{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T10:15:50Z","timestamp":1785838550527,"version":"3.56.0"},"reference-count":97,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Directorate General for the Regulation of Gambling","award":["SUBV23\/00001"],"award-info":[{"award-number":["SUBV23\/00001"]}]},{"name":"Directorate General for the Regulation of Gambling","award":["MCIN\/AEI\/10.13039\/501100011033"],"award-info":[{"award-number":["MCIN\/AEI\/10.13039\/501100011033"]}]},{"name":"Directorate General for the Regulation of Gambling","award":["JDC2022-048311-I"],"award-info":[{"award-number":["JDC2022-048311-I"]}]},{"name":"Ministry of Science","award":["SUBV23\/00001"],"award-info":[{"award-number":["SUBV23\/00001"]}]},{"name":"Ministry of Science","award":["MCIN\/AEI\/10.13039\/501100011033"],"award-info":[{"award-number":["MCIN\/AEI\/10.13039\/501100011033"]}]},{"name":"Ministry of Science","award":["JDC2022-048311-I"],"award-info":[{"award-number":["JDC2022-048311-I"]}]},{"name":"European Union NextGenerationEU\/PRTR","award":["SUBV23\/00001"],"award-info":[{"award-number":["SUBV23\/00001"]}]},{"name":"European Union NextGenerationEU\/PRTR","award":["MCIN\/AEI\/10.13039\/501100011033"],"award-info":[{"award-number":["MCIN\/AEI\/10.13039\/501100011033"]}]},{"name":"European Union NextGenerationEU\/PRTR","award":["JDC2022-048311-I"],"award-info":[{"award-number":["JDC2022-048311-I"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background. Risk factors for eating disorders are multifaceted and complex, so it is crucial to elucidate the role of executive functions, including impulsivity and metacognition, and coping strategies in the severity of eating behaviors. The study aims were threefold: (1) to analyze gender differences in impulsivity, metacognition, coping strategies, emotion regulation, and eating disorders; (2) to examine the correlation between the study variables; and (3) to test the mediating role of coping and emotion-regulation strategies in the relationship between metacognition, impulsivity, and eating disorders. Methods. A total of 1076 participants (Mage = 21.78, SD = 5.10; 77.7% women) completed a set of questionnaires. Two mediation analyses were conducted to test the mediating role of coping strategies, including emotion regulation, in the relationship between executive functions (i.e., impulsivity and metacognition) and eating disorders. Results. Women displayed higher coping strategies, specifically emotional expression, wishful thinking, and social support, whereas men presented greater social withdrawal. Mediational analyses showed a significant association between impulsivity, metacognition, and eating disorders, whose relationship was partially mediated by coping strategies and mainly by emotion regulation. Conclusion. Interventions based on coping strategies and emotion regulation could be a feasible and effective option to deal with eating disorders among the young population.<\/jats:p>","DOI":"10.3390\/nu16121884","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T10:42:34Z","timestamp":1718361754000},"page":"1884","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The Mediating Effect of Coping Strategies and Emotion Regulation in the Relationship between Impulsivity, Metacognition, and Eating Disorders"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0314-7086","authenticated-orcid":false,"given":"Ana","family":"Est\u00e9vez","sequence":"first","affiliation":[{"name":"Department of Psychology, Faculty of Health Sciences, University of Deusto, Avda. de las Universidades 24, 48007 Bilbao, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janire","family":"Mome\u00f1e","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Health Sciences, University of Deusto, Avda. de las Universidades 24, 48007 Bilbao, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Mac\u00eda","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Health Sciences, University of Deusto, Avda. de las Universidades 24, 48007 Bilbao, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5495-7172","authenticated-orcid":false,"given":"Iciar","family":"Iruarrizaga","sequence":"additional","affiliation":[{"name":"Department of Experimental Psychology, Cognitive Psychology and Speech & Language Therapy, Faculty of