{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T03:25:22Z","timestamp":1791084322988,"version":"4.1.0"},"reference-count":104,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T00:00:00Z","timestamp":1654300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Eating disorders are multifaceted psychopathologies and the transdiagnostic approach is currently considered a useful framework to understand their complexity. This preliminary study aimed to investigate both broad (i.e., intolerance of uncertainty and emotion dysregulation) and narrow (i.e., extreme body dissatisfaction) transdiagnostic risk factors underlying eating disorders. 50 Italian female patients seeking treatment for an eating disorder were involved (Mage = 31.6 years \u00b1 12.8, 18\u201365). They completed self-report measures assessing emotion regulation difficulties, intolerance of uncertainty, extreme body dissatisfaction, general psychological distress, and eating disorder symptomatology. To explore whether the abovementioned transdiagnostic factors predicted patients\u2019 psychological distress and eating disorder symptoms, two linear regressions were performed. Emotion dysregulation emerged as the only significant predictor of distress, while extreme body dissatisfaction was the only significant predictor of overall eating disorder symptomatology. Then, to analyze the differences between patients with anorexia nervosa and bulimia nervosa in intolerance of uncertainty and emotion regulation problems, t-tests were conducted. The two groups differed significantly in intolerance of uncertainty levels only, with higher scores obtained by patients with anorexia nervosa. Overall, our findings suggest that emotion dysregulation and extreme body dissatisfaction may be relevant constructs in eating disorders in general, while intolerance of uncertainty may be more involved in restrictive eating disorders. The clinical implications of such results are discussed.<\/jats:p>","DOI":"10.3390\/ijerph19116886","type":"journal-article","created":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T09:42:32Z","timestamp":1654335752000},"page":"6886","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Broad and Narrow Transdiagnostic Risk Factors in Eating Disorders: A Preliminary Study on an Italian Clinical Sample"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1666-5771","authenticated-orcid":false,"given":"Sara","family":"Iannattone","sequence":"first","affiliation":[{"name":"Department of General Psychology, University of Padova, 35131 Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9252-5792","authenticated-orcid":false,"given":"Silvia","family":"Cerea","sequence":"additional","affiliation":[{"name":"Department of General Psychology, University of Padova, 35131 Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Carraro","sequence":"additional","affiliation":[{"name":"Department of General Psychology, University of Padova, 35131 Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Ghisi","sequence":"additional","affiliation":[{"name":"Department of General Psychology, University of Padova, 35131 Padova, Italy"},{"name":"Hospital Psychology Unit, University-Hospital of Padova, 35128 Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8411-8887","authenticated-orcid":false,"given":"Gioia","family":"Bottesi","sequence":"additional","affiliation":[{"name":"Department of General Psychology, University of Padova, 35131 Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5), American Psychiatric Publishing.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.cpr.2010.08.003","article-title":"Eating Disorders and Quality of Life: A Review of the Literature","volume":"31","author":"Jenkins","year":"2011","journal-title":"Clin. Psychol. Rev."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1002\/eat.20589","article-title":"Academy for Eating Disorders Position Paper: Eating Disorders Are Serious Mental Illnesses","volume":"42","author":"Klump","year":"2009","journal-title":"Int. J. Eat. Disord."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/S0005-7967(02)00088-8","article-title":"Cognitive Behaviour Therapy for Eating Disorders: A \u201cTransdiagnostic\u201d Theory and Treatment","volume":"41","author":"Fairburn","year":"2003","journal-title":"Behav. Res. Ther."