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Gepubliceerd in:

23-09-2015 | Original Article

Spontaneous Emotion Regulation in Anorexia and Bulimia Nervosa

Auteurs: Eva Naumann, Brunna Tuschen-Caffier, Ulrich Voderholzer, Jennifer Svaldi

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2016

Abstract

The aim of the current study was to examine the usage of spontaneous emotion regulation in eating disorders (ED). After watching a sad film clip, women with anorexia nervosa (n = 42), bulimia nervosa (n = 40), and a non-ED control group (n = 41) indicated on visual analogue scales to what extent they had used emotional acceptance, reappraisal, rumination and suppression to cope with their emotions during the film clip. Results revealed no differences between the groups with regard to levels of reappraisal. However, both ED groups used rumination and suppression to a greater extent, and acceptance to a lesser extent, than the non-ED control group. ED severity was predicted by spontaneous rumination and suppression. Results suggest that—when not instructed—individuals with anorexia and bulimia nervosa have a greater tendency to engage in maladaptive emotion regulation. In particular, spontaneous rumination and suppression seem to be closely related to ED pathology.

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The majority of participants with AN were classified as restricting subtype (ANR; n = 29 vs. n = 13 binge/purge subtype [ANBP]).

Only the diagnostic questions of the Eating Disorder Examination Interview were administered.

Items were translated from German into English for this manuscript. If you are interested in the original set of items, please contact the corresponding author.

As a further form of validation, a pre-test was conducted correlating self-developed state ER scales with well-established self-report measures of the same ER strategy. All correlations were significant, ps < 0.001. State emotional acceptance was correlated with the global scores of the Acceptance and Action Questionnaire II (Bond et al. 2011; German version: Gloster et al. 2011; r = 0.532). State reappraisal was correlated with the reappraisal scale (r = 0.465) and state suppression with the suppression scale (r = 0.482) of the Emotion Regulation Questionnaire (Gross and John 2003; German version: Abler and Kessler 2009). State rumination was correlated with the global score of the Perseverative Thinking Questionnaire (German version: Ehring et al. 2011; r = 0.619).

It is noteworthy that also no group differences in spontaneous ER were found between AN subtypes: ANR and ANBP.

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Titel: Spontaneous Emotion Regulation in Anorexia and Bulimia Nervosa
Auteurs: Eva Naumann
Brunna Tuschen-Caffier
Ulrich Voderholzer
Jennifer Svaldi
Publicatiedatum: 23-09-2015
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-015-9723-3

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