Which Brief Is Best? Clarifying the Use of Three Brief Versions of the Difficulties in Emotion Regulation Scale

Julie M. Skutch1, Shirley B. Wang2, Tom Buqo3, Ann F. Haynos4, Anthony Papa1
1Department of Psychology, University of Nevada, Reno, Reno, USA
2Department of Psychology, Harvard University, Cambridge, USA
3Department of Psychology, Hofstra University, Hempstead, USA
4Department of Psychiatry, University of Minnesota, Minneapolis, USA

Tóm tắt

Emotion regulation is a fundamental affective process implicated in a range of clinically relevant phenomena such as mood, anxiety, and personality disorders, as well as self-harm and suicidality. Many self-report scales have been developed to measure this important construct, and the Difficulties in Emotion Regulation Questionnaire (DERS) is one of the most widely used. The DERS has extensive empirical support for its use, however, its long length impacts its utility and a briefer version is needed. Recently three brief versions of the DERS (DERS-16, DERS-SF, and DERS-18) were developed independently. Initial analyses of each of these measures found them to retain the excellent psychometric properties of the original DERS measure. However, it remains unclear which version is most ideally suited to briefly measure emotion regulation in clinical and research contexts. To clarify this point, the current study examined the existing brief DERS measures on internal reliability and concurrent validity indices in a large sample of undergraduate students (n = 1181). The reliability and validity of all three brief forms were found to be comparable. Additionally, if replicated, our results suggest that it may be useful for future research and clinical work to use brief versions that retain subscale scores (DERS-SF and DERS-18). Based on the results and the existing literature, we recommend that the emotion regulation field come to a consensus about which brief version to use for consistency and the ability to compare findings across studies.

