{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:30:09Z","timestamp":1787315409715,"version":"build-2736575974"},"reference-count":57,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23DK131334"],"award-info":[{"award-number":["K23DK131334"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23MH125143"],"award-info":[{"award-number":["K23MH125143"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K24MH135189"],"award-info":[{"award-number":["K24MH135189"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["KL2TR002542"],"award-info":[{"award-number":["KL2TR002542"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Despite substantial research indicating difficulties with emotion regulation across eating disorder presentations, emotion regulation has yet to be studied in adults with avoidant\/restrictive food intake disorder (ARFID). We hypothesized that (1) those with ARFID would report greater overall emotion regulation difficulties than nonclinical participants, and (2) those with ARFID would not differ from those with other eating disorders on the level of emotion regulation difficulty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      One hundred and thirty\u2010seven adults (age 18\u201330) from an outpatient clinic with ARFID (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927), with other primarily restrictive eating disorders (e.g., anorexia nervosa;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200934), and with binge\/purge eating disorders (e.g., bulimia nervosa;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200951), as well as nonclinical participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925) recruited via Amazon Mechanical Turk (MTurk) completed the Difficulties in Emotion Regulation Scale (DERS). We compared DERS scores across groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In line with expectations, patients with ARFID scored significantly higher than nonclinical participants on the DERS Total (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) with a large effect size (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.87). Also as hypothesized, those with ARFID did not differ from those with other primarily restrictive (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.99) or binge\/purge disorders (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.29) on DERS Total.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Adults with ARFID appear to exhibit emotion regulation difficulties which are greater than nonclinical participants, and commensurate with other eating disorders. These findings highlight the possibility of emotion regulation difficulties as a maintenance mechanism for ARFID.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24281","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:49:11Z","timestamp":1725238151000},"page":"2156-2166","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Difficulties in Emotion Regulation in Avoidant\/Restrictive Food Intake Disorder"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0127-8667","authenticated-orcid":false,"given":"Casey M.","family":"Stern","sequence":"first","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Ferkauf Graduate School of Psychology, Yeshiva University  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4293-6926","authenticated-orcid":false,"given":"Haley","family":"Graver","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1130-964X","authenticated-orcid":false,"given":"Iman","family":"McPherson","sequence":"additional","affiliation":[{"name":"Neuroendocrine Unit Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8407-1636","authenticated-orcid":false,"given":"Julia","family":"Gydus","sequence":"additional","affiliation":[{"name":"Neuroendocrine Unit Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1950-3332","authenticated-orcid":false,"given":"P. Evelyna","family":"Kambanis","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2439-6519","authenticated-orcid":false,"given":"Lauren","family":"Breithaupt","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"},{"name":"Athinoula A. Martinos Center for Biomedical Imaging Massachusetts General Hospital  Charlestown Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2059-3256","authenticated-orcid":false,"given":"Helen","family":"Burton\u2010Murray","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Medicine Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Gastroenterology Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3481-5981","authenticated-orcid":false,"given":"L\u00e1zaro","family":"Zayas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1586-0930","authenticated-orcid":false,"given":"Kamryn T.","family":"Eddy","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2601-581X","authenticated-orcid":false,"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8946-9977","authenticated-orcid":false,"given":"Kendra R.","family":"Becker","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23261"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10942\u2010005\u20100015\u20109"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22988"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2021.105243"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23955"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2013.12.001"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.21m14111"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23520"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20522"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22360"},{"key":"e_1_2_13_14_1","unstructured":"deMendiburu F.2020.\u201cagricolae: Statistical Procedures for Agricultural Research (1.4.0).\u201dComputer software.https:\/\/cran.r\u2010project.org\/package=agricolae."},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu9111274"},{"key":"e_1_2_13_16_1","first-page":"309","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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