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ISSN 2007-1523 (Electronic)
Revista Mexicana de Trastornos Alimentarios

2017, Number 1

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Revista Mexicana de Trastornos Alimentarios 2017; 8 (1)

Emotion dysregulation and eating symptoms: Analysis of group sessions in patients with eating disorder

Rodríguez GM, Gempeler RJ, Mayor AN, Patiño SC, Lozano CL, Pérez MV

Language: Spanish
References: 33
Page: 72-81
PDF size: 443.52 Kb.


ABSTRACT

The aim of this article was to explore and analyze the relationship between emotions, feelings and moods, with eating behavior and other behaviors in patients with eating disorders (ED). A total of 43 women aged among 14 to 45 years (M = 19.8, SD = 6.8), 19 were diagnosed with anorexia nervosa, 22 with bulimia nervosa and two with binge eating disorder. All participants attended to an ambulatory intensive program. Based on a qualitative methodology, it was analyzed the content of a dialectical behavior therapy group session. Before negative emotions it was observed that patients ----regardless of the ED diagnostic---- preferentially use suppression strategies rather than re-appraisal. Specifically, patients with anorexia nervosa tend to face negative emotions based on the expression of restrictive symptoms while bulimic ones tend to binge and/or purge. It was notorious the difficulty of all patients to name and discriminate emotions or associate them with maladaptive behaviors. ED treatment requires therapeutic techniques aimed to strength tolerance when discomfort is induced by negative emotions, but also promoting re-appraisal of these emotions.


REFERENCES

  1. Adenzato, M., Todisco, P. y Ardito, R. B. (2012). Social cognition in anorexia nervosa: Evidence of preserved theory of mind and impaired emotional functioning. Plos One, 7(8), e44414.

  2. Astrachan-Fletcher, E. y Maslar, M. (2009). Emotion regulation: Learning to coexist with your emotions. In The dialectical behavioral therapy skills workbook for bulimia. pp. 77---110. Oakland: New Harbinger Publications.

  3. Bankoff, S. M., Karpel, M. G., Forbes, H. F. y Pantalone, D. W. (2012). A systematic review of dialectical behavior therapy for the treatment of eating disorders, eating disorders. Journal of Treatment & Prevention, 20(3), 196---215.

  4. Campbell-Sills, L. y Barlow, D. H. (2007). Incorporating emotion regulation into conceptualization and treatments of anxiety and mood disorders. En J. J. Gross (Ed.), Handbook of emotion regulation (pp. 542---559). Nueva York: Guilford Press.

  5. Claes, L., Klonsky, E. D., Muehlenkamp, J., Kuppen, P. y Vandereyc-ken, W. (2010). The affect-regulation function of nonsuicidalself-injury in eating-disordered patients: Which affect states areregulated? Comprehensive Psychiatry, 51(4), 386---392.

  6. Clyne, C., Latner, J. D., Gleaves, D. H. y Blampied, N. M. (2010).Treatment of emotional dysregulation in full syndrome andsubthreshold binge eating disorder. Eating Disorders, 18(5),408---424.

  7. Dan-Glauser, E. S. y Gross, J. J. (2011). The temporal dynamics oftwo response-focused forms of emotion regulation: Experiential,expressive, and autonomic consequences. Psychophysiology,48(9), 1309---1322.

  8. Dan-Glauser, E. S. y Gross, J. J. (2013). Emotion regulation and emo-tion coherence: Evidence for strategy-specific effects. Emotion,13(5), 832---842.

  9. Davies, H., Swan, N., Schmidt, U. y Tchanturia, K. (2012). An experi-mental investigation of verbal expression of emotion in anorexiaand bulimia nervosa. European of Eating Disorders Review,20(6), 476---483.

  10. Fassbinder, E., Schweiger, U., Martius, D., Brand-de Wilde, O.y Arntz, A. (2016). Emotion regulation in schema therapyand dialectical behavior therapy. Frontiers in Psychology, 7,e1373.

  11. Gianini, L. M., White, M. A. y Masheb, R. M. (2013). Eating pathology,emotion regulation, and emotional overeating in obese adultswith binge eating disorder. Eating Behaviors, 14(3), 309---313.

  12. Gratz, K. L. y Roemer, L. (2004). Multidimensional assessmentof emotion regulation and dysregulation: Development, fac-tor structure, and initial validation and difficulties in EmotionRegulation Scale. Journal of Psychopathology and BehavioralAssessment, 26(1), 41---54.

  13. Harrison, A., Sullivan, S., Tchanturia, K. y Treasure, J. (2010). Emo-tional functioning in eating disorders: Attentional bias, emotionrecognition and emotion regulation. Psychological Medicine,40(11), 1887---1897.

  14. Hayaki, J. (2009). Negative reinforcement eating expectancies,emotion dysregulation, and symptoms of bulimia nervosa. Inter-national of Journal of Eating Disorders, 42(6), 552---556.