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1034\/j.1600-0447.2002.02318.x","article-title":"Suicide Attempts in Women with Bulimia Nervosa: Frequency and Characteristics","volume":"106","author":"Corcos","year":"2002","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1007\/s40519-015-0202-3","article-title":"Medical Complications of Anorexia Nervosa and Their Treatments: An Update on Some Critical Aspects","volume":"20","author":"Brown","year":"2015","journal-title":"Eat. Weight Disord."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1002\/eat.20369","article-title":"Outcomes of Eating Disorders: A Systematic Review of the Literature","volume":"40","author":"Berkman","year":"2007","journal-title":"Int. J. Eat. Disord."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1093\/ajcn\/nqy342","article-title":"Prevalence of Eating Disorders over the 2000\u20132018 Period: A Systematic Literature Review","volume":"109","author":"Galmiche","year":"2019","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1002\/eat.20810","article-title":"Update on Course and Outcome in Eating Disorders","volume":"43","author":"Keel","year":"2010","journal-title":"Int. J. Eat. Disord."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1002\/eat.20609","article-title":"Dropout from Inpatient Treatment for Anorexia Nervosa: Critical Review of the Literature","volume":"42","author":"Wallier","year":"2009","journal-title":"Int. J. Eat. Disord."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1097\/YCO.0000000000000278","article-title":"Epidemiology of Eating Disorders in Europe: Prevalence, Incidence, Comorbidity, Course, Consequences, and Risk Factors","volume":"29","author":"Mustelin","year":"2016","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1002\/eat.20463","article-title":"Specific and Nonspecific Comorbidity in Anorexia Nervosa","volume":"41","author":"Jordan","year":"2008","journal-title":"Int. J. Eat. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.eatbeh.2006.11.012","article-title":"Links between Eating Disorder Symptom Severity and Psychiatric Comorbidity","volume":"8","author":"Spindler","year":"2007","journal-title":"Eat. Behav."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.genhosppsych.2003.10.005","article-title":"Suicide Attempts and Suicidal Ideation: Links with Psychiatric Comorbidity in Eating Disorder Subjects","volume":"26","author":"Milos","year":"2004","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1080\/10640260590893700","article-title":"Treatment Implications of Axis-II Comorbidity in Eating Disorders","volume":"13","author":"Bruce","year":"2004","journal-title":"Eat. Disord."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1159\/000071899","article-title":"Axes I and II Comorbidity and Treatment Experiences in Eating Disorder Subjects","volume":"72","author":"Milos","year":"2003","journal-title":"Psychother. Psychosom."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1002\/eat.20972","article-title":"Body Dysmorphic Disorder in Patients with an Eating Disorder: Prevalence and Characteristics","volume":"45","author":"Dingemans","year":"2012","journal-title":"Int. J. Eat. Disord."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1002\/eat.22067","article-title":"Body Dysmorphic Disorder and Nonweight-Related Body Image Concerns in Individuals with Eating Disorders","volume":"46","author":"Kollei","year":"2013","journal-title":"Int. J. Eat. Disord."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.psychres.2018.05.068","article-title":"Non-Weight-Related Body Image Concerns and Body Dysmorphic Disorder Prevalence in Patients with Anorexia Nervosa","volume":"267","author":"Cerea","year":"2018","journal-title":"Psychiatry Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1002\/eat.10091","article-title":"Body Dysmorphic Disorder in Patients with Anorexia Nervosa: Prevalence, Clinical Features, and Delusionality of Body Image","volume":"32","author":"Grant","year":"2002","journal-title":"Int. J. Eat. Disord."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.psym.2010.12.015","article-title":"Correlates of Quality of Life and Functional Disability in Individuals with Body Dysmorphic Disorder","volume":"52","author":"Marques","year":"2011","journal-title":"Psychosomatics"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Phillips, K. (2017). Body Dysmorphic Disorder: Advances in Research and Clinical Practice, Oxford University Press.","DOI":"10.1093\/med\/9780190254131.001.0001"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1080\/10673220490447236","article-title":"Is Anorexia Nervosa a Subtype of Body Dysmorphic Disorder? Probably Not, but Read On\u2026","volume":"12","author":"Grant","year":"2004","journal-title":"Harv. Rev. Psychiatry"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/S0022-3999(97)00269-9","article-title":"A Comparison of Eating Disorders and Body Dysmorphic Disorder on Body Image and Psychological Adjustment","volume":"44","author":"Rosen","year":"1998","journal-title":"J. Psychosom. Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1002\/eat.20219","article-title":"Comorbidity of Body Dysmorphic Disorder and Eating Disorders: Severity of Psychopathology and Body Image Disturbance","volume":"39","author":"Ruffolo","year":"2006","journal-title":"Int. J. Eat. Disord."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1037\/ccp0000482","article-title":"Transdiagnostic Approaches to Mental Health Problems: Current Status and Future Directions","volume":"88","author":"Dalgleish","year":"2020","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1002\/erv.833","article-title":"Eating Disorders and Concurrent Psychopathology: A Reconceptualisation of Clinical Need through Rasch Analysis","volume":"16","author":"Fletcher","year":"2008","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1002\/erv.2805","article-title":"Transdiagnostic Vulnerability Factors in Eating Disorders: A Network Analysis","volume":"29","author":"Vervaet","year":"2021","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1002\/wps.20631","article-title":"Transdiagnostic Psychiatry: A Systematic Review","volume":"18","author":"Solmi","year":"2019","journal-title":"World Psychiatry"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.cpr.2015.06.002","article-title":"Systematic Review and Meta-Analysis of Transdiagnostic Psychological Treatments for Anxiety and Depressive Disorders in Adulthood","volume":"40","author":"Newby","year":"2015","journal-title":"Clin. Psychol. Rev."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Harvey, A.G., Watkins, E., and Mansell, W. (2004). Cognitive Behavioural Processes across Psychological Disorders: A Transdiagnostic Approach to Research and Treatment, Oxford University Press.","DOI":"10.1093\/med:psych\/9780198528883.001.0001"},{"key":"ref_32","first-page":"101","article-title":"Intolerance of Uncertainty and Maladaptive Perfectionism as Maintenance Factors for Eating Disorders and Obsessive Compulsive Disorder Symptoms","volume":"29","author":"Brenna","year":"2022","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1023\/B:JOBA.0000007455.08539.94","article-title":"Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale","volume":"26","author":"Gratz","year":"2003","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1017\/S0954579419000671","article-title":"Emotion Dysregulation and Emerging Psychopathology: A Transdiagnostic, Transdisciplinary Perspective","volume":"31","author":"Beauchaine","year":"2019","journal-title":"Dev. Psychopathol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.cpr.2009.11.004","article-title":"Emotion-Regulation Strategies across Psychopathology: A Meta-Analytic Review","volume":"30","author":"Aldao","year":"2010","journal-title":"Clin. Psychol. Rev."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1146\/annurev-clinpsy-032814-112739","article-title":"Emotion Regulation and Psychopathology","volume":"11","author":"Sheppes","year":"2015","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.cpr.2017.09.002","article-title":"Emotion Regulation as a Transdiagnostic Treatment Construct across Anxiety, Depression, Substance, Eating and Borderline Personality Disorders: A Systematic Review","volume":"57","author":"Sloan","year":"2017","journal-title":"Clin. Psychol. Rev."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1007\/s10608-021-10225-5","article-title":"Emotion Dysregulation within the CBT-E Model of Eating Disorders: A Narrative Review","volume":"45","author":"Trompeter","year":"2021","journal-title":"Cogn. Ther. Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.cpr.2015.05.010","article-title":"Dimensions of Emotion Dysregulation in Anorexia Nervosa and Bulimia Nervosa: A Conceptual Review of the Empirical Literature","volume":"40","author":"Lavender","year":"2015","journal-title":"Clin. Psychol. Rev."