Examining patient's use of, intention to use, and perceived helpfulness of emotion regulation strategies in an acceptance based behavioral treatment for bulimia nervosa as predictors of treatment outcome

2021 ◽  
Author(s):  
Megan Nicole Parker
2021 ◽  
Author(s):  
Karin Perthes ◽  
Inken Kirschbaum-Lesch ◽  
Tanja Legenbauer ◽  
Martin Holtmann ◽  
Florian Hammerle ◽  
...  

Objective: Adolescents with anorexia (AN) and bulimia nervosa (BN) often exhibit emotion regulation difficulties. Most studies assessed these difficulties across different emotions and did not differentiate between adaptive and maladaptive strategies. Hence, we investigate whether adolescents with AN or BN differ from healthy adolescents (HC) in (mal-)adaptive emotion regulation regarding anger, anxiety and sadness. Methods: 118 adolescents with AN, 32 with BN and 47 HC self-reported emotion regulation strategies for anxiety, anger and sadness. Mixed models for adaptive and maladaptive strategies with factors emotion and group were calculated. Results: Significant main effects of emotion (p ≤ .001) and group (p ≤ .001) emerged, but no significant interaction effects of emotion × group (p ≥ .09). Post-hoc comparisons revealed more adaptive and less maladaptive strategies for anxiety compared to anger and sadness (p ≤ .002). Furthermore, adolescents with AN and BN reported less adaptive (p ≤ .001) and more maladaptive strategies than HC (p ≤ .001), with BN applying most maladaptive strategies (p = .009). Discussion: Differentiating between AN and BN with regards to adaptive and maladaptive emotion regulation strategies may be warranted. Future studies might investigate whether adolescents with AN and BN differ in their emotion regulation regarding other emotions.


Crisis ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 280-286 ◽  
Author(s):  
Nir Madjar ◽  
Nicole Segal ◽  
Gilad Eger ◽  
Gal Shoval

Abstract. Background: Nonsuicidal self-injury (NSSI) has been found to be associated with poor emotion regulation. Aims: The goal of this study was to examine the association of multidimensional cognitive emotion regulation strategies with NSSI among adolescents and compare the different patterns of NSSI. Method: A sample of 594 high-school students (54.4% boys; mean age = 14.96 years), from five regional schools across Israel, were assessed for five facets of cognitive emotion regulation strategies (acceptance, refocus on planning, positive refocusing, putting into perspective, and positive reappraisal) and NSSI behaviors using validated scales. Participants were allocated into three groups: repetitive NSSI (more than six occasions of NSSI; 7.1%), occasional NSSI (at least one incident but less than six; 8.3%), and no NSSI (84.6%). Results: Analysis of covariance, controlling for gender and depression symptoms, revealed that students with NSSI reported higher levels of acceptance, but lower levels of refocus on planning and putting into perspective. Limitations: The study used a cross-sectional design, which was a limitation. Conclusion: These findings demonstrate that particular cognitive emotion regulation strategies differ substantially in their relationship with NSSI. Adolescents who focus on planning and putting stressful situations into perspective may have increased resilience, whereas adolescents who are accepting of negative events that have happened may be more prone to maladaptive coping behaviors.


Author(s):  
Vykinta Kligyte ◽  
Shane Connelly ◽  
Chase E. Thiel ◽  
Lynn D. Devenport ◽  
Ryan P. Brown ◽  
...  

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