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      Emotional regulation in eating disorders and gambling disorder: A transdiagnostic approach


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          Background and aims

          Difficulties in Emotion Regulation (ER) are related to the etiology and maintenance of several psychological disorders, including Eating Disorders (ED) and Gambling Disorder (GD). This study explored the existence of latent empirical groups between both disorders, based on ER difficulties and considering a set of indicators of personality traits, the severity of the disorder, and psychopathological distress.


          The sample included 1,288 female and male participants, diagnosed with ED ( n = 906) and GD ( n = 382). Two-step clustering was used for the empirical classification, while analysis of variance and chi-square tests were used for the comparison between the latent groups.


          Three empirical groups were identified, from the most disturbed ER profile (Subgroup 1) to the most functional (Subgroup 3). The ER state showed a linear relationship with the severity of each disorder and the psychopathological state. Different personality traits were found to be related to the level of emotion dysregulation.

          Discussion and conclusion

          In this study, three distinct empirical groups based on ER were identified across ED and GD, suggesting that ER is a transdiagnostic construct. These findings may lead to the development of common treatment strategies and more tailored approaches.

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          Most cited references124

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          Silhouettes: A graphical aid to the interpretation and validation of cluster analysis

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            Emotion-regulation strategies across psychopathology: A meta-analytic review.

            We examined the relationships between six emotion-regulation strategies (acceptance, avoidance, problem solving, reappraisal, rumination, and suppression) and symptoms of four psychopathologies (anxiety, depression, eating, and substance-related disorders). We combined 241 effect sizes from 114 studies that examined the relationships between dispositional emotion regulation and psychopathology. We focused on dispositional emotion regulation in order to assess patterns of responding to emotion over time. First, we examined the relationship between each regulatory strategy and psychopathology across the four disorders. We found a large effect size for rumination, medium to large for avoidance, problem solving, and suppression, and small to medium for reappraisal and acceptance. These results are surprising, given the prominence of reappraisal and acceptance in treatment models, such as cognitive-behavioral therapy and acceptance-based treatments, respectively. Second, we examined the relationship between each regulatory strategy and each of the four psychopathology groups. We found that internalizing disorders were more consistently associated with regulatory strategies than externalizing disorders. Lastly, many of our analyses showed that whether the sample came from a clinical or normative population significantly moderated the relationships. This finding underscores the importance of adopting a multi-sample approach to the study of psychopathology. Copyright 2009 Elsevier B.V. All rights reserved.
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              Emotion Regulation: Current Status and Future Prospects


                Author and article information

                J Behav Addict
                J Behav Addict
                Journal of Behavioral Addictions
                Akadémiai Kiadó (Budapest )
                13 March 2021
                October 2021
                October 2021
                : 10
                : 3
                : 508-523
                [1 ] Department of Psychiatry, Bellvitge University Hospital-IDIBELL , 08907 Barcelona, Spain
                [2 ] Department of Clinical Sciences, School of Medicine, University of Barcelona , 08907 Barcelona, Spain
                [3 ] Ciber Physiopathology, Obesity and Nutrition (CIBERObn), Instituto de Salud Carlos III , 08907 Barcelona, Spain
                [4 ] Department of Psychobiology and Methodology of Health Sciences, Universitat Autònoma de Barcelona , 08193 Barcelona, Spain
                [5 ] Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona , 08907 Barcelona, Spain
                [6 ] Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London , London, UK
                Author notes
                Author information
                © 2021 The Author(s)

                Open Access. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.

                : 06 November 2020
                : 04 January 2021
                : 05 February 2021
                : 22 February 2021
                Page count
                Figures: 4, Tables: 1, Equations: 0, References: 123, Pages: 16
                Funded by: Ministerio de Economía y Competitividad
                Award ID: PSI2015-68701-R
                Funded by: Delegación del Gobierno para el Plan Nacional sobre Drogas
                Award ID: 2017I067/ 2019I47
                Funded by: Instituto de Salud Carlos III (ISCIII)
                Award ID: FIS PI17/01167
                Funded by: Department of Health of the Generalitat de Catalunya
                Award ID: SLT006/17/00246
                Funded by: FEDER Funds
                Funded by: European Regional Development Fund (ERDF)
                Funded by: Mexican Institution Consejo Nacional de Ciencia y Tecnología-CONACYT
                Funded by: Research Committee of the University Hospital of Bellvitge
                Funded by: EU-H2020 Grants (H2020-SFS-2016-2)
                Award ID: Eat2beNICE-Ref 728018
                Funded by: EU-H2020 ( H2020-SC1-BHC-2018-2020)
                Award ID: PRIME-Ref: 847879

                eating disorders,gambling disorders,emotion regulation,transdiagnostic


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