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.neubiorev.2014.12.008","article-title":"Emotion Regulation Model in Binge Eating Disorder and Obesity\u2014A Systematic Review","volume":"49","author":"Leehr","year":"2015","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1037\/pas0001103","article-title":"Identifying Subgroups of Patients with Eating Disorders Based on Emotion Dysregulation Profiles: A Factor Mixture Modeling Approach to Classification","volume":"34","author":"Nordgren","year":"2022","journal-title":"Psychol. Assess."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1002\/cpp.2365","article-title":"Emotional Development in Eating Disorders: A Qualitative Metasynthesis","volume":"26","author":"Henderson","year":"2019","journal-title":"Clin. Psychol. Psychoter."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1002\/eat.22130","article-title":"Risky Circuitry? Psychosocial Risk Factors and Neural Circuits in the Development and Persistence of Eating Disorders. A Commentary on Keel & Forney and Friederich et al","volume":"46","author":"Walsh","year":"2013","journal-title":"Int. J. Eat. Disord."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1002\/eat.20399","article-title":"Binge Antecedents in Bulimic Syndromes: An Examination of Dissociation and Negative Affect","volume":"40","author":"Engelberg","year":"2007","journal-title":"Int. J. Eat. Disord."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1002\/erv.2570","article-title":"Emotion Regulation as a Transdiagnostic Feature Among Eating Disorders: Cross-Sectional and Longitudinal Approach","volume":"26","author":"Riesco","year":"2018","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.comppsych.2013.12.001","article-title":"Difficulties in Emotion Regulation across the Spectrum of Eating Disorders","volume":"55","author":"Brockmeyer","year":"2014","journal-title":"Compr. Psychiatry"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1002\/eat.22925","article-title":"Emotion Dysregulation and Eating Disorders-Associations with Diagnostic Presentation and Key Symptoms","volume":"51","author":"Monell","year":"2018","journal-title":"Int. J. Eat. Disord."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.psychres.2011.11.009","article-title":"Emotion Regulation Deficits in Eating Disorders: A Marker of Eating Pathology or General Psychopathology?","volume":"197","author":"Svaldi","year":"2012","journal-title":"Psychiatry Res."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1887","DOI":"10.1017\/S0033291710000036","article-title":"Emotional Functioning in Eating Disorders: Attentional Bias, Emotion Recognition and Emotion Regulation","volume":"40","author":"Harrison","year":"2010","journal-title":"Psychol. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1867","DOI":"10.1002\/jclp.22638","article-title":"Differences in Emotion Regulation Difficulties among Adults and Adolescents across Eating Disorder Diagnoses","volume":"74","author":"Anderson","year":"2018","journal-title":"J. Clin. Psychol."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Ag\u00fcera, Z., Paslakis, G., Mungu\u00eda, L., S\u00e1nchez, I., Granero, R., S\u00e1nchez-Gonz\u00e1lez, J., Steward, T., Jim\u00e9nez-Murcia, S., and Fern\u00e1ndez-Aranda, F. (2019). Gender-Related Patterns of Emotion Regulation among Patients with Eating Disorders. J. Clin. Med., 8.","DOI":"10.3390\/jcm8020161"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1002\/erv.2574","article-title":"The Impact of Alexithymia on Emotion Dysregulation in Anorexia Nervosa and Bulimia Nervosa over Time","volume":"26","author":"Brown","year":"2018","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"907","DOI":"10.3389\/fpsyg.2015.00907","article-title":"Emotion Regulation in Disordered Eating: Psychometric Properties of the Difficulties in Emotion Regulation Scale among Spanish Adults and Its Interrelations with Personality and Clinical Severity","volume":"6","author":"Wolz","year":"2015","journal-title":"Front. Psychol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"104438","DOI":"10.1016\/j.appet.2019.104438","article-title":"Emotion Regulation across Eating Pathology: A Meta-Analysis","volume":"143","author":"Prefit","year":"2019","journal-title":"Appetite"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"152262","DOI":"10.1016\/j.comppsych.2021.152262","article-title":"Differences in the Use of Emotion Regulation Strategies between Anorexia and Bulimia Nervosa: A Systematic Review and Meta-Analysis","volume":"109","author":"Puttevils","year":"2021","journal-title":"Compr. Psychiatry"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1017\/S1754470X2000029X","article-title":"Towards a Model of Uncertainty Distress in the Context of Coronavirus (COVID-19)","volume":"13","author":"Freeston","year":"2020","journal-title":"tCBT"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.janxdis.2004.12.004","article-title":"Investigating the Construct Validity of Intolerance of Uncertainty and Its Unique Relationship with Worry","volume":"20","author":"Buhr","year":"2006","journal-title":"J. Anxiety Disord."