An Examination of the Relationships between Eating-Disorder Symptoms, Difficulties with Emotion Regulation, and Mental Health in People with Binge Eating Disorder

• Published in: Behavioral sciences Vol. 13; no. 3; p. 234
• Main Authors: da Luz, Felipe Q, Mohsin, Mohammed, Jana, Tatiana A, Marinho, Leticia S, Santos, Edilaine Dos, Lobo, Isabella, Pascoareli, Luisa, Gaeta, Tamiris, Ferrari, Silvia, Teixeira, Paula C, Cordás, Táki, Hay, Phillipa
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 01.03.2023; MDPI
• Subjects: Analysis; Anxiety disorders; Binge eating; binge eating disorder; Bulimia; Clinical trials; Comorbidity; Complications and side effects; Compulsive eating; Diagnosis; eating disorder; Eating disorders; emotion regulation; Emotional regulation; Emotions; Gastrointestinal surgery; Medical research; Medicine, Experimental; Mental depression; Mental disorders; Mental health; Obesity; Overweight; Psychology, Pathological; Psychopathology; Questionnaires; Stress; Stress (Psychology); Surveys; Weight control; Brazil; Australia; Portugal; eating disorder; emotion regulation; binge eating disorder; mental health
• ISSN: 2076-328X; 2076-328X
• DOI: 10.3390/bs13030234

Eating disorders, such as binge eating disorder, are commonly associated with difficulties with emotion regulation and mental-health complications. However, the relationship between eating-disorder symptoms, difficulties with emotion regulation, and mental health in people with binge eating disorder is unclear. Thus, we investigated associations between eating-disorder symptoms, difficulties with emotion regulation, and mental health in 119 adults with binge eating disorder. Participants were assessed with the Eating Disorder Examination Questionnaire, Loss of Control over Eating Scale, Difficulties in Emotion Regulation Scale, Depression Anxiety and Stress Scale, and the 12-Item Short Form Survey at the pre-treatment phase of a randomized controlled trial. Structural-equation-modelling path analysis was used to investigate relationships between variables. We found that (1) eating-disorder behaviors had a direct association with depression, anxiety, and stress; (2) depression, psychological stress, difficulties with emotion regulation, and eating-disorder psychopathology had a direct association with mental-health-related quality of life; and (3) eating-disorder psychopathology/behaviors and stress had a direct association with difficulties with emotion regulation. Our findings show that depression, stress, difficulties with emotion regulation, and eating-disorder psychopathology were related in important ways to mental-health complications in people with binge eating disorder.