Emotion dysregulation and eating disorder symptoms: a network analysis in college students with subclinical eating disorders

Abstract Background Emotion dysregulation is a critical factor in the development and maintenance of eating disorders (EDs), but the specific associations between emotion dysregulation dimensions and specific eating disorder symptoms in subclinical populations remain unclear. This study investigated...

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Main Authors: Yanan Lian, Sihan Liu, Di Zhang, Dongdong Qiao, Zhengze Zhang, Guolin Mi, Zhenhua Liu, Xinchun Wu
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-025-01325-8
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author Yanan Lian
Sihan Liu
Di Zhang
Dongdong Qiao
Zhengze Zhang
Guolin Mi
Zhenhua Liu
Xinchun Wu
author_facet Yanan Lian
Sihan Liu
Di Zhang
Dongdong Qiao
Zhengze Zhang
Guolin Mi
Zhenhua Liu
Xinchun Wu
author_sort Yanan Lian
collection DOAJ
description Abstract Background Emotion dysregulation is a critical factor in the development and maintenance of eating disorders (EDs), but the specific associations between emotion dysregulation dimensions and specific eating disorder symptoms in subclinical populations remain unclear. This study investigated the unique associations in college students with subclinical eating disorders using a network analysis approach. Methods A total of 282 college students with subclinical eating disorders were screened with an online questionnaire. They completed the Eating Disorder Examination Questionnaire (EDE-Q ≥ 1.27) and the Difficulties in Emotion Regulation Scale. Network analysis was applied to identify central and bridge nodes, as well as key connections between eating disorder symptoms and emotion dysregulation dimensions. Results Preoccupation with food and eating emerged as the most influential symptom in the network. The Clarity and Non-acceptance dimensions of emotion dysregulation acted as critical bridge nodes linking emotion dysregulation and ED symptoms. Specific dimensions of emotion dysregulation demonstrated distinct associations with different ED symptomatology. For instance, the Impulse dimension was associated with restriction. The Goals dimensions were associated with lower levels of binge eating and compensatory behaviors. The Strategy dimension was mainly related to ED symptoms accompanying emotional experience. Conclusions The findings highlight the role of emotion dysregulation in the maintenance of subclinical EDs and underscore the need for targeted interventions focusing on emotional understanding and acceptance. While network analysis provides novel insights into early-stage ED pathology, limitations such as cross-sectional design and reliance on self-reported data should be considered. Future longitudinal studies are needed to validate these associations.
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spelling doaj-art-e80e3c7508774b1887bf1287ec1a0b852025-08-20T04:01:42ZengBMCJournal of Eating Disorders2050-29742025-07-0113111610.1186/s40337-025-01325-8Emotion dysregulation and eating disorder symptoms: a network analysis in college students with subclinical eating disordersYanan Lian0Sihan Liu1Di Zhang2Dongdong Qiao3Zhengze Zhang4Guolin Mi5Zhenhua Liu6Xinchun Wu7Department of Psychosomatic Medicine, Shandong Mental Health Center, Lixia DistrictBeijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Haidian DistrictEducation and Counseling Center of Mental Health, Ocean University of ChinaDepartment of Psychosomatic Medicine, Shandong Mental Health Center, Lixia DistrictThe First Clinical Medical School, Guangzhou University of Chinese MedicineDepartment of Psychosomatic Medicine, Shandong Mental Health Center, Lixia DistrictDepartment of Psychosomatic Medicine, Shandong Mental Health Center, Lixia DistrictBeijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Haidian DistrictAbstract Background Emotion dysregulation is a critical factor in the development and maintenance of eating disorders (EDs), but the specific associations between emotion dysregulation dimensions and specific eating disorder symptoms in subclinical populations remain unclear. This study investigated the unique associations in college students with subclinical eating disorders using a network analysis approach. Methods A total of 282 college students with subclinical eating disorders were screened with an online questionnaire. They completed the Eating Disorder Examination Questionnaire (EDE-Q ≥ 1.27) and the Difficulties in Emotion Regulation Scale. Network analysis was applied to identify central and bridge nodes, as well as key connections between eating disorder symptoms and emotion dysregulation dimensions. Results Preoccupation with food and eating emerged as the most influential symptom in the network. The Clarity and Non-acceptance dimensions of emotion dysregulation acted as critical bridge nodes linking emotion dysregulation and ED symptoms. Specific dimensions of emotion dysregulation demonstrated distinct associations with different ED symptomatology. For instance, the Impulse dimension was associated with restriction. The Goals dimensions were associated with lower levels of binge eating and compensatory behaviors. The Strategy dimension was mainly related to ED symptoms accompanying emotional experience. Conclusions The findings highlight the role of emotion dysregulation in the maintenance of subclinical EDs and underscore the need for targeted interventions focusing on emotional understanding and acceptance. While network analysis provides novel insights into early-stage ED pathology, limitations such as cross-sectional design and reliance on self-reported data should be considered. Future longitudinal studies are needed to validate these associations.https://doi.org/10.1186/s40337-025-01325-8Subclinical eating disordersEmotion dysregulationNetwork analysisCollege students
spellingShingle Yanan Lian
Sihan Liu
Di Zhang
Dongdong Qiao
Zhengze Zhang
Guolin Mi
Zhenhua Liu
Xinchun Wu
Emotion dysregulation and eating disorder symptoms: a network analysis in college students with subclinical eating disorders
Journal of Eating Disorders
Subclinical eating disorders
Emotion dysregulation
Network analysis
College students
title Emotion dysregulation and eating disorder symptoms: a network analysis in college students with subclinical eating disorders
title_full Emotion dysregulation and eating disorder symptoms: a network analysis in college students with subclinical eating disorders
title_fullStr Emotion dysregulation and eating disorder symptoms: a network analysis in college students with subclinical eating disorders
title_full_unstemmed Emotion dysregulation and eating disorder symptoms: a network analysis in college students with subclinical eating disorders
title_short Emotion dysregulation and eating disorder symptoms: a network analysis in college students with subclinical eating disorders
title_sort emotion dysregulation and eating disorder symptoms a network analysis in college students with subclinical eating disorders
topic Subclinical eating disorders
Emotion dysregulation
Network analysis
College students
url https://doi.org/10.1186/s40337-025-01325-8
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