Psychology, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leticia","family":"Olave","sequence":"additional","affiliation":[{"name":"Department of Experimental Psychology, Cognitive Psychology and Speech & Language Therapy, Faculty of Psychology, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8490-2658","authenticated-orcid":false,"given":"Gema","family":"Aonso-Diego","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Health Sciences, University of Deusto, Avda. de las Universidades 24, 48007 Bilbao, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/s40337-022-00654-2","article-title":"Psychiatric and Medical Comorbidities of Eating Disorders: Findings from a Rapid Review of the Literature","volume":"10","author":"Hambleton","year":"2022","journal-title":"J. Eat. Disord."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1080\/10640266.2023.2196492","article-title":"Prevalence of Non-Suicidal Self-Injury, Suicidal Ideation, Suicide Attempts, Suicide Mortality in Eating Disorders: A Systematic Review and Meta-Analysis","volume":"31","author":"Amiri","year":"2023","journal-title":"Eat. Disord."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"205","DOI":"10.12740\/PP\/64580","article-title":"Outcome, Comorbidity and Prognosis in Anorexia Nervosa","volume":"51","author":"Jagielska","year":"2017","journal-title":"Psychiatr. Pol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/YCO.0000000000000739","article-title":"Incidence, Prevalence and Mortality of Anorexia Nervosa and Bulimia Nervosa","volume":"34","author":"Hoek","year":"2021","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/YCO.0000000000000641","article-title":"Review of the Burden of Eating Disorders: Mortality, Disability, Costs, Quality of Life, and Family Burden","volume":"33","author":"Hoek","year":"2020","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_6","unstructured":"American Psychiatric Association (2023). Diagnosis and Statistical Manual of Mental Disorders\u2014Fifth Edition Text Revision. DSM-5-TR, American Psychiatric Association."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/2045125318814734","article-title":"Genetic Risk Factors for Eating Disorders: An Update and Insights into Pathophysiology","volume":"9","author":"Himmerich","year":"2019","journal-title":"Ther. Adv. Psychopharmacol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.cpr.2017.12.004","article-title":"Potential Psychological & Neural Mechanisms in Binge Eating Disorder: Implications for Treatment","volume":"60","author":"Kober","year":"2018","journal-title":"Clin. Psychol. Rev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1177\/1059840517737140","article-title":"Social and Psychological Factors Related to Risk of Eating Disorders Among High School Girls","volume":"35","author":"Alfoukha","year":"2017","journal-title":"J. Sch. Nurs."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.psc.2018.10.009","article-title":"The Role of Sociocultural Factors in the Etiology of Eating Disorders","volume":"42","author":"Weissman","year":"2019","journal-title":"Psychiatr. Clin. N. Am."},{"key":"ref_11","first-page":"199","article-title":"Decision-Making, Impulsiveness and Temperamental Traits in Eating Disorders","volume":"17","author":"Ciberti","year":"2020","journal-title":"Clin. Neuropsychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1002\/eat.22557","article-title":"Classifying Eating Disorders Based on \u201cHealthy\u201d and \u201cUnhealthy\u201d Perfectionism and Impulsivity","volume":"49","author":"Claes","year":"2016","journal-title":"Int. J. Eat. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1017\/S1092852920001674","article-title":"General Impulsivity in Binge-Eating Disorder","volume":"26","author":"Boswell","year":"2021","journal-title":"CNS Spectr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"101752","DOI":"10.1016\/j.eatbeh.2023.101752","article-title":"Impulsivity Dimensions and Their Associations with Disinhibited and Actual Eating Behaviour","volume":"49","author":"Goodwin","year":"2023","journal-title":"Eat. Behav."