title: Emotion regulation difficulties in anorexia nervosa before and after inpatient weight restoration.
abstract: OBJECTIVE
  This study examined: (1) changes in emotion regulation difficulties in underweight inpatients with anorexia nervosa (AN) following weight restoration, (2) differences in emotion regulation between AN subtypes at acute and weight-restored stages of illness.
  
  
  METHODS
  Repeated measure analyses of variance examined changes in scores on the Difficulties in Emotion Regulation Scale (DERS; Gratz and Roemer, J Psychopathol Behav Assess, 26, 41-54, 2004) and other clinical variables in a group of inpatients with AN from hospital admission (N = 65) to weight restoration (N = 51). Correlations between BMI and DERS scores at both time points were examined. Emotion regulation difficulties were compared between individuals with AN, restricting type (AN-R) and AN, binge/purge type (AN-BP) at both time points using multivariate analysis of covariance.
  
  
  RESULTS
  All clinical variables, except for the DERS, significantly improved with weight restoration (p < .001). There were no associations between BMI and DERS prior to or after weight restoration and AN subtypes did not significantly differ in emotion regulation difficulties.
  
  
  CONCLUSIONS
  Unlike other clinical variables, emotion regulation difficulties in AN did not improve with weight restoration. In addition, both subtypes of AN appear to have similar difficulties with emotion regulation. The treatment of AN might be enhanced by focusing on improving emotion regulation abilities.
authors.affiliation: Department of Psychology, University of Nevada, Reno, Reno, Nevada.
authors.forename: Ann F
authors.initials: AF
authors.lastname: Haynos
authors.forename: Christina A
authors.initials: CA
authors.lastname: Roberto
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Martinez
authors.forename: Evelyn
authors.initials: E
authors.lastname: Attia
authors.forename: Alan E
authors.initials: AE
authors.lastname: Fruzzetti
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology* / Q000628:therapy; D052018:Bulimia Nervosa / Q000523:psychology* / Q000628:therapy; D004644:Emotions; D006760:Hospitalization; D006801:Humans; D008875:Middle Aged; D015999:Multivariate Analysis; D011581:Psychological Tests; D011795:Surveys and Questionnaires; D013851:Thinness / Q000523:psychology*; D015430:Weight Gain; D055815:Young Adult
keywords: anorexia nervosa; emotion regulation; inpatient treatment