Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: The role of affect in severely dysregulated behavior

Michael D. Anestis; Carol B. Peterson; Anna M. Bardone-Cone; Marjorie H. Klein; James E. Mitchell; Ross D. Crosby; Stephen A. Wonderlich; Scott J. Crow; Daniel Le Grange; Thomas E. Joiner

doi:10.1002/eat.20606

Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: The role of affect in severely dysregulated behavior

Michael D. Anestis, Carol B. Peterson, Anna M. Bardone-Cone, Marjorie H. Klein, James E. Mitchell, Ross D. Crosby, Stephen A. Wonderlich, Scott J. Crow, Daniel Le Grange, Thomas E. Joiner

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67 Scopus citations

Abstract

Objective: The primary aim of this study was to examine the role of affective lability in maladaptive behaviors in a sample of women who meet DSM criteria for current bulimia nervosa (BN). Method: Participants were administered a semistructured diagnostic interview (SCID-P) and only those who currently met criteria for BN (N = 134) were included in the analyses. All other data were collected through the use of self-report questionnaires. Results: Affective lability significantly predicted the Impulsive Behavior Scale score (sr = 0.21, t = 2.64, p < .009, f² = 0.06) and excessive reassurance seeking (sr = 0.21, t = 2.74, p < .007, f² = 0.06), even when controlling for age, depressive symptoms, state and trait anxiety, and general impulsivity. Discussion: The degree to which individuals with BN experience labile emotions is associated with several indicators of dysregulated behavior such that higher levels of affective lability predict a more severely dysregulated behavioral profile.

Original language	English (US)
Pages (from-to)	259-266
Number of pages	8
Journal	International Journal of Eating Disorders
Volume	42
Issue number	3
DOIs	https://doi.org/10.1002/eat.20606
State	Published - Apr 2009
Externally published	Yes

All Science Journal Classification (ASJC) codes

Psychiatry and Mental health

Keywords

Affective lability
Bulimia nervosa
Emotion regulation
Impulsivity

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10.1002/eat.20606

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Anestis, M. D., Peterson, C. B., Bardone-Cone, A. M., Klein, M. H., Mitchell, J. E., Crosby, R. D., Wonderlich, S. A., Crow, S. J., Le Grange, D., & Joiner, T. E. (2009). Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: The role of affect in severely dysregulated behavior. International Journal of Eating Disorders, 42(3), 259-266. https://doi.org/10.1002/eat.20606

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title = "Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: The role of affect in severely dysregulated behavior",

abstract = "Objective: The primary aim of this study was to examine the role of affective lability in maladaptive behaviors in a sample of women who meet DSM criteria for current bulimia nervosa (BN). Method: Participants were administered a semistructured diagnostic interview (SCID-P) and only those who currently met criteria for BN (N = 134) were included in the analyses. All other data were collected through the use of self-report questionnaires. Results: Affective lability significantly predicted the Impulsive Behavior Scale score (sr = 0.21, t = 2.64, p < .009, f2 = 0.06) and excessive reassurance seeking (sr = 0.21, t = 2.74, p < .007, f2 = 0.06), even when controlling for age, depressive symptoms, state and trait anxiety, and general impulsivity. Discussion: The degree to which individuals with BN experience labile emotions is associated with several indicators of dysregulated behavior such that higher levels of affective lability predict a more severely dysregulated behavioral profile.",

keywords = "Affective lability, Bulimia nervosa, Emotion regulation, Impulsivity",

author = "Anestis, {Michael D.} and Peterson, {Carol B.} and Bardone-Cone, {Anna M.} and Klein, {Marjorie H.} and Mitchell, {James E.} and Crosby, {Ross D.} and Wonderlich, {Stephen A.} and Crow, {Scott J.} and {Le Grange}, Daniel and Joiner, {Thomas E.}",

year = "2009",

month = apr,

doi = "10.1002/eat.20606",

language = "English (US)",

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Anestis, MD, Peterson, CB, Bardone-Cone, AM, Klein, MH, Mitchell, JE, Crosby, RD, Wonderlich, SA, Crow, SJ, Le Grange, D & Joiner, TE 2009, 'Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: The role of affect in severely dysregulated behavior', International Journal of Eating Disorders, vol. 42, no. 3, pp. 259-266. https://doi.org/10.1002/eat.20606

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AU - Anestis, Michael D.

AU - Peterson, Carol B.

AU - Bardone-Cone, Anna M.

AU - Klein, Marjorie H.

AU - Mitchell, James E.

AU - Crosby, Ross D.

AU - Wonderlich, Stephen A.

AU - Crow, Scott J.

AU - Le Grange, Daniel

AU - Joiner, Thomas E.

PY - 2009/4

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N2 - Objective: The primary aim of this study was to examine the role of affective lability in maladaptive behaviors in a sample of women who meet DSM criteria for current bulimia nervosa (BN). Method: Participants were administered a semistructured diagnostic interview (SCID-P) and only those who currently met criteria for BN (N = 134) were included in the analyses. All other data were collected through the use of self-report questionnaires. Results: Affective lability significantly predicted the Impulsive Behavior Scale score (sr = 0.21, t = 2.64, p < .009, f2 = 0.06) and excessive reassurance seeking (sr = 0.21, t = 2.74, p < .007, f2 = 0.06), even when controlling for age, depressive symptoms, state and trait anxiety, and general impulsivity. Discussion: The degree to which individuals with BN experience labile emotions is associated with several indicators of dysregulated behavior such that higher levels of affective lability predict a more severely dysregulated behavioral profile.

AB - Objective: The primary aim of this study was to examine the role of affective lability in maladaptive behaviors in a sample of women who meet DSM criteria for current bulimia nervosa (BN). Method: Participants were administered a semistructured diagnostic interview (SCID-P) and only those who currently met criteria for BN (N = 134) were included in the analyses. All other data were collected through the use of self-report questionnaires. Results: Affective lability significantly predicted the Impulsive Behavior Scale score (sr = 0.21, t = 2.64, p < .009, f2 = 0.06) and excessive reassurance seeking (sr = 0.21, t = 2.74, p < .007, f2 = 0.06), even when controlling for age, depressive symptoms, state and trait anxiety, and general impulsivity. Discussion: The degree to which individuals with BN experience labile emotions is associated with several indicators of dysregulated behavior such that higher levels of affective lability predict a more severely dysregulated behavioral profile.

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Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: The role of affect in severely dysregulated behavior

Abstract

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Keywords

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