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Difficulties with emotion regulation and weight/shape concerns as predictors of eating disorder behaviors among adolescents

Trompeter, Nora; Bussey, Kay; Forbes, Miriam K; Griffiths, Scott; Mond, Jonathan; Hay, Phillipa; Lonergan, Alexandra; ... Mitchison, Deborah; + view all (2023) Difficulties with emotion regulation and weight/shape concerns as predictors of eating disorder behaviors among adolescents. Journal of Psychopathology and Clinical Science , 132 (1) pp. 91-100. 10.1037/abn0000801. Green open access

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Abstract

Background: Difficulties with emotion regulation are a proposed key transdiagnostic factor of mental health difficulties, including eating disorders. However, it remains unclear whether difficulties with emotion regulation prospectively predict engagement in eating disorder behaviors. The current study examined whether difficulties with emotion regulation were associated with eating disorder behaviors after 1 year, in addition to weight and shape concerns. // Method: A community sample of high school students (n = 3,074; 53.2% girls) completed self-report measures of eating behaviors, weight/shape concerns, and difficulties with emotion regulation at two timepoints, 1 year apart. // Results: Findings indicated that greater difficulties with emotion regulation were uniquely associated with engaging in binge eating, fasting, and purging after 1 year. However, only greater weight and shape concerns, not difficulties with emotion regulation, were uniquely associated with engaging in driven exercise. Limited associations were detected for the frequency of eating disorder behaviors. Additionally, exploratory analyses were conducted to examine potential onset and persistence of eating disorder behaviors. Few gender differences were observed across analyses, with the exception of driven exercise, which was linked to difficulties with emotion regulation only among adolescent boys, but not girls. // Conclusions: Findings suggest that difficulties with emotion regulation are a distinct factor in the occurrence of some eating disorder behaviors among adolescents. Exploratory findings further suggest that difficulties with emotion regulation appear to be particularly involved in the persistence of these behaviors in adolescents.

Type: Article
Title: Difficulties with emotion regulation and weight/shape concerns as predictors of eating disorder behaviors among adolescents
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1037/abn0000801
Publisher version: https://doi.org/10.1037/abn0000801
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10183717
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