ISSN-e: 2007-1523
Emotion regulation difficulties, body and appearance related self-conscious emotions and eating disorders in a sample of adult women
PDF

Cómo citar

Mendia, J., Pascual, A., Conejero, S., Mayordomo, S., & Amutio, A. (2025). Emotion regulation difficulties, body and appearance related self-conscious emotions and eating disorders in a sample of adult women. Revista Mexicana De Trastornos Alimentarios Mexican Journal of Eating Disorders, 15(1), 77–89. https://doi.org/10.22201/fesi.20071523e.2025.1.852

Resumen

Las variables emocionales juegan un papel fundamental en los Trastornos de la Conducta Alimentaria (TCA). Sin embargo, aún hay ciertas variables que no han recibido suficiente atención. Este estudio transversal tiene como objetivos: 1) analizar el papel de las dificultades en la regulación emocional y las emociones autoconscientes relacionadas con el cuerpo y la apariencia en los TCA; 2) estudiar el poder predictivo de las variables emocionales y 3) explorar las diferencias entre tipos de TCA en las variables mencionadas. Las participantes fueron 767 mujeres de entre 18 y 50 años que tenían un diagnóstico de TCA, estaban en riesgo o eran sanas. El grupo de TCA, seguido por los grupos de riesgo y del sano, puntuó más alto en dificultades de regulación emocional, vergüenza corporal, culpa corporal y más bajo en orgullo corporal hubrístico. Específicamente, las dificultades de regulación emocional y la vergüenza corporal fueron las dos variables que más predijeron los TCA. Asimismo, el grupo con anorexia nerviosa puntuó más alto que el grupo con bulimia nerviosa en desatención emocional y también más alto que el grupo con otros TCA específicos en dificultades de regulación emocional y sus dimensiones "confusión emocional" Y "desatención emocional". Estos hallazgos evidencian el importante papel de las dificultades de regulación emocional y la vergüenza corporal en los  trastornos de la conducta alimentaria; desregulación emocional; emociones autoconscientes; imagen corporal.

https://doi.org/10.22201/fesi.20071523e.2025.1.852
PDF

Citas

Abuín, M. R., & de Rivera, L. (2014). La medición de síntomas psicológicos y psicosomáticos: el Listado de Síntomas Breve (LSB-50). Clínica y Salud, 25(2), 131-141. https://doi.org/10.1016/j.clysa.2014.06.001

Alcaraz-Ibáñez, M., & Sicilia, A. (2018). Psychometric evaluation and sex invariance of the Spanish version of the Body and Appearance Self-Conscious Emotions Scale. Body Image, 25, 78-84. https://doi.org/10.1016/j.bodyim.2018.02.006

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237. https://doi.org/10.1016/j.cpr.2009.11.004

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Author.

Anderson, L. K., Claudat, K., Cusack, A., Brown, T. A., Trim, J., Rockwell, R., Nakamura, T., Gomez, L., & Kaye, W. H. (2018). Differences in emotion regulation difficulties among adults and adolescents across eating disorder diagnoses. Journal of Clinical Psychology, 74(10), 1867-1873. https://doi.org/10.1002/jclp.22638

Bessenoff, G. R., & Snow, D. (2006). Absorbing society’s influence: Body image self-discrepancy and internalized shame. Sex Roles, 54(9-10), 727-731. https://doi.org/10.1007/s11199-006-9038-7

Brockmeyer, T., Grosse Holtforth, M., Bents, H., Herzog, W., & Friederich, H. C. (2013). Lower body weight is associated with less negative emotions in sad autobiographical memories of patients with anorexia nervosa. Psychiatry Research, 210(2), 548-552. https://doi.org/10.1016/j.psychres.2013.06.024

Brockmeyer, T., Skunde, M., Wu, M., Bresslein, E., Rudofsky, G., Herzog, W., & Friederich, H. C. (2014). Difficulties in emotion regulation across the spectrum of eating disorders. Comprehensive Psychiatry, 55(3), 565-571. https://doi.org/10.1016/j.comppsych.2013.12.001

Brown, T. A., Haedt-Matt, A. A., & Keel, P. K. (2011). Personality pathology in purging disorder and bulimia nervosa. International Journal of Eating Disorders, 44(8), 735-740. https://doi.org/10.1002/eat.20904

Buela-Casal, G., Guillén-Riquelme, A., & Seisdedos, N. (2011). Cuestionario de Ansiedad Estado-Rasgo. TEA Ediciones.