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Carr, M.M., Wiedemann, A.A., Macdonald-Gagnon, G., and Potenza, M.N. (2021). Impulsivity and Compulsivity in Binge Eating Disorder: A Systematic Review of Behavioral Studies. Prog. Neuro-Psychopharmacol. Biol. Psychiatry, 110.","DOI":"10.1016\/j.pnpbp.2021.110318"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2497","DOI":"10.1007\/s40519-022-01358-x","article-title":"Frequency of Binge Eating Behavior in Patients with Borderline Personality Disorder and Its Relation to Emotional Regulation and Impulsivity","volume":"27","author":"Shaker","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1002\/eat.23285","article-title":"Perfectionism and Impulsivity Based Risk Profiles in Eating Disorders","volume":"53","author":"Soidla","year":"2020","journal-title":"Int. J. Eat. Disord."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1093\/ajcn\/nqy255","article-title":"Impulsivity Is Associated with Food Intake, Snacking, and Eating Disorders in a General Population","volume":"109","author":"Bellisle","year":"2019","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Testa, G., Granero, R., Misiolek, A., Vintr\u00f3-Alcaraz, C., Mallorqui-Bagu\u00e9, N., Lozano-Madrid, M., Heras, M.V.D.L., S\u00e1nchez, I., Jim\u00e9nez-Murcia, S., and Fern\u00e1ndez-Aranda, F. (2022). Impact of Impulsivity and Therapy Response in Eating Disorders from a Neurophysiological, Personality and Cognitive Perspective. Nutrients, 14.","DOI":"10.3390\/nu14235011"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e91","DOI":"10.1192\/j.eurpsy.2023.2458","article-title":"Impulsivity and Compulsivity in Gambling Disorder and Bulimic Spectrum Eating Disorders: Analysis of Neuropsychological Profiles and Sex Differences","volume":"66","author":"Granero","year":"2023","journal-title":"Eur. Psychiatry"},{"key":"ref_21","first-page":"97","article-title":"Impulsivity and Metacognition in a Psychiatric Population","volume":"19","author":"Turiaco","year":"2022","journal-title":"Clin. Neuropsychiatry"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.eurpsy.2017.05.029","article-title":"Dysfunctional Metacognition across Psychopathologies: A Meta-Analytic Review","volume":"45","author":"Sun","year":"2017","journal-title":"Eur. Psychiatry"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.addbeh.2018.05.018","article-title":"Metacognitive Beliefs in Addictive Behaviours: A Systematic Review","volume":"85","author":"Hamonniere","year":"2018","journal-title":"Addict. Behav."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1007\/s10899-015-9552-z","article-title":"Metacognition in Pathological Gambling and Its Relationship with Anxious and Depressive Symptomatology","volume":"32","author":"Jauregui","year":"2016","journal-title":"J. Gambl. Stud."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1002\/cpp.2573","article-title":"Metacognitive Beliefs across Eating Disorders and Eating Behaviours: A Systematic Review","volume":"28","author":"Palmieri","year":"2021","journal-title":"Clin. Psychol. Psychother."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1007\/s40519-018-0603-1","article-title":"Metacognition, Emotional Functioning and Binge Eating in Adolescence: The Moderation Role of Need to Control Thoughts","volume":"23","author":"Laghi","year":"2018","journal-title":"Eat. Weight. Disord. Stud. Anorex. Bulim. Obes."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2281","DOI":"10.1007\/s40519-020-01078-0","article-title":"Metacognitive Beliefs and Emotional Eating in Adolescents","volume":"26","author":"Limbers","year":"2021","journal-title":"Eat. Weight Disord."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.eatbeh.2014.10.019","article-title":"Metacognition in Eating Disorders: Comparison of Women with Eating Disorders, Self-Reported History of Eating Disorders or Psychiatric Problems, and Healthy Controls","volume":"16","author":"Olstad","year":"2015","journal-title":"Eat. Behav."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Gerges, S., Azzi, V., Bianchi, D., Laghi, F., Pompili, S., Malaeb, D., Obeid, S., Soufia, M., and Hallit, S. (2023). Exploring the Relationship between Dysfunctional Metacognitive Processes and Orthorexia Nervosa: The Moderating Role of Emotion Regulation Strategies. BMC Psychiatry, 23.","DOI":"10.1186\/s12888-023-05183-z"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40337-015-0060-4","article-title":"Dysfunctional Metacognition and Drive for Thinness in Typical and Atypical Anorexia Nervosa","volume":"3","author":"Davenport","year":"2015","journal-title":"J. Eat. Disord."