Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: A systematic review and meta-analysis

Objective: Research has identified abnormal emotion regulation (ER) as an underlying mechanism in the onset and maintenance of eating disorders. Yet, it still remains unclear whether different forms of ER, adaptive and maladaptive strategies, are similar across categories of eating disorders. Method...

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Main Authors: Louise Puttevils, Marie-Anne Vanderhasselt, Paula Horczak, Myriam Vervaet
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:Comprehensive Psychiatry
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0010440X21000407
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author Louise Puttevils
Marie-Anne Vanderhasselt
Paula Horczak
Myriam Vervaet
author_facet Louise Puttevils
Marie-Anne Vanderhasselt
Paula Horczak
Myriam Vervaet
author_sort Louise Puttevils
collection DOAJ
description Objective: Research has identified abnormal emotion regulation (ER) as an underlying mechanism in the onset and maintenance of eating disorders. Yet, it still remains unclear whether different forms of ER, adaptive and maladaptive strategies, are similar across categories of eating disorders. Method: A systematic review and meta-analysis were carried out to look at ER differences between anorexia nervosa (AN) and bulimia nervosa (BN), two common eating disorder pathologies with different eating patterns. Results: 41 studies were included in the meta-analysis. The results revealed no differences in the use of maladaptive ER strategies between individuals with AN and BN, however patients with AN tend to use less adaptive ER strategies as compared to patients with BN. Conclusions: Making less use of adaptive strategies in AN might be due to low body weight and high levels of alexithymia which define AN. In order to improve treatment outcome in individuals suffering from AN, these findings suggest to focus more on improving the use of adaptive ER strategies.
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spelling doaj.art-fe8b8851b787442a9708a8599bfa9a1d2022-12-21T21:53:03ZengElsevierComprehensive Psychiatry0010-440X2021-08-01109152262Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: A systematic review and meta-analysisLouise Puttevils0Marie-Anne Vanderhasselt1Paula Horczak2Myriam Vervaet3Department of Head and Skin, Ghent University, Belgium; Ghent Experimental Psychiatry (GHEP) lab, Belgium; Corresponding author at: Department of Head and Skin, Faculty of Medicine and Health Sciences, Corneel Heymanslaan 10 (Entrance 12), B-9000 Gent, Belgium.Department of Head and Skin, Ghent University, Belgium; Ghent Experimental Psychiatry (GHEP) lab, Belgium; Department of Experimental-Clinical and Health Psychology, Ghent University, BelgiumDepartment of Head and Skin, Ghent University, Belgium; Ghent Experimental Psychiatry (GHEP) lab, BelgiumDepartment of Head and Skin, Ghent University, BelgiumObjective: Research has identified abnormal emotion regulation (ER) as an underlying mechanism in the onset and maintenance of eating disorders. Yet, it still remains unclear whether different forms of ER, adaptive and maladaptive strategies, are similar across categories of eating disorders. Method: A systematic review and meta-analysis were carried out to look at ER differences between anorexia nervosa (AN) and bulimia nervosa (BN), two common eating disorder pathologies with different eating patterns. Results: 41 studies were included in the meta-analysis. The results revealed no differences in the use of maladaptive ER strategies between individuals with AN and BN, however patients with AN tend to use less adaptive ER strategies as compared to patients with BN. Conclusions: Making less use of adaptive strategies in AN might be due to low body weight and high levels of alexithymia which define AN. In order to improve treatment outcome in individuals suffering from AN, these findings suggest to focus more on improving the use of adaptive ER strategies.http://www.sciencedirect.com/science/article/pii/S0010440X21000407Eating disordersAnorexia nervosaBulimia nervosaEmotion regulation
spellingShingle Louise Puttevils
Marie-Anne Vanderhasselt
Paula Horczak
Myriam Vervaet
Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: A systematic review and meta-analysis
Comprehensive Psychiatry
Eating disorders
Anorexia nervosa
Bulimia nervosa
Emotion regulation
title Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: A systematic review and meta-analysis
title_full Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: A systematic review and meta-analysis
title_fullStr Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: A systematic review and meta-analysis
title_full_unstemmed Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: A systematic review and meta-analysis
title_short Differences in the use of emotion regulation strategies between anorexia and bulimia nervosa: A systematic review and meta-analysis
title_sort differences in the use of emotion regulation strategies between anorexia and bulimia nervosa a systematic review and meta analysis
topic Eating disorders
Anorexia nervosa
Bulimia nervosa
Emotion regulation
url http://www.sciencedirect.com/science/article/pii/S0010440X21000407
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