title: Does implicit emotion regulation in binge eating disorder matter?
abstract: OBJECTIVE
  To examine if implicit emotion regulation (occurring outside of awareness) is related to binge eating disorder (BED) symptomatology and explicit emotion regulation (occurring within awareness), and can be altered via intervention.
  
  
  METHODS
  Implicit emotion regulation was assessed via the Emotion Conflict Task (ECT) among a group of adults with BED. Study 1 correlated BED symptomatology and explicit emotion regulation with ECT performance at baseline (BL) and after receiving BED treatment (PT). Study 2 generated effect sizes comparing ECT performance at BL and PT with healthy (non-eating disordered) controls (HC).
  
  
  RESULTS
  Study 1 yielded significant correlations (p<.05) between both BED symptomatology and explicit emotion regulation with ECT performance. Study 2 found that compared to BL ECT performance, PT shifted (d=-.27), closer to HC. Preliminary results suggest a) BED symptomatology and explicit emotion regulation are associated with ECT performance, and b) PT ECT performance normalized after BED treatment.
  
  
  CONCLUSIONS
  Implicit emotion regulation may be a BED treatment mechanism because psychotherapy, directly or indirectly, decreased sensitivity to implicit emotional conflict. Further understanding implicit emotion regulation may refine conceptualizations and effective BED treatments.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, 401 Quarry Road, Stanford, CA 94305-5722, USA. Electronic address: athenar@stanford.edu.
authors.forename: Athena
authors.initials: A
authors.lastname: Robinson
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, 401 Quarry Road, Stanford, CA 94305-5722, USA.
authors.forename: Debra L
authors.initials: DL
authors.lastname: Safer
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, 401 Quarry Road, Stanford, CA 94305-5722, USA.
authors.forename: Julia L
authors.initials: JL
authors.lastname: Austin
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, 401 Quarry Road, Stanford, CA 94305-5722, USA; Veterans Affairs Palo Alto Healthcare System and the Sierra Pacific Mental Illness Research Education and Clinical Center (MIRECC), Palo Alto, CA, USA.
authors.forename: Amit
authors.initials: A
authors.lastname: Etkin
mesh_terms: D000328:Adult; D001364:Awareness; D056912:Binge-Eating Disorder / Q000523:psychology* / Q000628:therapy; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
keywords: Binge eating disorder; Emotion conflict task; Explicit emotion regulation; Implicit emotion regulation; Implicit processes