Evidence map›Paper›PMID 26175710›Full record

ArticleFrontiers in psychology2015

Emotion regulation in disordered eating: Psychometric properties of the Difficulties in Emotion Regulation Scale among Spanish adults and its interrelations with personality and clinical severity.

Ines Wolz, Zaida Agüera, Roser Granero, Susana Jiménez-Murcia, Kim L Gratz, José M Menchón, Fernando Fernández-Aranda

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In one paragraph

Article in Frontiers in psychology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Does Evidence Support an Emotion Regulation Model of Anorexia Nervosa? A Systematic Review of Over a Decade of Research.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025
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  17. Anandamide and 2-arachidonoylglycerol baseline plasma concentrations and their clinical correlate in gambling disorder.European psychiatry : the journal of the Association of European Psychiatrists · 2023
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Ines WolzDepartment of Psychiatry, University Hospital of Bellvitge-IDIBELL Barcelona, Spain ; Ciber Fisiopatologia Obesidad y Nutrición (CIBEROBN), Instituto Salud Carlos III Barcelona, Spain ; Department of Clinical Sciences, School of Medicine, University of Barcelona Barcelona, Spain.
Zaida AgüeraDepartment of Psychiatry, University Hospital of Bellvitge-IDIBELL Barcelona, Spain ; Ciber Fisiopatologia Obesidad y Nutrición (CIBEROBN), Instituto Salud Carlos III Barcelona, Spain.
Roser GraneroCiber Fisiopatologia Obesidad y Nutrición (CIBEROBN), Instituto Salud Carlos III Barcelona, Spain ; Department of Psychobiology and Methodology, University Autònoma of Barcelona Barcelona, Spain.
Susana Jiménez-MurciaDepartment of Psychiatry, University Hospital of Bellvitge-IDIBELL Barcelona, Spain ; Ciber Fisiopatologia Obesidad y Nutrición (CIBEROBN), Instituto Salud Carlos III Barcelona, Spain ; Department of Clinical Sciences, School of Medicine, University of Barcelona Barcelona, Spain.
Kim L GratzDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center Jackson, MS, USA.
José M MenchónDepartment of Psychiatry, University Hospital of Bellvitge-IDIBELL Barcelona, Spain ; Department of Clinical Sciences, School of Medicine, University of Barcelona Barcelona, Spain ; Ciber Salud Mental (CIBERSAM), Instituto Salud Carlos III Barcelona, Spain.
Fernando Fernández-ArandaDepartment of Psychiatry, University Hospital of Bellvitge-IDIBELL Barcelona, Spain ; Ciber Fisiopatologia Obesidad y Nutrición (CIBEROBN), Instituto Salud Carlos III Barcelona, Spain ; Department of Clinical Sciences, School of Medicine, University of Barcelona Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aims of the study were to (1) validate the Difficulties in Emotion Regulation Scale (DERS) in a sample of Spanish adults with and without eating disorders, and (2) explore the role of emotion regulation difficulties in eating disorders (ED), including its mediating role in the relation between key personality traits and ED severity.

methodsOne hundred and thirty four patients (121 female, mean age = 29 years) with anorexia nervosa (n = 30), bulimia nervosa (n = 54), binge eating (n = 20), or Other Specified Feeding or Eating Disorders (n = 30) and 74 healthy control participants (51 female, mean age = 21 years) reported on general psychopathology, ED severity, personality traits and difficulties in emotion regulation. Exploratory and confirmatory factor analyses were conducted to examine the psychometrics of the DERS in this Spanish sample (Aim 1). Additionally, to examine the role of emotion regulation difficulties in ED (Aim 2), differences in emotion regulation difficulties across eating disorder subgroups were examined and structural equation modeling was used to explore the interrelations among emotion regulation, personality traits, and eating disorder severity.

resultsRESULTS support the validity and reliability of the DERS within this Spanish adult sample and suggest that this measure has a similar factor structure in this sample as in the original sample. Moreover, emotion regulation difficulties were found to differ as a function of eating disorder subtype and to mediate the relation between two specific personality traits (i.e., high harm avoidance and low self-directedness) and ED severity.

conclusionsPersonality traits of high harm avoidance and low self-directedness may increase vulnerability to ED pathology indirectly, through emotion regulation difficulties.

Indexed as

difficulties in emotion regulation scaleeating disorderemotion regulationharm avoidancepersonality typesself-directednessvulnerability to psychopathology

Identifiers

PMID26175710
PMCPMC4485313

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.