Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring

Johannes Baltasar Hessler-Kaufmann; Julia Heese; Matthias Berking; Ulrich Voderholzer; Alice Diedrich

doi:10.1186/s40479-020-00129-3

Borderline Personality Disorder and Emotion Dysregulation

Table 3 Influence of comorbid mental disorders and previous treatment on the adjusted efficacy of emotion regulation strategies: results of the multiple linear regression analyses

From: Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring

Variables	Comorbid mental disorders						Previous treatment
	No			Yes			No			Yes
	b (95% CI)	p	β	b (95% CI)	p	β	b (95% CI)	p	β	b (95% CI)	p	β
DV: sadness
Mindfulness^a	5.52 (−7.03; 18.06)	.380	0.10	−4.36 (−15.42; 6.70)	.435	−0.08	8.27 (−6.34; 22.88)	.258	0.15	−4.38 (−14.96; 6.20)	.413	−0.08
Self-compassion^a	0.42 (−12.11; 12.96)	.068	0.01	−5.05 (−16.11; 6.02	.368	−0.10	3.02 (−11.62; 17.65)	.678	0.01	−5.39 (−16.03; 5.24)	.317	−0.10
DV: acceptance for feeling
Mindfulness^a	10.13 (−4.59; 24.84)	.171	0.20	11.11 (0.93; 21.29)	.033	0.23	11.88 (−7.11; 30.87)	.211	0.28	9.56 (0.32; 18.80)	.043	0.19
Self-compassion^a	8.42 (−6.49; 23.32)	.260	0.17	8.30 (−1.73; 18.34)	.104	0.17	8.65 (−9.28; 26.58)	.331	0.20	7.84 (−1.44; 17.12)	.097	0.15
DV: tolerance for feeling
Mindfulness^a	7.36 (− 9.77; 24.50)	.389	0.15	8.87 (−2.09; 19.83)	.111	0.16	17.57 (−0.04; 35.18)	.050	0.41	4.87 (−5.79; 15.52)	.366	0.09
Self-compassion^a	8.61 (−8.84; 26.05)	.323	0.17	11.38 (0.41; 22.35)	.042	0.21	16.02 (−2.10; 34.13)	.081	0.37	8.20 (−2.50; 18.91)	.131	0.23
DV: control feeling
Mindfulness^a	−1.02 (−13.14; 11.11)	.866	−0.03	6.40 (−2.58; 15.39)	.160	0.13	−2.71 (−16.18; 10.75)	.683	−0.08	4.79 (−3.52; 13.10)	.255	0.10
Self-compassion^a	7.94 (−4.27; 20.14)	.195	0.19	15.01 (5.75; 24.28)	.002	0.31	3.69 (−10.05; 17.44)	.587	0.12	13.68 (5.25; 22.11)	.002	0.27
DV: urge to eat
Mindfulness^a	−14.03 (−28.19; 0.13)	.052	−0.25	−3.67 (−11.65; 4.30)	.362	−0.06	−12.37 (−28.26; 3.52)	.122	−0.17	−5.00 (−12.65; 2.74)	.204	−0.09
Self-compassion^a	−6.97 (−21.41; 7.48)	.334	−0.12	−0.21 (−8.18; 7.76)	.958	−0.003	−14.93 (−30.84; 0.98)	.065	−0.20	1.89 (−5.88; 9.65)	.630	0.03
DV: urge to purge
Mindfulness^a	−5.20 (−15.89; 5.49)	.330	−0.09	−8.18 (−17.19; 0.83)	.075	−0.13	−5.03 (−17.46; 7.41)	.415	−0.08	−8.04 (−16.61; 0.54)	.066	−0.13
Self-compassion^a	2.27 (−8.52; 13.05)	.672	0.04	−9.47 (−18.43; −0.52)	.038	−0.15	−2.27 (−14.66; 10.11)	.710	−0.04	−7.00 (−15.57; 1.56)	.108	−0.11
DV: acceptance for shape and weight
Mindfulness^a	−0.27 (−12.98; 12.45)	.966	−0.01	6.96 (−0.74; 14.65)	.076	0.15	−1.35 (− 12.83; 10.13)	.812	−0.03	7.54 (−0.71; 15.80)	.073	0.15
Self-compassion^a	2.64 (−9.64; 14.92)	.665	0.06	5.38 (−2.20; 12.95)	.162	0.12	−6.86 (−18.27; 4.55)	.228	−0.17	8.52 (0.48; 16.56)	.038	0.17
DV: feeling valuable
Mindfulness^a	0.56 (−12.34; 13.45)	.931	0.01	7.38 (−2.67; 17.43)	.148	0.16	5.84 (−7.83; 19.52)	.389	0.14	5.04 (−4.44; 14.51)	.294	0.10
Self-compassion^a	6.32 (−6.40; 19.05)	.320	0.14	8.76 (−0.90; 18.41)	.075	0.19	− 0.76 (−13.90; 12.39)	.907	−0.02	10.45 (1.22; 19.79)	.027	0.20

^aIndependent variables dummy-coded for comparison with cognitive restructuring and adjusted for baseline and pre-strategy values of the dependent variable
95% CI 95% confidence interval, DV dependent variable
Effects with p < .0125 in boldface

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