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/S0005-7967(97)00070-3","article-title":"Generalized Anxiety Disorder: A Preliminary Test of a Conceptual Model","volume":"36","author":"Dugas","year":"1998","journal-title":"Behav. Res. Ther."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/0191-8869(94)90048-5","article-title":"Why Do People Worry?","volume":"17","author":"Freeston","year":"1994","journal-title":"Pers. Individ. Differ."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1111\/cpsp.12077","article-title":"Extension of the Transdiagnostic Model to Focus on Intolerance of Uncertainty: A Review of the Literature and Implications for Treatment","volume":"21","author":"Einstein","year":"2014","journal-title":"Clin. Psychol. Sci. Pract."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"101778","DOI":"10.1016\/j.cpr.2019.101778","article-title":"The Impact of Methodological and Measurement Factors on Transdiagnostic Associations with Intolerance of Uncertainty: A Meta-Analysis","volume":"73","author":"McEvoy","year":"2019","journal-title":"Clin. Psychol. Rev."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.janxdis.2016.02.002","article-title":"The Search for Universal Transdiagnostic and Trans-Therapy Change Processes: Evidence for Intolerance of Uncertainty","volume":"41","author":"McEvoy","year":"2016","journal-title":"J. Anxiety Disord."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"110210","DOI":"10.1016\/j.paid.2020.110210","article-title":"Prospective Associations between Intolerance of Uncertainty and Psychopathology","volume":"166","author":"Shapiro","year":"2020","journal-title":"Pers. Individ. Differ."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1016\/j.beth.2015.07.002","article-title":"Toward a Unified Treatment for Emotional Disorders: Update on the Science and Practice","volume":"47","author":"Norton","year":"2016","journal-title":"Behav. Ther."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1002\/eat.20929","article-title":"Heightened Fear of Uncertainty in Anorexia and Bulimia Nervosa","volume":"45","author":"Frank","year":"2012","journal-title":"Int. J. Eat. Disord."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1080\/21662630.2014.948469","article-title":"Anxiety-Related Processes in Anorexia Nervosa and Their Relation to Eating Disorder Pathology, Depression and Anxiety","volume":"3","author":"Sternheim","year":"2015","journal-title":"Adv. Eat. Disord."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.eatbeh.2010.01.003","article-title":"Intolerance of Uncertainty and Metacognitions in a Non-Clinical Sample with Problematic and Normal Eating Attitudes","volume":"11","author":"Konstantellou","year":"2010","journal-title":"Eat. Behav."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.eatbeh.2005.05.001","article-title":"Worry and Eating Disorders: A Psychopathological Association","volume":"6","author":"Sassaroli","year":"2005","journal-title":"Eat. Behav."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s40337-017-0152-4","article-title":"Predicting Intolerance of Uncertainty in Individuals with Eating Disorder Symptoms","volume":"5","author":"Sternheim","year":"2017","journal-title":"J. Eat. Disord."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1016\/j.janxdis.2011.04.005","article-title":"Testing a Cognitive Model of Generalized Anxiety Disorder in the Eating Disorders","volume":"25","author":"Konstantellou","year":"2011","journal-title":"J. Anxiety Disord."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1002\/erv.2523","article-title":"Intolerance of Uncertainty in Eating Disorders: A Systematic Review and Meta-Analysis","volume":"25","author":"Brown","year":"2017","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.cpr.2017.07.002","article-title":"Intolerance of Uncertainty in Eating Disorders: An Update on the Field","volume":"56","author":"Kesby","year":"2017","journal-title":"Clin. Psychol. Rev."