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"225","DOI":"10.22365\/jpsych.2020.313.225","article-title":"The Relationship between Metacognitive Beliefs and Symptoms in Eating Disorders","volume":"31","author":"Georgantopoulos","year":"2020","journal-title":"Psychiatriki"},{"key":"ref_32","first-page":"55","article-title":"The Body of Cognitive and Metacognitive Variables in Eating Disorders: Need of Control, Negative Beliefs about Worry Uncontrollability and Danger, Perfectionism, Self-Esteem and Worry","volume":"55","author":"Sapuppo","year":"2018","journal-title":"Isr. J. Psychiatry"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40337-021-00376-x","article-title":"Metacognition and Emotion Regulation as Treatment Targets in Binge Eating Disorder: A Network Analysis Study","volume":"9","author":"Aloi","year":"2021","journal-title":"J. Eat. Disord."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s40479-016-0037-1","article-title":"Difficulties in Emotion Regulation in Patients with Eating Disorders","volume":"3","author":"Ruscitti","year":"2016","journal-title":"Borderline Personal. Disord. Emot. Dysregulation"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1002\/erv.2734","article-title":"Emotional and Non-emotional Facets of Impulsivity in Eating Disorders: From Anorexia Nervosa to Bulimic Spectrum Disorders","volume":"28","author":"Testa","year":"2020","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Luca, M. (2019). Maladaptive Rumination as a Transdiagnostic Mediator of Vulnerability and Outcome in Psychopathology. J. Clin. Med., 8.","DOI":"10.3390\/jcm8030314"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1080\/10503307.2020.1831098","article-title":"Do Metacognitions Mediate the Relationship between Irrational Beliefs, Eating Disorder Symptoms and Cognitive Reappraisal?","volume":"31","author":"Tecuta","year":"2021","journal-title":"Psychother. Res."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Dingemans, A., Danner, U., and Parks, M. (2017). Emotion Regulation in Binge Eating Disorder: A Review. Nutrients, 9.","DOI":"10.3390\/nu9111274"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1080\/10640266.2019.1642036","article-title":"Emotion Regulation and Emotional Eating in Anorexia Nervosa and Bulimia Nervosa","volume":"29","author":"Meule","year":"2019","journal-title":"Eat. Disord."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"101315","DOI":"10.1016\/j.eatbeh.2019.101315","article-title":"Emotion Regulation Strategy Use and Eating Disorder Symptoms in Daily Life","volume":"34","author":"Mikhail","year":"2019","journal-title":"Eat. Behav."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1002\/erv.2993","article-title":"Emotion Regulation and Disordered Eating Behaviour in Youths: Two Daily-Diary Studies","volume":"31","author":"Dworschak","year":"2023","journal-title":"Eur. Eat. Disord. Rev. J. Eat. Disord. Assoc."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Tragantzopoulou, P., and Giannouli, V. (2024). Unveiling Anxiety Factors in Orthorexia Nervosa: A Qualitative Exploration of Fears and Coping Strategies. Healthcare, 12.","DOI":"10.3390\/healthcare12090925"},{"key":"ref_43","first-page":"144","article-title":"Evaluation of Coping Styles, Metacognition and Their Relationship with Test Anxiety","volume":"24","author":"Gargabi","year":"2014","journal-title":"J. Mazand. Univ. Med. Sci."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"256","DOI":"10.52547\/ieepj.3.3.256","article-title":"Investigating The Mediating Role of Cognitive Emotion Regulation Strategies in The Relationship Between Meta-Cognitive Beliefs and Learning Anxiety","volume":"3","author":"Yousefi","year":"2021","journal-title":"Iran. Evol. Educ. Psychol. J."},{"key":"ref_45","first-page":"396","article-title":"Mediating Role of Emotion Regulation in the Relationship of Metacognitive Beliefs and Attachment Styles with Risky Behaviors in Children of Iran-Iraq War Veterans with Psychiatric Disorders","volume":"25","author":"Mohammadkhani","year":"2019","journal-title":"Iran. J. Psychiatry Clin. Psychol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1080\/00223980.2022.2107977","article-title":"The Association between Metacognitions and Worry: The Mediator Role of Experiential Avoidance Strategies","volume":"156","author":"Bahtiyar","year":"2022","journal-title":"J. Psychol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.paid.2015.08.053","article-title":"Post-Traumatic Stress Symptom, Metacognition, Emotional Schema and Emotion Regulation: A Structural Equation Model","volume":"88","author":"Mazloom","year":"2016","journal-title":"Personal. Individ. Differ."