title: Examining the associations between emotion regulation difficulties, anxiety, and eating disorder severity among inpatients with anorexia nervosa.
abstract: OBJECTIVE
  There is growing interest in the role of emotion regulation in anorexia nervosa (AN). Although anxiety is also hypothesized to impact symptoms of AN, little is known about how emotion regulation, anxiety, and eating disorder symptoms interact in AN. In this study, we examined the associations between emotion regulation, anxiety, and eating disorder symptom severity in AN.
  
  
  METHODS
  Questionnaires and interviews assessing emotion regulation difficulties, anxiety, eating disorder symptoms, and eating disorder-related clinical impairment were collected from group of underweight individuals with AN (n=59) at admission to inpatient treatment. Hierarchical linear regressions were used to examine the associations of emotion regulation difficulties, anxiety, and the interaction of these constructs with eating disorder symptoms and eating disorder-related clinical impairment.
  
  
  RESULTS
  Emotion regulation difficulties were significantly positively associated with eating disorder symptoms and related clinical impairment only when anxiety levels were low and anxiety was significantly positively associated with eating disorder symptoms and related clinical impairment only when emotion regulation problems were not elevated.
  
  
  CONCLUSIONS
  This study adds to a growing literature suggesting that emotion regulation deficits are associated with eating disorder symptoms in AN. Certain individuals with AN may especially benefit from a focus on developing emotion regulation skills in the acute stages of illness.
authors.affiliation: Department of Psychology, University of Nevada, Reno, Reno, NV. Electronic address: ahaynos@unr.edu.
authors.forename: Ann F
authors.initials: AF
authors.lastname: Haynos
authors.affiliation: Department of Social & Behavioral Sciences, Harvard School of Public Health, Boston, MA; Department of Nutrition, Harvard School of Public Health, Boston, MA.
authors.forename: Christina A
authors.initials: CA
authors.lastname: Roberto
authors.affiliation: Division of Clinical Therapeutics, New York State Psychiatric Institute, New York, NY; Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, NY.
authors.forename: Evelyn
authors.initials: E
authors.lastname: Attia
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology*; D001007:Anxiety / Q000523:psychology*; D004644:Emotions; D001068:Feeding and Eating Disorders / Q000523:psychology; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D012720:Severity of Illness Index
references.citation: J Pers Assess. 1996 Dec;67(3):588-97
references.pmid: 8991972
references.citation: J Consult Clin Psychol. 1988 Dec;56(6):893-7
references.pmid: 3204199
references.citation: Int J Eat Disord. 2004 May;35(4):504-8
references.pmid: 15101066
references.citation: Int J Eat Disord. 2003 Apr;33(3):257-67; discussion 268-70
references.pmid: 12655621
references.citation: J Consult Clin Psychol. 2015 Aug;83(4):785-95
references.pmid: 25181027
references.citation: Int J Eat Disord. 2011 Jul;44(5):421-7
references.pmid: 20721894
references.citation: Int J Eat Disord. 2011 Mar;44(2):134-41
references.pmid: 20127936
references.citation: Biol Psychiatry. 2010 Oct 15;68(8):755-61
references.pmid: 20591417
references.citation: Psychol Med. 2010 Nov;40(11):1887-97
references.pmid: 20102669
references.citation: Annu Rev Med. 2010;61:425-35
references.pmid: 19719398
references.citation: Behav Res Methods. 2009 Nov;41(4):1149-60
references.pmid: 19897823
references.citation: Int J Eat Disord. 2014 Dec;47(8):888-91
references.pmid: 24590507
references.citation: BMC Psychiatry. 2013;13:293
references.pmid: 24199611
references.citation: J Abnorm Psychol. 2013 Aug;122(3):709-19
references.pmid: 24016011
references.citation: J Psychiatr Res. 2013 Oct;47(10):1514-20
references.pmid: 23880601
references.citation: Am J Psychiatry. 2013 May;170(5):477-84
references.pmid: 23429750
references.citation: Eat Behav. 2013 Apr;14(2):241-3
references.pmid: 23557830
references.citation: Psychiatry Res. 2012 Dec 30;200(2-3):550-3
references.pmid: 22910477
references.citation: Psychiatry Res. 2012 May 15;197(1-2):103-11
references.pmid: 22401969
references.citation: Compr Psychiatry. 2012 Jul;53(5):496-501
references.pmid: 22036318
references.citation: J Anxiety Disord. 2012 Apr;26(3):385-92
references.pmid: 22306131
references.citation: Clin Psychol Psychother. 2009 Jul-Aug;16(4):348-56
references.pmid: 19517577
references.citation: Behav Res Ther. 2008 Oct;46(10):1105-10
references.pmid: 18710699
references.citation: Evid Rep Technol Assess (Full Rep). 2006 Apr;(135):1-166
references.pmid: 17628126