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"101340","DOI":"10.1016\/j.eatbeh.2019.101340","article-title":"Intolerance of Uncertainty Moderates the Relationship between High Personal Standards but Not Evaluative Concerns Perfectionism and Eating Disorder Symptoms Cross-Sectionally and Prospectively","volume":"35","author":"Brosof","year":"2019","journal-title":"Eat. Behav."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.erap.2019.01.001","article-title":"Intolerance of Uncertainty and Difficulties in Emotion Regulation: Proposal for an Integrative Model of Generalized Anxiety Disorder","volume":"69","author":"Ouellet","year":"2019","journal-title":"Eur. Rev. Appl. Psychol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"106785","DOI":"10.1016\/j.addbeh.2020.106785","article-title":"How Is Intolerance of Uncertainty Related to Negative Affect in Individuals with Substance Use Disorders? The Role of the Inability to Control Behaviors When Experiencing Emotional Distress","volume":"115","author":"Bottesi","year":"2021","journal-title":"Addict. Behav."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/cp.12163","article-title":"Are Difficulties in Emotion Regulation and Intolerance of Uncertainty Related to Negative Affect in Borderline Personality Disorder?","volume":"22","author":"Bottesi","year":"2018","journal-title":"Clin. Psychol."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"1441594","DOI":"10.1080\/23311908.2018.1441594","article-title":"The Acceptability, Feasibility and Possible Benefits of a Group-Based Intervention Targeting Intolerance of Uncertainty in Adolescent Inpatients with Anorexia Nervosa","volume":"5","author":"Sternheim","year":"2018","journal-title":"Cogent Psycholol."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s40519-019-00652-5","article-title":"The Experience of Intolerance of Uncertainty for Young People with a Restrictive Eating Disorder: A Pilot Study","volume":"24","author":"Konstantellou","year":"2019","journal-title":"Eat. Weight Disord."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/j.janxdis.2011.03.020","article-title":"An Experimental Exploration of Behavioral and Cognitive\u2013Emotional Aspects of Intolerance of Uncertainty in Eating Disorder Patients","volume":"25","author":"Sternheim","year":"2011","journal-title":"J. Anxiety Disord."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1002\/erv.1029","article-title":"What Does Uncertainty Mean to Women with Anorexia Nervosa? An Interpretative Phenomenological Analysis","volume":"19","author":"Sternheim","year":"2011","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1016\/j.beth.2020.09.002","article-title":"Intolerance of Uncertainty and Eating Disorder Symptoms Over the Course of Intensive Treatment","volume":"52","author":"Reilly","year":"2021","journal-title":"Behav. Ther."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.janxdis.2016.03.008","article-title":"Stomaching Uncertainty: Relationships among Intolerance of Uncertainty, Eating Disorder Pathology, and Comorbid Emotional Symptoms","volume":"41","author":"Renjan","year":"2016","journal-title":"J. Anxiety Disord."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"101492","DOI":"10.1016\/j.jbtep.2019.101492","article-title":"Intolerance of Uncertainty and Eating Disorder Behaviour: Piloting a Consumption Task in a Non-Clinical Sample","volume":"65","author":"Kesby","year":"2019","journal-title":"J. Behav. Ther. Exp. Psychiatry"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1037\/0021-843X.114.1.119","article-title":"Dietary Restraint, Body Dissatisfaction, and Psychological Distress: A Prospective Analysis","volume":"114","author":"Johnson","year":"2005","journal-title":"J. Abnorm. Psychol."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/j.jad.2010.10.043","article-title":"Depression and Eating Disorders: Treatment and Course","volume":"130","author":"Mischoulon","year":"2011","journal-title":"J. Affect. Disord."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1002\/erv.784","article-title":"The Co-Morbidity of Eating Disorders and Anxiety Disorders: A Review","volume":"15","author":"Swinbourne","year":"2007","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_87","unstructured":"Fossati, A., and Borroni, S. (2017). SCID-5-CV Starter Kit. Intervista Clinica Strutturata per i Disturbi Del DSM-5, Raffaello Cortina Editore. [Versione Per Il Clinico, ed.]."