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Gepubliceerd in: Cognitive Therapy and Research 1/2024

01-09-2023 | Original Article

Emotional Dysregulation in Skin Picking Disorder

Auteurs: Eve K. Chesivoir, Madison Collins, Jon E. Grant

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2024

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Abstract

Background

Researchers have long viewed pathological skin picking as a method of coping with unpleasant emotions and stress. While recent studies have discussed elevated levels of emotional dysregulation in the skin picking disorder (SPD) population, this study investigates impulsivity and distress tolerance as potential factors underlying emotional dysregulation in SPD, and explores relevant clinical outcomes.

Methods

We recruited 140 adult participants with current DSM-5 SPD. Participants completed assessments assessing SPD severity, emotional regulation strategies, distress tolerance, impulsivity, functional impairment, and perceived quality of life. Scale total and item scores were compared with scores from healthy controls.

Results

Adults with SPD reported higher levels of impulsivity, poor quality of life, and significant problems with both tolerating distressing events and using adaptive emotional regulation strategies compared to healthy controls. Within the SPD group, lower distress tolerance and emotional regulation scores correlated with greater functional impairment and lower quality of life.

Conclusions

Findings suggest that emotional dysregulation, poor coping skills, and impulsiveness are common in SPD. Moreover, these problems may contribute to worse clinical outcomes. Therapeutic strategies that promote the development of distress tolerance and coping skills, such as dialectical behavioral therapy, may be an avenue for achieving better clinical outcomes for adults with SPD.
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Literatuur
go back to reference Gross, J. J., Richards, J. M., & John, O. P. (2006). Emotion regulation in everyday life. Emotion regulation in couples and families: Pathways to dysfunction and health (pp. 13–35). American Psychological Association. https://doi.org/10.1037/11468-001 Gross, J. J., Richards, J. M., & John, O. P. (2006). Emotion regulation in everyday life. Emotion regulation in couples and families: Pathways to dysfunction and health (pp. 13–35). American Psychological Association. https://​doi.​org/​10.​1037/​11468-001
go back to reference Penzel, F. (2002). A stimulus regulation model of trichotillomania. In Touch, 3(33), 12–14. Penzel, F. (2002). A stimulus regulation model of trichotillomania. In Touch, 3(33), 12–14.
Metagegevens
Titel
Emotional Dysregulation in Skin Picking Disorder
Auteurs
Eve K. Chesivoir
Madison Collins
Jon E. Grant
Publicatiedatum
01-09-2023
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2024
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-023-10420-6

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