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"2402","DOI":"10.3389\/fpsyg.2019.02402","article-title":"The Mediating Role of Coping Styles on Impulsivity, Behavioral Inhibition\/Approach System, and Internet Addiction in Adolescents From a Gender Perspective","volume":"10","author":"Li","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1080\/07317115.2023.2231456","article-title":"The Relationship Between Mental Health, Metacognition, and Emotion Regulation in Older People","volume":"47","author":"Samra","year":"2024","journal-title":"Clin. Gerontol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1002\/eat.23004","article-title":"Psychiatric and Medical Correlates of DSM-5 Eating Disorders in a Nationally Representative Sample of Adults in the United States","volume":"52","author":"Udo","year":"2019","journal-title":"Int. J. Eat. Disord."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/S0005-7967(96)00050-2","article-title":"Modelling Cognition in Emotional Disorder: The S-REF Model","volume":"34","author":"Wells","year":"1996","journal-title":"Behav. Res. Ther."},{"key":"ref_52","first-page":"e23424","article-title":"The Scope of Metacognitive Therapy in the Treatment of Psychiatric Disorders","volume":"14","author":"Sharma","year":"2022","journal-title":"Cureus"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"259977","DOI":"10.3389\/fpsyg.2017.00593","article-title":"Dysfunctional Metacognitive Beliefs Are Associated with Decreased Executive Control","volume":"8","author":"Kraft","year":"2017","journal-title":"Front. Psychol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"2621","DOI":"10.3389\/fpsyg.2019.02621","article-title":"Breaking the Cybernetic Code: Understanding and Treating the Human Metacognitive Control System to Enhance Mental Health","volume":"10","author":"Wells","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1080\/07448481.2020.1799804","article-title":"Emotion Regulation Difficulties as Common and Unique Predictors of Impulsive Behaviors in University Students","volume":"70","author":"Miller","year":"2022","journal-title":"J. Am. Coll. Health"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s11031-018-9722-2","article-title":"The Roles of Impulsivity, Self-Regulation, and Emotion Regulation in the Experience of Self-Disgust","volume":"43","author":"Lazuras","year":"2019","journal-title":"Motiv. Emot."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1080\/00223980.2020.1784824","article-title":"The Association of Negative Urgency with Psychological Distress: Moderating Role of Proactive Coping Strategies","volume":"154","author":"Zeytun","year":"2020","journal-title":"J. Psychol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"645052","DOI":"10.3389\/fnbeh.2021.645052","article-title":"To Regulate or Not to Regulate: Emotion Regulation in Participants With Low and High Impulsivity","volume":"15","author":"Maier","year":"2021","journal-title":"Front. Behav. Neurosci."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1080\/10550887.2020.1756709","article-title":"Dysfunctional Metacognition Processes as Risk Factors for Drunkorexia during Adolescence","volume":"38","author":"Laghi","year":"2020","journal-title":"J. Addict. Dis."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.bodyim.2020.09.013","article-title":"A Cross-Country Examination of Emotional Eating, Restrained Eating and Intuitive Eating: Measurement Invariance across Eight Countries","volume":"35","author":"Strodl","year":"2020","journal-title":"Body Image"},{"key":"ref_61","unstructured":"Garner, D.M. (1991). Eating Disorder Inventory\u20142, Psychological Assessment Resources."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"e42","DOI":"10.1007\/BF03327759","article-title":"Factor Structure of Eating Disorders Inventory-2 in a Spanish Sample","volume":"11","year":"2006","journal-title":"Eat. Weight Disord. Stud. Anorex. Bulim. Obes."