Cognitive flexibility and emotion regulation in eating disorder patients with comorbid generalized anxiety and posttraumatic stress symptoms.

Research has found that difficulties in emotion regulation negatively impact mental health, whereas cognitive flexibility may promote stress resilience and positive mental health. Little is known about cognitive flexibility and emotion regulation in people with comorbid eating disorder (ED) and anxi...

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Publicado en:Eating Disorders Vol. 33; no. 5; pp. 666 - 681
Autores principales: Thompson, Connor J., Martin-Wagar, Caitlin A.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep/Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep/Oct2025
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      pub: Taylor & Francis Ltd
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        10.1080/10640266.2024.2405290
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        atl: Cognitive flexibility and emotion regulation in eating disorder patients with comorbid generalized anxiety and posttraumatic stress symptoms.
      aug:
        au:
          Thompson, Connor J.
          Martin-Wagar, Caitlin A.
        affil: Department of Psychology, University of Montana, Missoula, Montana, USA
      sug:
        subj:
          Eating Disorders Therapy
          Cognitive Flexibility
          Emotional Regulation
          Comorbidity
          Generalized Anxiety Disorder
          Stress Disorders, Post-Traumatic
          Human
          Outpatient Service
          Midwestern United States
          Adolescence
          Adult
          Middle Age
          Aged
          Body Mass Index
          Checklists
          Questionnaires
          Summated Rating Scaling
          Descriptive Statistics
          Data Analysis Software
          One-Way Analysis of Variance
          Post Hoc Analysis
          Chi Square Test
          Analysis of Covariance
          Anorexia Nervosa
          Bulimia Nervosa
          Binge Eating Disorder
          Nonexperimental Studies
          Cross Sectional Studies
          Bivariate Statistics
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Research has found that difficulties in emotion regulation negatively impact mental health, whereas cognitive flexibility may promote stress resilience and positive mental health. Little is known about cognitive flexibility and emotion regulation in people with comorbid eating disorder (ED) and anxiety and stress disorders. A transdiagnostic ED population (N = 227) at an outpatient ED treatment facility completed several self-report instruments that measured cognitive flexibility, emotion regulation difficulties, posttraumatic stress disorder (PTSD) symptoms, and generalized anxiety disorder (GAD) symptoms upon admission. We investigated cognitive flexibility and emotion regulation differences for those with an ED without comorbidity and those with various combinations of comorbidity. In a one-way between-groups ANOVA, we investigated differences in cognitive flexibility for those with GAD, PTSD, neither, and both comorbidities. We found a statistically significant difference between these groups, with mean cognitive flexibility inventory scores being the lowest in the group with both comorbidities. However, when controlling for emotion regulation, a one-way between-groups ANCOVA indicated no significant differences in cognitive flexibility between comorbidity groups F(3, 222) = 1.20, p =.31 Partial η2 =.02. Though self-reported cognitive flexibility levels differ among ED patients with and without comorbidities, it appears that these differences are better explained by emotion regulation. Therefore, addressing emotion regulation early in treatment for all individuals with EDs, regardless of comorbidity, is recommended as a future research focus to enhance treatment outcomes. Further research is needed to understand the impact of treating emotion regulation on ED treatment engagement, dropout, and effectiveness.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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