Evidence map›Paper›PMID 31473987›Full record

ArticleEating and weight disorders : EWD2019

Emotion regulation, emotion recognition, and empathy in adolescents with anorexia nervosa.

Kevser Nalbant, Bilge Merve Kalaycı, Devrim Akdemir, Sinem Akgül, Nuray Kanbur

Abstract read
PubMed Publisher
In one paragraph

Article in Eating and weight disorders : EWD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 5% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  5. Alexithymia and Emotion Recognition Over the Treatment Course in Adolescents and Emerging Adults With Anorexia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  6. 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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  18. Disturbed families or families disturbed: a reconsideration.Eating and weight disorders : EWD · 2022
    Review
  19. Adapted emotion skills training group for young people with anorexia nervosa : A mixed-methods evaluation.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Kevser NalbantDepartment of Child and Adolescent Psychiatry, Medical Faculty, Hacettepe University, Ankara, Turkey. drkevser@yahoo.com.ORCID http://orcid.org/0000-0003-4261-1013
Bilge Merve KalaycıDepartment of Child and Adolescent Psychiatry, Medical Faculty, Training and Research Hospital, Yildirim Beyazıt University, Ankara, Turkey.
Devrim AkdemirDepartment of Child and Adolescent Psychiatry, Medical Faculty, Hacettepe University, Ankara, Turkey.
Sinem AkgülDivision of Adolescent Medicine, Department of Pediatrics, Medical Faculty, Hacettepe University, Ankara, Turkey.
Nuray KanburDivision of Adolescent Medicine, Department of Pediatrics, Medical Faculty, Hacettepe University, Ankara, Turkey.
Hacettepe University · TRAnkara Yıldırım Beyazıt University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEmotional functions may play an important role in anorexia nervosa (AN). The onset of the disorder generally occurs during adolescence, which is a critical period of emotional development. However, most studies that evaluated emotional functions in AN were conducted in adult patients. The aim of this study was to evaluate emotion regulation, emotion recognition, and empathy skills in adolescent girls with AN by controlling for the effects of depression and anxiety symptoms, childhood traumatic experiences, and attachment security on emotional functions.

methodsThirty-two adolescent girls with AN and 32 healthy counterparts completed the Difficulties in Emotion Regulation Scale, the Reading the Mind in the Eyes Test, Toronto Alexithymia Scale-20, and the Child and Adolescent KA-SI Empathic Tendency Scale-Adolescent Form.

resultsThe results revealed that adolescents with AN were found to have more difficulties in emotion regulation, higher alexithymic tendencies, and lower empathy skills compared with the control group. However, emotion recognition was not found to be significantly different between the two groups. These results were the same when controlling for the effects of depression and anxiety symptoms, childhood traumatic experiences, and attachment security except for empathy skills. Alexithymia and depressive symptoms were significantly related to emotion regulation difficulties in adolescents with AN.

conclusionsConsidering the results, it seems that emotion regulation and alexithymia may play a crucial role in the development and maintenance of AN. Accordingly, it is necessary to focus on the improvement of these skills during the treatment of AN. Furthermore, interventions promoting these skills during adolescence may be preventive. LEVEL OF EVIDENCE: Level III, case-control study.

Indexed as

AdolescentAnorexia NervosaAnxietyCase-Control StudiesChildDepressionEmotional RegulationEmotionsEmpathyFacial ExpressionFacial RecognitionFemaleHumansSocial PerceptionSurveys and QuestionnairesTheory of MindAdolescentAlexithymiaAnorexia nervosaEmotion recognitionEmotion regulationEmpathy

Identifiers

PMID31473987
OpenAlexW2970158017

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.