scholarly journals Associations between emotion regulation difficulties, eating disorder symptoms, non-suicidal self-injury, and suicide attempts in a heterogeneous eating disorder sample

2017 ◽  
Vol 73 ◽  
pp. 143-150 ◽  
Author(s):  
Emily M. Pisetsky ◽  
Ann F. Haynos ◽  
Jason M. Lavender ◽  
Scott J. Crow ◽  
Carol B. Peterson
Author(s):  
Kyle T. Ganson ◽  
Rachel F. Rodgers ◽  
Sarah K. Lipson ◽  
Tamara J. Cadet ◽  
Michelle Putnam

2020 ◽  
Vol 10 (2) ◽  
pp. 104
Author(s):  
Kenneth J. D. Allen ◽  
M. McLean Sammon ◽  
Kathryn R. Fox ◽  
Jeremy G. Stewart

Eating disorder (ED) symptoms often co-occur with non-suicidal self-injury (NSSI). This comorbidity is consistent with evidence that trait negative urgency increases risk for both of these phenomena. We previously found that impaired late-stage negative emotional response inhibition (i.e., negative emotional action termination or NEAT) might represent a neurocognitive mechanism for heightened negative urgency among people with NSSI history. The current study evaluated whether relations between negative urgency and ED symptoms similarly reflect deficits in this neurocognitive process. A total of 105 community adults completed an assessment of ED symptoms, negative urgency, and an emotional response inhibition task. Results indicated that, contrary to predictions, negative urgency and NEAT contributed independent variance to the prediction of ED symptoms, while controlling for demographic covariates and NSSI history. Worse NEAT was also uniquely associated with restrictive eating, after accounting for negative urgency. Our findings suggest that difficulty inhibiting ongoing motor responses triggered by negative emotional reactions (i.e., NEAT) may be a shared neurocognitive characteristic of ED symptoms and NSSI. However, negative urgency and NEAT dysfunction capture separate variance in the prediction of ED-related cognitions and behaviors, distinct from the pattern of results we previously observed in NSSI.


2021 ◽  
Author(s):  
Marsha Rowsell ◽  
Danielle E. MacDonald ◽  
Jacqueline C. Carter

Background Difficulties with emotion regulation have been established as a core deficit in anorexia nervosa (AN). However, limited research has evaluated whether weight gain is associated with improvements in emotion regulation difficulties in AN and whether improvements in emotion regulation are associated with reductions in eating disorder psychopathology. The aims of this study were threefold: 1) to examine the nature and extent of emotion regulation difficulties in AN; 2) to determine whether these difficulties improved during intensive treatment for the eating disorder; and 3) to study whether improvements in emotion regulation were associated with improvements in eating disorder psychopathology. Method The participants were 108 patients who met DSM-IV-TR criteria for AN and were admitted to a specialized intensive treatment program. Self-report measures of eating disorder symptoms and difficulties with emotion regulation were administered at admission to and discharge from the program. Results Patients with the binge-purge subtype of AN reported greater difficulties with impulse control when upset and more limited access to emotion regulation strategies when experiencing negative emotions than those with the restricting subtype. Among those who completed treatment and became weight restored, improvements in emotion regulation difficulties were observed. Greater pre-to-post treatment improvements in emotional clarity and engagement in goal directed behaviours when upset were associated with greater reductions in eating disorder psychopathology during treatment. Conclusions These findings add to growing evidence suggesting that eating disorder symptoms may be related to emotion regulation difficulties in AN and that integrating strategies to address emotion regulation deficits may be important to improving treatment outcome in AN.


2014 ◽  
Vol 37 (3) ◽  
pp. 504-511 ◽  
Author(s):  
Angelina Yiu ◽  
Brianna J. Turner ◽  
Brianne K. Layden ◽  
Alexander L. Chapman ◽  
Shannon L. Zaitsoff

Author(s):  
Kenneth J.D. Allen ◽  
M. McLean Sammon ◽  
Kathryn R. Fox ◽  
Jeremy G. Stewart

Eating disorder (ED) symptoms often co-occur with nonsuicidal self-injury (NSSI). This comorbidity is consistent with evidence that trait negative urgency increases risk for both of these phenomena. We previously found that impaired late-stage negative emotional response inhibition (i.e., negative emotional action termination or NEAT) might represent a neurocognitive mechanism for heightened negative urgency among people with NSSI history. The current study evaluated whether relations between negative urgency and ED symptoms similarly reflect deficits in this neurocognitive process. One hundred and five community adults completed an assessment of ED symptoms, negative urgency, and an emotional response inhibition task. Results indicated that, contrary to predictions, negative urgency and NEAT contributed independent variance to the prediction of ED symptoms, while controlling for demographic covariates and NSSI history. Worse NEAT was also uniquely associated with restrictive eating, after accounting for negative urgency. Our findings suggest that difficulty inhibiting ongoing motor responses triggered by negative emotional reactions (i.e., NEAT) may be a shared neurocognitive characteristic of ED symptoms and NSSI. However, negative urgency and NEAT dysfunction capture separate variance in the prediction of ED-related cognitions and behaviors, distinct from the pattern of results we previously observed in NSSI.


2021 ◽  
Author(s):  
Nikki Miles

<p>Non-suicidal self-injury (NSSI) is a relatively common behaviour in adolescents. This is concerning as NSSI is a transdiagnostic risk factor for a range of mental disorders and is associated with increased risk of later suicide attempts. In this thesis, I used a longitudinal sample of New Zealand secondary school students to investigate the possible developmental pathway of parental attachment to NSSI via the mediating effect of emotion regulation. First, I examined the suitability of the Emotion Regulation Index for Children and Adolescents (ERICA; MacDermott et al., 2010) as a measure of emotion regulation in a New Zealand sample using confirmatory factor analysis, followed by a comparison with a more popularly used measure (the Difficulties in Emotion Regulation Scale; Gratz & Roemer, 2004). Finding the ERICA to be suitable for use with my sample, I conducted a cross-lagged panel analysis with a longitudinal mediation to investigate how attachment, emotion regulation, and NSSI relate to each other over time. I found that emotion regulation was a significant mediator of the relationship between attachment and NSSI, supporting my hypothesis. The theoretical and practical implications of this are discussed in terms of the development of NSSI and intervention and treatment possibilities.</p>


2021 ◽  
Author(s):  
Nikki Miles

<p>Non-suicidal self-injury (NSSI) is a relatively common behaviour in adolescents. This is concerning as NSSI is a transdiagnostic risk factor for a range of mental disorders and is associated with increased risk of later suicide attempts. In this thesis, I used a longitudinal sample of New Zealand secondary school students to investigate the possible developmental pathway of parental attachment to NSSI via the mediating effect of emotion regulation. First, I examined the suitability of the Emotion Regulation Index for Children and Adolescents (ERICA; MacDermott et al., 2010) as a measure of emotion regulation in a New Zealand sample using confirmatory factor analysis, followed by a comparison with a more popularly used measure (the Difficulties in Emotion Regulation Scale; Gratz & Roemer, 2004). Finding the ERICA to be suitable for use with my sample, I conducted a cross-lagged panel analysis with a longitudinal mediation to investigate how attachment, emotion regulation, and NSSI relate to each other over time. I found that emotion regulation was a significant mediator of the relationship between attachment and NSSI, supporting my hypothesis. The theoretical and practical implications of this are discussed in terms of the development of NSSI and intervention and treatment possibilities.</p>


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