  15. Iancu, I., Cohen, E., Yehuda, Y. B. y Kotler, M. (2006). Treatment ofeating disorders improves eating symptoms but not alexithymiaand dissociation proneness. Comprehensive Psychiatry, 47(3),189---193.

  16. Inzlicht, M., Bartholow, B. D. y Hirsh, J. B. (2015). Emotional foun-dations of cognitive control. Trends in Cognitive Sciences, 19(3),126---132.

  17. Joos, A. B., Gille, M., Hartmann, A., Unterbrink, T., Wetzler-Burmeister, E., Scheidt, C., et al. (2012). Emotional perceptionin patients with eating disorders in comparison with depres-sed patients. European of Eating Disorders Review, 20(6),468---475.

  18. Lavender, J. M., Wonderlich, S. A., Engel, S. G., Gordon, K. H., Kaye,W. H. y Mitchell, J. E. (2015). Dimensions of emotion dysregu-lation in anorexia nervosa and bulimia nervosa: A conceptualreview of the empirical literature. Clinical Psychology Review,40, 111---122.

  19. Linehan, M. M. (1993). Cognitive behavioral treatment of border-line personality disorder. Nueva York: Guilford Press.

  20. Medina-Pradas, C., Navarro, J. B., López, S. R., Grau, A. y Obiols, J.E. (2011). Dyadic view of expressed emotion, stress, and eatingdisorder psychopathology. Appetite, 57(3), 743---748.

  21. Muehlenkamp, J. J., Engel, S. G., Wadeson, A., Crosby, R. D.,Wonderlich, S. A., Simonich, H., et al. (2009). Emotional sta-tes preceding and following acts of non-suicidal self-injury inbulimia nervosa patients. Behaviour Research Therapy, 47(1),83---87.

  22. Norwood, S. J., Bowker, A., Bucholz, A., Henderson, K. A., Gold-field, G. y Flament, M. F. (2011). Self-silencing and angerregulation as predictors of disordered eating among adolescentfemales. Eating Behaviors, 12(2), 112---118.

  23. Racine, S. E. y Wildes, J. E. (2013). Emotion dysregulation andsymptoms of anorexia nervosa: The unique roles of lack of emo-tional awareness and impulse control difficulties when upset.International Journal of Eating Disorders, 46(7), 713---720.

  24. Racine, S. E. y Wildes, J. E. (2015). Dynamic longitudinal relationsbetween emotion regulation difficulties and anorexia nervosasymptoms over the year following intensive treatment. Journalof Consulting and Clinical Psychology, 83(4), 785---795.

  25. Robinson, A., Safer, D. L., Austin, J. L. y Etkin, A. (2015). Does impli-cit emotion regulation in binge eating disorder matter? EatingBehaviors, 18, 186---191.

  26. Rodríguez, M. (2009). Uso de sustancias, impulsividad y trauma enpacientes con trastornos del comportamiento alimentario: Unatríada de riesgo para comorbilidades complejas que afectan elpronóstico. Revista Colombiana de Psiquiatría, 38(3), 420---432.

  27. Rodríguez, M., Gempeler, J., Pérez, V., Solano, S., Meluk, A. y Lie-mann, E. (2007). Entre el sufrimiento interno y las palabrassilenciadas: Análisis de narrativas en mujeres con trastornosdel comportamiento alimentario, trauma y automutilaciones.Revista Colombiana de Psiquiatría, 36(2), 237---254.

  28. Rodríguez, M. y Guerrero, S. (2005). Frecuencia y fenomenologíade lesiones autoinfligidas en mujeres colombianas con trastor-nos del comportamiento alimentario. Revista Colombiana dePsiquiatría, 34(3), 343---354.

  29. Rowsell, M., MacDonald, D. E. y Carter, J. C. (2016). Emotionregulation difficulties in anorexia nervosa: Associations withimprovements in eating psychopathology. Journal of EatingDisorders, 4, e17.

  30. Safer, D. L., Robinson, A. H. y Jo, B. (2010). Outcome from a rando-mized controlled trial of group therapy fo binge eating disorder:Comparing dialectical behavior therapy adapted for binge eatingto an active comparison group therapy. Behavior Therapy, 41(1),106---120.

  31. Tchanturia, K., Marin, M. A., Harrison, A. y Hambrook, D. (2015).Why study positive emotions in the context of eating disorders?Current Psychiatry Reports, 17(1), e537.

  32. Werner, K. y Gross, J. J. (2010). Emotion regulation and psychopat-hology: A conceptual framework. En A. M. Kring y D. S. Sloan(Eds.), Emotion regulation and psychopathology: A transdiag-nostic approach to etiology and treatment (pp. 13---37). NuevaYork: Guilford Press.

  33. Wildes, J. E., Marcus, M. D., Bright, A. C. y Marin, M. A. (2012).Emotion and eating disorder symptoms in patients with anorexianervosa: An experimental study. International Journal of EatingDisorders, 45(7), 876---882.




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