},{"key":"ref_63","unstructured":"Leal-Carcedo, L. (2012). Validaci\u00f3n del Inventrio de Actividad Cognitiva en Los Trastornos de Nasiedad, Subescala Para el Trastorno Obsesivo-Compulsivo (IACTA-TOC), Universidad Complutense de Madrid."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/0092-6566(87)90032-8","article-title":"Impulsiveness and Anxiety: Information Processing and Electroencephalograph Topography","volume":"21","author":"Barratt","year":"1987","journal-title":"J. Res. Pers."},{"key":"ref_65","first-page":"147","article-title":"Spanish Adaptation of the Barratt Impulsiveness Scale (BIS-11)","volume":"15","author":"Oquendo","year":"2001","journal-title":"Eur. J. Psychiatry"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/BF01173478","article-title":"The Hierarchical Factor Structure of the Coping Strategies Inventory","volume":"13","author":"Tobin","year":"1989","journal-title":"Cognit. Ther. Res."},{"key":"ref_67","first-page":"29","article-title":"Adaptaci\u00f3n Espa\u00f1ola Del Inventario de Estrategias de Afrontamiento","volume":"35","year":"2007","journal-title":"Actas Espa\u00f1olas Psiquiatr."},{"key":"ref_68","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":"2004","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_69","first-page":"139","article-title":"Adaptaci\u00f3n Al Castellano de La Escala de Dificultades En La Regulaci\u00f3n Emocional","volume":"19","year":"2008","journal-title":"Cl\u00ednica Salud"},{"key":"ref_70","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Hillsdate."},{"key":"ref_71","unstructured":"Hayes, A.F. (2013). An Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach, Guilford Press."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s40337-017-0186-7","article-title":"Feeding and Eating Disorders in the DSM-5 Era: A Systematic Review of Prevalence Rates in Non-Clinical Male and Female Samples","volume":"5","author":"Wisting","year":"2017","journal-title":"J. Eat. Disord."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s40519-021-01162-z","article-title":"An Update on the Prevalence of Eating Disorders in the General Population: A Systematic Review and Meta-Analysis","volume":"27","author":"Qian","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Cheah, W.L., Shin, E.C.V., and Hazmi, H. (Nutr. Health, 2022). Examining Gender Difference in Disordered Eating Behaviour and Its Associated Factors among College and University Students in Sarawak, Nutr. Health, Advance online publication.","DOI":"10.1177\/02601060221132597"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1146\/annurev-clinpsy-032511-143109","article-title":"Emotion Regulation and Psychopathology: The Role of Gender","volume":"8","year":"2012","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Graves, B.S., Hall, M.E., Dias-Karch, C., Haischer, M.H., and Apter, C. (2021). Gender Differences in Perceived Stress and Coping among College Students. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0255634"},{"key":"ref_77","first-page":"643","article-title":"Coping Strategies, Optimism, and Life Satisfaction among First-Year University Students in Italy: Gender and Age Differences","volume":"75","author":"Cabras","year":"2018","journal-title":"Int. J. Educ. Res."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"101751","DOI":"10.1016\/j.cpr.2019.101751","article-title":"A Systematic Review and Meta-Analysis of the Unified Protocol as a Transdiagnostic Emotion Regulation Based Intervention","volume":"72","author":"Sakiris","year":"2019","journal-title":"Clin. Psychol. Rev."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1037\/emo0000646","article-title":"Emotion Regulation as a Transdiagnostic Process","volume":"20","author":"Cludius","year":"2020","journal-title":"Emotion"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"341","DOI":"10.2466\/03.20.PR0.114k22w4","article-title":"Relation between Emotion Regulation and Mental Health: A Meta-Analysis Review","volume":"114","author":"Hu","year":"2014","journal-title":"Psychol. Rep."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"944457","DOI":"10.3389\/fpsyg.2023.944457","article-title":"Examining the Associations between Difficulties in Emotion Regulation and Symptomatic Outcome Measures among Individuals with Different Mental Disorders","volume":"14","author":"Igra","year":"2023","journal-title":"Front. Psychol."