59ac26434ac02e3400e17583836977c3 nutrients-17-03470-v3.pdf 404d33cd66aa576a922686a6d6db2e74565c35cb nutrients-17-03470-v3.pdf 28cc226366ffbdc80610777b6a4243a9a338a5bc3e8884017a564835379fef93 nutrients-17-03470-v3.pdf Title: Changes in Difficulties in Emotion Regulation Following Eating Disorders Treatment: Relevant Prospective Implications for Treatment Outcome Subject: Background: Difficulties in emotion regulation (ER) are commonly described in eating disorders (ED), but few studies report its impact on ED treatment outcome. The main goal of this study was to investigate the patterns of change in difficulties in ER among ED-diagnosed female patients who received a Cognitive Behavioral Therapy (CBT) treatment. Methods: Participants (N = 74; Mage = 29.2; SD = 11.5) completed pre- and post-treatment questionnaires to assess difficulties in ER, disordered eating symptoms, general psychopathology, and personality traits. Results: Considering ED treatment outcome status, 24.3% of patients displayed a poor outcome, while 28.4% achieved partial remission, and 47.3% achieved full remission. Most of the patients who achieved full remission (80%) reported decreases in difficulties in ER, while only 55.6% of the participants displaying poor outcomes reported improvements in ER. The results from the structural equation modeling (SEM) suggest that the risk of poor outcome was directly related to increased post-treatment difficulties in ER, while improvements in the severity index of global psychopathology was related to increased pre-treatment difficulties in ER. Conclusions: Better ED treatment outcomes are associated with higher levels of ER improvements. Future prospective studies are warranted to establish which ER components may positively influence the recovery of ED-diagnosed patients. Keywords: eating psychopathology; difficulties in emotion regulation; treatment outcome; longitudinal; CBT Author: Tânia F. Rodrigues, Lucero Munguía, Roser Granero, Isabel Sánchez, Jessica Sánchez-González, Jessica Jimenez-de Toro, Laura Galvez, Cristina Artero, Susana Jiménez-Murcia, Paulo P. P. Machado and Fernando Fernández-Aranda Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25; modified using OpenPDF 1.4.2 CreationDate: Wed Nov 5 04:18:35 2025 CET ModDate: Wed Nov 5 04:27:01 2025 CET Custom Metadata: yes Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 18 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 753997 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- VUVHLJ+VnURWPalladioL-Bold Type 1 Custom yes yes yes 122 0 CHCFLH+URWPalladioL-Roma Type 1 Custom yes yes yes 123 0 YRGXBP+URWPalladioL-Ital Type 1 Custom yes yes yes 124 0 WUKILO+URWPalladioL-Bold Type 1 Custom yes yes yes 125 0 JLZORU+EURM10 Type 1 Builtin yes yes yes 228 0 OBSTAC+URWPalladioL-BoldItal Type 1 Custom yes yes yes 252 0 DRFVJD+CMSY10 Type 1 Builtin yes yes yes 279 0 KELMFJ+PalatinoLinotype TrueType WinAnsi yes yes no 272 0 KELMFH+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 273 0 KELNJG+PalatinoLinotype,BoldItalic TrueType WinAnsi yes yes no 274 0 OHXAWN+CMBSY10 Type 1 Builtin yes yes yes 319 0 KELMGL+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 312 0 KELMFJ+PalatinoLinotype TrueType WinAnsi yes yes no 313 0 KEMCCC+Arial,Bold TrueType WinAnsi yes yes no 314 0 KEMCDC+Symbol Type 1C Custom yes yes yes 315 0 KEMCCA+Arial TrueType WinAnsi yes yes no 316 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-11-07 03:09:36 CET RepresentationInformation: nutrients-17-03470-v3.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-11-06 10:07:27 CET Size: 753997 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 484 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Item: Title: Methods Children: Item: Title: Participants Item: Title: Measures Item: Title: Ethics Item: Title: Treatment and Treatment Outcome Item: Title: Data Analysis Item: Title: Results Children: Item: Title: Descriptive Statistics and Baseline Mean Score Differences Across ED Subtypes Item: Title: Treatment Outcome Distribution for the Total Sample and Across ED Subtypes Item: Title: Pre–Post Changes in Difficulties in Emotion Regulation Scales Across Treatment Outcome Groups Item: Title: Pre–Post Changes in Eating Psychopathology, Overall Psychopathology, and Personality Traits Across Treatment Outcome Groups Item: Title: The Association Between Pre–Post Changes in Difficulties in Emotion Regulation and Post-Treatment Clinical Profile Item: Title: Path Analysis Item: Title: Discussion Item: Title: Conclusions Item: Title: References Info: Title: Changes in Difficulties in Emotion Regulation Following Eating Disorders Treatment: Relevant Prospective Implications for Treatment Outcome Author: Tânia F. Rodrigues, Lucero Munguía, Roser Granero, Isabel Sánchez, Jessica Sánchez-González, Jessica Jimenez-de Toro, Laura Galvez, Cristina Artero, Susana Jiménez-Murcia, Paulo P. P. Machado and Fernando Fernández-Aranda Subject: Background: Difficulties in emotion regulation (ER) are commonly described in eating disorders (ED), but few studies report its impact on ED treatment outcome. The main goal of this study was to investigate the patterns of change in difficulties in ER among ED-diagnosed female patients who received a Cognitive Behavioral Therapy (CBT) treatment. Methods: Participants (N = 74; Mage = 29.2; SD = 11.5) completed pre- and post-treatment questionnaires to assess difficulties in ER, disordered eating symptoms, general psychopathology, and personality traits. Results: Considering ED treatment outcome status, 24.3% of patients displayed a poor outcome, while 28.4% achieved partial remission, and 47.3% achieved full remission. Most of the patients who achieved full remission (80%) reported decreases in difficulties in ER, while only 55.6% of the participants displaying poor outcomes reported improvements in ER. The results from the structural equation modeling (SEM) suggest that the risk of poor outcome was directly related to increased post-treatment difficulties in ER, while improvements in the severity index of global psychopathology was related to increased pre-treatment difficulties in ER. Conclusions: Better ED treatment outcomes are associated with higher levels of ER improvements. Future prospective studies are warranted to establish which ER components may positively influence the recovery of ED-diagnosed patients. 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