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Eur Eat Disord Rev. 2014 May;22(3):212-6. doi: 10.1002/erv.2288. Epub 2014 Mar 12.

Dimensions of emotion dysregulation in bulimia nervosa.

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Neuropsychiatric Research Institute, Fargo, ND, USA.


The goal of this study was to examine associations between dimensions of emotion dysregulation and eating disorder (ED) symptoms in bulimia nervosa (BN). This investigation used baseline data from a BN treatment study that included 80 adults (90% women) with full or subthreshold BN. Participants completed the Difficulties in Emotion Regulation Scale (DERS) and the Eating Disorders Examination interview. The Eating Disorders Examination global score was significantly correlated with the DERS total score, as well as several DERS subscales: nonacceptance, impulse and strategies. Further, the DERS goals subscale was found to be uniquely associated with frequency of purging and driven exercise, although none of the subscales were associated with frequency of objective binge eating. Findings indicate that emotion dysregulation is associated with ED symptoms in BN, suggesting the utility of interventions that address emotion regulation skills deficits in the treatment of the disorder.


affect regulation; bulimia nervosa; emotion; emotion regulation

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