},{"key":"ref_82","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_83","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_84","doi-asserted-by":"crossref","first-page":"793094","DOI":"10.3389\/fpsyt.2022.793094","article-title":"The Role of Emotion Regulation in Eating Disorders: A Network Meta-Analysis Approach","volume":"13","author":"Leppanen","year":"2022","journal-title":"Front. Psychiatry"},{"key":"ref_85","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_86","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1521\/pedi.2013.27.1.3","article-title":"Hypermentalizing in Adolescent Inpatients: Treatment Effects and Association With Borderline Traits","volume":"27","author":"Sharp","year":"2013","journal-title":"J. Personal. Disord."},{"key":"ref_87","unstructured":"Jurist, E.L., Slade, A., and Bergner, S. (2008). Changes in the Representation of Self and Significant Others in the Treatment Process: Links between Representation, Internalization, and Mentalization. Mind to Mind: Infant Research, Neuroscience, and Psychoanalysis, Other Press."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/j.brat.2010.05.009","article-title":"Rumination, Experiential Avoidance, and Dysfunctional Thinking in Eating Disorders","volume":"48","author":"Rawal","year":"2010","journal-title":"Behav. Res. Ther."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.eatbeh.2012.01.001","article-title":"The Role of Experiential Avoidance, Rumination and Mindfulness in Eating Disorders","volume":"13","author":"Cowdrey","year":"2012","journal-title":"Eat. Behav."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s40519-016-0301-9","article-title":"Negative Emotions and Emotional Eating: The Mediating Role of Experiential Avoidance","volume":"22","author":"Litwin","year":"2017","journal-title":"Eat. Weight Disord."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"101308","DOI":"10.1016\/j.eatbeh.2019.101308","article-title":"Mediating Role of Experiential Avoidance in the Relationship between Anxiety Sensitivity and Eating Disorder Psychopathology: A Clinical Replication","volume":"34","author":"Muratore","year":"2019","journal-title":"Eat. Behav."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1521\/ijct.2011.4.4.415","article-title":"Schematic Models and Modes of Mind in Anorexia Nervosa I: A Novel Process Account","volume":"4","author":"Park","year":"2011","journal-title":"Int. J. Cogn. Ther."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1080\/13642537.2023.2278088","article-title":"\u201cYou Feel That You Are Stepping into a Different World\u201d: Vulnerability and Biases in the Treatment of Anorexia Nervosa","volume":"25","author":"Tragantzopoulou","year":"2023","journal-title":"Eur. J. Psychother. Couns."},{"key":"ref_94","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_95","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.1002\/eat.24009","article-title":"A Randomized Controlled Feasibility Trial of Metacognitive Training with Adolescents Receiving Treatment for Anorexia Nervosa","volume":"56","author":"Balzan","year":"2023","journal-title":"Int. J. Eat. Disord."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"43","DOI":"10.4081\/mi.2012.e11","article-title":"Evaluating the Mindfulness-Based Coping Program: An Effectiveness Study Using a Mixed Model Approach","volume":"4","author":"Tharaldsen","year":"2012","journal-title":"Ment. Illn."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.invent.2018.03.005","article-title":"An Internet Based Intervention for Improving Resilience and Coping Strategies in University Students: Study Protocol for a Randomized Controlled Trial","volume":"16","author":"Herrero","year":"2019","journal-title":"Internet Interv."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/12\/1884\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:59:04Z","timestamp":1760108344000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/12\/1884"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,14]]},"references-count":97,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["nu16121884"],"URL":"https:\/\/doi.org\/10.3390\/nu16121884","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,14]]}}}