Cai, R. Y., Richdale, A. L., Uljarević, M., Dissanayake, C., & Samson, A. C. (2018). Emotion regulation in autism spectrum disorder: Where we are and where we need to go. Autism Research, 11(7), 962–978. https://doi.org/10.1002/aur.1968

Casagrande, M., Boncompagni, I., Forte, G., Guarino, A., & Favieri, F. (2020). Emotion and overeating behavior: Effects of alexithymia and emotional regulation on overweight and obesity. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 25(5), 1333-1345. https://doi.org/10.1007/s40519-019-00767-9

Castonguay, A. L., Sabiston, C. M., Crocker, P. R. E., & Mack, D. E. (2014). Development and validation of the Body and Appearance Self-Conscious Emotions Scale (BASES). Body Image, 11(2), 126-136. https://doi.org/10.1016/j.bodyim.2013.12.006

Dakanalis, A., Carrà, G., Timko, A., Volpato, C., Pla-Sanjuanelo, J., Zanetti, A., Clerici, M., & Riva, G. (2015). Mechanisms of influence of body checking on binge eating. International Journal of Clinical and Health Psychology, 15(2), 93-104. https://doi.org/10.1016/j.ijchp.2015.03.003

Doran, J., & Lewis, C. A. (2012). Components of shame and eating disturbance among clinical and non-clinical populations. European Eating Disorders Review, 20(4), 265-270. https://doi.org/10.1002/erv.1142

Duarte, C., Pinto-Gouveia, J., Ferreira, C., & Batista, D. (2015). Body image as a source of shame: A new measure for the assessment of the multifaceted nature of body image shame. Clinical Psychology & Psychotherapy, 22(6), 656-666. https://doi.org/10.1002/cpp.1925

Elosua, P., López-Jáuregui, A., & Sánchez-Sánchez, F. (2010). Manual técnico con la adaptación al euskera del Eating Disorder Inventory-3. Madrid: TEA Ediciones.

Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Self-compassion in the face of shame and body image dissatisfaction: Implications for eating disorders. Eating Behaviors, 14(2), 207-210. https://doi.org/10.1016/j.eatbeh.2013.01.005

Franco, C., Amutio, A., Mañas, I., Pérez, M. C., & Gázquez, J. J. (2017). Reducing anxiety, geriatric depression and worry in a sample of older adults through a mindfulness training program. Terapia Psicológica, 35(1), 71-79. https://doi.org/10.4067/S0718-48082017000100007

Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. (2019). Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. The American Journal of Clinical Nutrition, 109(5), 1402–1413. https://doi.org/10.1093/ajcn/nqy342

Garner, D. M. (2004). Eating Disorder Inventory‐3: Professional manual. Psychological Assessment Resources.

Garofalo, C., Holden, C. J., Zeigler-Hill, V., & Velotti, P. (2015). Understanding the connection between self-esteem and aggression: The mediating role of emotion dysregulation. Aggressive Behavior, 42(1), 3–15. https://doi.org/10.1002/ab.21601

Goss, K., & Gilbert, P. (2002). Eating disorders, shame and pride: A cognitive-behavioural functional analysis. In P. Gilbert & J. Miles (Eds.), Body shame: Conceptualization, research & treatment (pp. 3–54). Hove, UK: Brunner-Routledge.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

Gross, J. J. (2013). Emotion regulation: Taking stock and moving forward. Emotion, 13(3), 359–365. https://doi.org/10.1037/a0032135

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348

Gupta, S., Zachary Rosenthal, M., Mancini, A. D., Cheavens, J. S., & Lynch, T. R. (2008). Emotion regulation skills mediate the effects of shame on eating disorder symptoms in women. Eating Disorders, 16(5), 405-417. https://doi.org/10.1080/10640260802370572

Harrison, C., Mitchison, D., Rieger, E., Rodgers, B., & Mond, J. (2016). Emotion regulation difficulties in binge eating disorder with and without the overvaluation of weight and shape. Psychiatry Research, 245, 436-442. https://doi.org/10.1016/j.psychres.2016.09.005

Hervás, G., & Jódar, R. (2008). Adaptación al castellano de la Escala de Dificultades en la Regulación Emocional. Clínica y Salud, 19(2), 139-156.

Higgins, E. T. (1997). Beyond pleasure and pain. American Psychologist, 52(12), 1280–1300. https://doi.org/10.1037/0003-066x.52.12.1280

Hughes, D. J., Kratsiotis, I., Niven, K., & Holman, D. (2020). Personality traits and emotion regulation: A targeted review and recommendations. Emotion, 20(1), 63–67. https://doi.org/10.1037/emo0000644

Kittel, R., Brauhardt, A., & Hilbert, A. (2015). Cognitive and emotional functioning in binge-eating disorder: A systematic review. International Journal of Eating Disorders, 48(6), 535-554. https://doi.org/10.1002/eat.22419

MacDonald, D. E., & Trottier, K. (2019). Rapid improvements in emotion regulation predict eating disorder psychopathology and functional impairment at 6‐month follow‐up in individuals with bulimia nervosa and purging disorder. International Journal of Eating Disorders, 52(8), 962-967. https://doi.org/10.1002/eat.23117

Mackowiak, R., Lucibello, K. M., Gilchrist, J. D., & Sabiston, C. M. (2019). Examination of actual and ideal body-related characteristics and body-related pride in adult males. American Journal of Men’s Health, 13(5), Article e155798831987464. https://doi.org/10.1177/1557988319874642

Mendia, J., Pascual, A., Conejero, S., & Mayordomo, S. (2021). The relationship between body and appearance-related self-conscious emotions and disordered eating: The mediating role of symptoms of depression and anxiety. International Journal of Psychology & Psychological Therapy, 21(1), 93-105.

Mustapic, J., Marcinko, D., & Vargek, P. (2016). Body shame and disordered eating in adolescents. Current Psychology, 36(3), 447-452. https://doi.org/10.1007/s12144-016-9433-3

Nechita, D., Bud, S., & David, D. (2021). Shame and eating disorders symptoms: A meta‐analysis. International Journal of Eating Disorders, 54(11), 1899–1945. https://doi.org/10.1002/eat.23583

Norton, P. J., & Paulus, D. J. (2016). Toward a unified Treatment for Emotional Disorders: Update on the science and practice. Behavior Therapy, 47(6), 854–868. https://doi.org/10.1016/j.beth.2015.07.002

Pascual, A., Etxebarria, I., Cruz-Sáez, M. S., & Echeburúa, E. (2011). Las variables emocionales como factores de riesgo de los trastornos de la conducta alimentaria. International Journal of Clinical and Health Psychology, 11, 229-247.

Pascual, A., Etxebarria, I., Cruz-Sáez, M. S., & Echeburúa, E. (2011). Las variables emocionales como factores de riesgo de los trastornos de la conducta alimentaria. International Journal of Clinical and Health Psychology, 11, 229-247.

Prefit, A. B., Cândea, D. M., & Szentagotai-Tătar, A. (2019). Emotion regulation across eating pathology: A meta-analysis. Appetite, 143, Article e104438. https://doi.org/10.1016/j.appet.2019.104438

Rowsell, M., MacDonald, D. E., & Carter, J. C. (2016). Emotion regulation difficulties in anorexia nervosa: Associations with improvements in eating psychopathology. Journal of Eating Disorders, 4(1). https://doi.org/10.1186/s40337-016-0108-0

Sala, M., Shankar Ram, S., Vanzhula, I.A., Levinson, C.A. (2020). Mindfulness and eating disorder psychopathology: A meta‐analysis. International Journal of Eating Disorders, 53(6), 834-851. https://doi.org/10.1002/eat.23247

Soriano-Ayala, E., Amutio, A., Franco, C., & Mañas, I. (2020). Promoting a healthy lifestyle through mindfulness in university students: A randomized controlled trial. Nutrients, 12, Article e2450. https://doi.org/10.3390/nu12082450

Solomon-Krakus, S., & Sabiston, C. M. (2017b). Body checking is associated with weight- and body-related shame and weight- and body-related guilt among men and women. Body Image, 23, 80–84. https://doi.org/10.1016/j.bodyim.2017.08.005

Svaldi, J., Caffier, D., & Tuschen-Caffier, B. (2010). Emotion suppression but not reappraisal increases desire to binge in women with binge eating disorder. Psychotherapy and Psychosomatics, 79(3), 188-190. https://doi.org/10.1159/000296138

Talbot, A., Hay, P., Buckett, G., & Touyz, S. (2014). Cognitive deficits as an endophenotype for anorexia nervosa: An accepted fact or a need for re-examination? International Journal of Eating Disorders, 48(1), 15–25. https://doi.org/10.1002/eat.22332

Troop, N. A., & Redshaw, C. (2012). General shame and bodily shame in eating disorders: A 2.5-year longitudinal study. European Eating Disorders Review, 20(5), 373-378. https://doi.org/10.1002/erv.2160

Urry, H. L., & Gross, J. J. (2010). Emotion regulation in older age. Current Directions in Psychological Science, 19(6), 352–357. https://doi.org/10.1177/0963721410388395

Villarejo, C., Jiménez-Murcia, S., Álvarez-Moya, E., Granero, R., Penelo, E., Treasure, J., Vilarrasa, N., Gil-Montserrat de Bernabé, M., Casanueva, F. F., Tinahones, F. J., Fernández-Real, J. M., Frühbeck, G., de la Torre, R., Botella, C., Agüera, Z., Menchón, J. M., & Fernández-Aranda, F. (2013). Loss of control over eating: A description of the eating Disorder/Obesity spectrum in women. European Eating Disorders Review, 22(1), 25-31. https://doi.org/10.1002/erv.2267

Williams, S., & Reid, M. (2012). ‘It’s like there are two people in my head’: A phenomenological exploration of anorexia nervosa and its relationship to the self. Psychology & Health, 27(7), 798-815. https://doi.org/10.1080/08870446.2011.595488

Wonderlich, J. A., Lavender, J. M., Wonderlich, S. A., Peterson, C. B., Crow, S. J., Engel, S. G., Le Grange, D., Mitchell, J. E., & Crosby, R. D. (2015). Examining convergence of retrospective and ecological momentary assessment measures of negative affect and eating disorder behaviors. International Journal of Eating Disorders, 48(3), 305-311. https://doi.org/10.1002/eat.2235

Yilmaz, Z., Gottfredson, N. C., Zerwas, S. C., Bulik, C. M., Micali, N., Psych, M. R. C. (2019). Developmental premorbid body mass index trajectories of adolescents with eating disorders in a longitudinal population cohort. Journal of the American Academy of Child and Adolescent Psychiatry, 58(2), 191-199. https://doi.org/ 10.1016/j.jaac.2018.11.00

Zamani Sani, S. H., Fathirezaie, Z., Gerber, M., Pühse, U., Bahmani, D. S., Bashiri, M., Pourali, M., & Brand, S. (2021). Self-Esteem and Symptoms of Eating-Disordered Behavior Among Female Adolescents. Psychological Reports, 124(4), 1515–1538. https://doi.org/10.1177/0033294120948226

© Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders.


Descargas

Los datos de descargas todavía no están disponibles.
Métricas de PLUMX