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Borderline Personality Disorder and Emotion Dysregulation

, 3:3

First Online: 01 June 2016Received: 17 December 2015Accepted: 18 May 2016


BackgroundA defining characteristic of eating disorders EDs is difficulty with emotion regulation ER. Previous research indicates that ED subtypes demonstrate differing ER difficulties. Specifically, individuals with Anorexia Nervosa AN or Bulimia Nervosa BN show greater impairment in their ability to regulate emotions in areas such as achieving goals while upset, reacting impulsively to distress, and effectively using coping strategies, as compared to those with Binge Eating Disorder BED. However, limited research includes the diagnostic category of Eating Disorder, Not Otherwise Specified EDNOS. The aim of this study was to better understand ER difficulties for all ED diagnoses, especially EDNOS. It was hypothesized that patients with EDs will demonstrate similar ER difficulties as psychiatric patients without EDs and that patients with EDNOS will be similar in their total level of ER difficulties but will differ in their specific types of difficulties in ER as compared to patients with other EDs.

MethodsParticipants included 404 adults presenting to an inpatient psychiatric hospital. Psychiatric diagnoses, including EDs, were determined using the Structured Clinical Interview for DSM Disorders. Differences in specific and overall difficulties with ER were examined across psychiatric patients using the multidimensional Difficulties in Emotion Regulation Scale.

ResultsResults of this study indicate that individuals with EDs have greater ER difficulties in most domains of ER and that those with BED and EDNOS demonstrate the most significant differences in ER as compared to psychiatric patients without EDs. Additionally, it was found that ED subtypes typically did not differ in terms of specific difficulties in ER. One exception emerged indicating that individuals with BED demonstrated significantly greater difficulty on the Limited Access to Emotion Regulation Strategies subscale as compared to those with EDNOS.

ConclusionsResearchers were able to clarify difficulties in ER across ED diagnoses. Results highlight the importance of providing ER skills training for patients with EDs, particularly those with BED and EDNOS, and give insight into the specific areas of ER that may be important for these patients to focus on throughout recovery.

KeywordsEating disorder not otherwise specified Eating disorder Treatment Inpatient Emotion regulation  Download fulltext PDF

Autor: Catherine Ruscitti - Katrina Rufino - Natalie Goodwin - Rebecca Wagner

Fuente: https://link.springer.com/

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