subscales from the abbreviated 16-item Difficulties in Emotion Regulation Scale. Outcomes included the onset (versus asymptomatic) and persistence (versus remission) of binge eating and compensatory behaviours. Results: Univariate logistic regressions showed that, among initially asymptomatic women, higher baseline levels of each emotion dysregulation dimension (except the “goals” subscale) predicted the onset of binge eating and compensatory behaviours at follow-up. Each dimension also predicted the persistence of compensatory behaviours at follow-up among women endorsing these behaviours at baseline, while the “impulse”, “strategies”, and “non-acceptance” dimensions predicted the persistence of binge eating. In multivariate analyses, only the “strategies” dimension predicted the onset and persistence of binge eating, while the “non-acceptance” dimension predicted the onset and persistence of compensatory behaviours. Limitations: Only a limited number of emotion dysregulation dimensions were tested. Conclusion: Findings demonstrate the importance of emotion dysregulation dimensions in accounting for the onset and maintenance of eating disorder behaviours. The delivery of specific intervention strategies designed to address emotion dysregulation may depend on the risk and symptom profile of an individual.
Language eng
DOI 10.1016/j.jad.2022.05.041
Field of Research 11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30168416

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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