},{"key":"ref_88","first-page":"141","article-title":"Traduzione e adattamento italiano del Difficulties in Emotion Regulation Strategies (DERS): Una ricerca preliminare","volume":"16","author":"Sighinolfi","year":"2010","journal-title":"Psicot. Cogn. Comport."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1002\/jclp.21876","article-title":"Cultural Adaptation of the Difficulties in Emotion Regulation Scale: Reliability and Validity of an Italian Version: Reliability and Validity of the Ders in Italy","volume":"68","author":"Giromini","year":"2012","journal-title":"J. Clin. Psychol."},{"key":"ref_90","unstructured":"Walker, S., Birrell, J.L., Rogers, J., Leekam, S., and Freeston, M. (2010). Intolerance of Uncertainty Scale-Revised, Newcastle University. Unpublished Document."},{"key":"ref_91","doi-asserted-by":"crossref","unstructured":"Bottesi, G., Noventa, S., Freeston, M.H., and Ghisi, M. (2019). Seeking Certainty about Intolerance of Uncertainty: Addressing Old and New Issues through the Intolerance of Uncertainty Scale-Revised. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0211929"},{"key":"ref_92","doi-asserted-by":"crossref","unstructured":"Lovibond, S.H., and Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales, Psychology Foundation. [2nd ed.].","DOI":"10.1037\/t01004-000"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.comppsych.2015.04.005","article-title":"The Italian Version of the Depression Anxiety Stress Scales-21: Factor Structure and Psychometric Properties on Community and Clinical Samples","volume":"60","author":"Bottesi","year":"2015","journal-title":"Compr. Psychiatry"},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"51","DOI":"10.24193\/jebp.2017.1.4","article-title":"Development and Validation of the Questionario Sul Dismorfismo Corporeo in an Italian Community Sample","volume":"17","author":"Cerea","year":"2017","journal-title":"J. Evid.-Based Psychother."},{"key":"ref_95","unstructured":"Garner, D.M. (2004). Eating Disorder Inventory-3. Professional Manual, Psychological Assessment Resources, Inc."},{"key":"ref_96","unstructured":"Giannini, M., Pannocchia, L., Dalle Grave, R., Muratori, F., and Viglione, V. (2008). EDI-3 Eating Disorder Inventory-3: Manuale, OS: Organizzazioni Speciali."},{"key":"ref_97","unstructured":"The Jamovi Project (2021). Jamovi, Version 1.6. Available online: https:\/\/www.jamovi.org."},{"key":"ref_98","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates. [2nd ed.]."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1111\/cp.12154","article-title":"Distress, Emotional Clarity, and Disordered Eating in Young People with Complex Emotional and Behavioural Difficulties","volume":"22","author":"Sloan","year":"2018","journal-title":"Clin. Psychol."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.cpr.2007.07.001","article-title":"Anxiety in the Eating Disorders: Understanding the Overlap","volume":"28","author":"Pallister","year":"2008","journal-title":"Clin. Psychol. Rev."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1177\/1745691614544528","article-title":"The Origins of Neuroticism","volume":"9","author":"Barlow","year":"2014","journal-title":"Perspect. Psychol. Sci."},{"key":"ref_102","doi-asserted-by":"crossref","unstructured":"Gilmartin, T., Gurvich, C., and Sharp, G. (2022). The Relationship between Disordered Eating Behaviour and the Five Factor Model Personality Dimensions: A Systematic Review. J. Clin. Psychol., 1\u201314. Early View.","DOI":"10.1002\/jclp.23337"},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1080\/10640266.2011.533606","article-title":"Psychological Inflexibility and Symptom Expression in Anorexia Nervosa","volume":"19","author":"Merwin","year":"2011","journal-title":"Eat. Disord."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.bodyim.2011.10.001","article-title":"The Use of Virtual Reality in the Study, Assessment, and Treatment of Body Image in Eating Disorders and Nonclinical Samples: A Review of the Literature","volume":"9","year":"2012","journal-title":"Body Image"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/11\/6886\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:24:33Z","timestamp":1760138673000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/11\/6886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,4]]},"references-count":104,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,6]]}},"alternative-id":["ijerph19116886"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19116886","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,4]]}}}