title: Emotion Dysregulation and Affective Intensity Mediate the Relationship Between Childhood Abuse and Suicide-Related Behaviors Among Women with Bulimia Nervosa.
abstract: Self-harm and suicide attempts occur at elevated rates among individuals with bulimia nervosa, particularly among those who have experienced childhood abuse. This study investigated the potential mediating roles of emotion dysregulation and affective intensity in the relationship between these variables in 125 women with bulimia nervosa. Analyses revealed that emotion dysregulation mediated the relationship between sexual and emotional abuse with both self-harm and suicide attempts. Negative affective intensity mediated the relationship between abuse and suicide attempts. The findings may advance the understanding of mechanisms underlying suicide-related behaviors in women with bulimia nervosa who experienced abuse and suggest potential clinical targets.
authors.affiliation: Department of Psychology, North Dakota State University, Fargo, ND, USA.|Neuropsychiatric Research Institute, Fargo, ND, USA.
authors.forename: Kathryn H
authors.initials: KH
authors.lastname: Gordon
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Simonich
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, USA.|Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
authors.affiliation: Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.
authors.forename: Swati
authors.initials: S
authors.lastname: Dhankikar
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, USA.|Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.
authors.forename: Ross D
authors.initials: RD
authors.lastname: Crosby
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, USA.
authors.forename: Li
authors.initials: L
authors.lastname: Cao
authors.affiliation: Department of Psychology, North Dakota State University, Fargo, ND, USA.
authors.forename: Mun Yee
authors.initials: MY
authors.lastname: Kwan
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, USA.|Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.
authors.forename: James E
authors.initials: JE
authors.lastname: Mitchell
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, USA.|Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.
authors.forename: Scott G
authors.initials: SG
authors.lastname: Engel
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data; D000339:Affect; D052018:Bulimia Nervosa / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008875:Middle Aged; D016728:Self-Injurious Behavior / Q000523:psychology*; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult