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Revista Mexicana de Trastornos Alimentarios

2025, Número 1

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Revista Mexicana de Trastornos Alimentarios 2025; 15 (1)


Dificultades en la regulación emocional, emociones autoconscientes asociadas al cuerpo y a la apariencia y trastornos de la conducta alimentaria en una muestra de mujeres adultas

Mendia J, Pascual A, Conejero S, Mayordomo S, Amutio A

Idioma: Ingles.
Referencias bibliográficas: 53
Paginas: 77-89
Archivo PDF: 260.40 Kb.


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 TCA y ponen de manifiesto la necesidad de trabajar estas variables en los programas de prevención e intervención.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Abuín, M. R., & de Rivera, L. (2014). La medición de síntomaspsicológicos 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

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

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

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

  5. 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 difficultiesamong adults and adolescents across eating disorder diagnoses.Journal of Clinical Psychology, 74(10), 1867-1873.https://doi.org/10.1002/jclp.22638

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

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

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

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

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

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

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

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

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

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

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

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

  18. Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Self-compassionin 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.2013.01.00518. Franco, C., Amutio, A., Mañas, I., Pérez, M. C., & Gázquez, J. J.(2017). Reducing anxiety, geriatric depression and worryin a sample of older adults through a mindfulness trainingprogram. Terapia Psicológica, 35(1), 71-79. https://doi.org/10.4067/S0718-48082017000100007

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

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

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

  22. 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.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  41. Rowsell, M., MacDonald, D. E., & Carter, J. C. (2016). Emotion regulationdifficulties in anorexia nervosa: Associations withimprovements in eating psychopathology. Journal of EatingDisorders, 4(1). https://doi.org/10.1186/s40337-016-0108-0

  42. 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

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

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

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

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

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

  48. 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

  49. Villarejo, C., Jiménez-Murcia, S., Álvarez-Moya, E., Granero,R., Penelo, E., Treasure, J., Vilarrasa, N., Gil-Montserratde 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 eatingDisorder/Obesity spectrum in women. European Eating DisordersReview, 22(1), 25-31. https://doi.org/10.1002/erv.2267

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

  51. 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 retrospectiveand ecological momentary assessment measuresof negative affect and eating disorder behaviors. InternationalJournal of Eating Disorders, 48(3), 305-311. https://doi.org/10.1002/eat.2235

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

  53. 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 BehaviorAmong Female Adolescents. Psychological Reports, 124(4),1515–1538. https://doi.org/10.1177/0033294120948226




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