Tài liệu tham khảo

Banyard, V., Hamby, S., & Grych, J. (2017). Health effects of adverse childhood events: Identifying promising protective factors at the intersection of mental and physical well-being. Child Abuse & Neglect, 65, 88–98. Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 34, 382–392. Bjureberg, J., Ljotsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L., et al. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: The DERS-16. Journal of Psychopathology and Behavioral Assessment, 38(2), 284–296. Bloch, L., Moran, E. K., & Kring, A. M. (2010). On the need for conceptual and definitional clarity in emotion regulation research on psychopathology. In A. M. Kring & D. M. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (pp. 88–107). New York: Guildford Press. Bohus, M., Kleindienst, N., Limberger, M. F., Stieglitz, R. D., Domsalla, M., Chapman, A. L., & Wolf, M. (2009). The short version of the borderline symptom list (BSL-23): Development and initial data on psychometric properties. Psychopathology, 42, 32–39. Bolte, S., Mahdi, S., Gau, S. S., Holtmann, M., Karande, S., Rohde, L. A., et al. (2018). Standardized assessment of functioning in adhd: Consensus on the icf core sets for adhd. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-018-1119-y. Brockmeyer, T., Skinde, M., Wu, M., Breelein, E., Rudofsky, G., Herzog, W., & Friederich, H. C. (2014). Difficulties in emotion regulation across the spectrum of eating disorders. Comprehensive Psychiatry, 55(3), 565–571. Buckholdt, K. E., Parra, G. R., Anestis, M. D., Lavender, J. M., Jobe-Shields, L. E., Tull, M. T., & Gratz, K. L. (2015). Emotion regulation difficulties and maladaptive behaviors: Examination of deliberate self-harm, disordered eating, and substance misuse in two samples. Cognitive Therapy and Research, 39(2), 140–152. Carlson, K. D., & Herdman, A. O. (2012). Understanding the impact of convergent validity on research results. Organizational Research Methods, 15(1), 17–32. Cicchetti, D., Ackerman, B. P., & Izard, C. E. (1995). Emotions and emotion regulation in developmental psychopathology. Development and Psychopathology, 7, 1–10. Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientific construct: Methodological challenges and directions for child development research. Child Development, 75(2), 317–333. Crowell, S. E., Beauchaine, T. P., Hsiao, R. C., Vasilev, C. A., Yaptangco, M., Linehan, M. M., & McCauley, E. (2012). Differentiating adolescent self-injury from adolescent depression: Possible implications for borderline personality development. Journal of Abnormal Child Psychology, 40, 45–57. Diedenhofen, B., & Musch, J. (2015). Cocor: A comprehensive solution for the statistical comparison of correlations. PLoS One, 10(4), e0121945. Dunn, O. J., & Clark, V. (1969). Correlation coefficients measured on the same individuals. Journal of the American Statistical Association, 64(325), 366–377. Ford, B. Q., Mauss, I. B., Troy, A. S., & Hankin, B. (2014). Emotion regulation moderates the risk associated with the 5-HTT gene and stress in children. Emotion, 14(5), 930–939. Fowler, J. C., Charak, R., Elhai, J. D., Allen, J. G., Frueh, B. C., & Oldham, J. M. (2014). Construct validity and factor structure of the difficulties in emotion regulation scale among adults with severe mental illness. Journal of Psychiatric Research, 58, 175–180. Galesic, M., & Bosnjak, M. (2009). Effects of questionnaire length on participation and indicators of response quality in a web survey. Public Opinion Quarterly, 73(2), 349–360. Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30, 1311–1327. Gelman, A., Su, Y.S. (2018). Arm: Data analysis using regression and multilevel/hierarchical models. R package version 1.10-1. https://CRAN.R-project.org/package=arm.. Accessed 10 May 2018 Glenn, C. R., Weinberg, A., & Klonsky, E. D. (2009). Relationship of the borderline symptom list to DSM-IV borderline personality disorder criteria assessed by semi-structured interview. Psychopathology, 42, 394–398. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychology and Behavioral Assessment, 26(1), 41–54. Gratz, K. L., & Tull, M. T. (2010). Emotion regulation as a mechanism of change in acceptance-and mindfulness-based treatments. In R. A. Baer (Ed.), Assessing mindfulness and acceptance: Illuminating the processes of change (pp. 107–134). Oakland: New Harbinger Publications. Gross, J. J., & Barrett, L. F. (2011). Emotion generation and emotion regulation: One or two depends on your point of view. Emotion Review, 3, 8–16. Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227–239. Hofmann, S. G., Carpenter, J. K., & Curtiss, J. (2016). Interpersonal emotion regulation questionnaire (IERQ): Scale development and psychometric characteristics. Cognitive Therapy and Research, 40(3), 341–356. Howes, O. D., Rogdaki, M., Findon, J. L., Wichers, R. H., King, B. H., Loth, E., et al. (2018). Autism spectrum disorder: Consensus guidelines on assessment, treatment and research from the British Association for Psychpharmacology. Journal of Psychopharmacology, 32, 3–29. Hutchison, J. A., & Gunthert, K. C. (2013). Measuring beliefs about automatic mood regulation: Development of a self-report scale. Cognitive Therapy and Research, 37, 1243–1256. Joormann, J., & Siemer, M. (2014). Emotion regulation in mood disorders. In J. J. Gross (Ed.), Handbook of emotion regulation, second edition (pp. 413–427). New York: Guilford Press. Kaufman, E. A., Xia, M., Fosco, G., Yaptangco, M., Skidmore, C. R., & Crowell, S. E. (2016). The difficulties in emotion regulation scale short form (DERS-SF): Validation and replication in adolescent and adult samples. Journal of Psychopathology and Behavioral Assessment, 38(3), 443–455. Kruyen, P. M., Emons, W. H. M., & Sijtsma, K. (2013). Shortening the S-STAI: Consequences for research and clinical practice. Journal of Psychosomatic Research, 75, 167–172. Linehan, M. M. (1993). Cognitive behavioral therapy of borderline personality disorder. New York: Guilford Press. Mennin, D. S., McLaughlin, K. A., & Flanagan, T. J. (2009). Emotion regulation deficits in generalized anxiety disorder, social anxiety disorder, and their co-occurrence. Journal of Anxiety Disorders, 23(7), 866–871. Naragon-Gainey, K., McMahon, T. P., & Chacko, T. P. (2017). Structure of common emotion regulation strategies: A meta-analytic examination. Psychological Bulletin, 143(4), 384–427. Neacsiu, A. D., Fang, C. M., Rodriguez, M., & Rosenthal, Z. M. (2017). Suicidal behavior and problems with emotion regulation. Suicide and Life-threatening Behavior. https://doi.org/10.1111/sltb.12335. Neumann, A., van Lier, P. A. C., Gratz, K. L., & Koot, H. M. (2010). Multidimensional assessment of emotion regulation difficulties in adolescents using the difficulties in emotion regulation scale. Assessment, 17, 138–149. Niven, K., Totterdell, P., Stride, C. B., & Holman, D. (2011). Emotion regulation of others and the self (EROS): The development and validation of a new individual difference measure. Current Psychology, 30, 50–73. Osborne, T. L., Michonski, J., Sayrs, J., Welch, S. S., & Anderson, L. K. (2017). Factor structure of the difficulties in emotion regulation scale (DERS) in adult outpatients receiving dialectical behavior therapy (DBT). Journal of Psychopathology and Behavioral Assessment, 39, 355–371. Salsman, N. L., & Linehan, M. M. (2012). An investigation of the relationships among negative affect, difficulties in emotion regulation, and features of borderline personality disorder. Journal of Psychopathology and Behavioral Assessment, 34(2), 260–267. Seligowski, A. V., & Orcutt, H. K. (2015). Examining the structure of emotion regulation: A factor-analytic approach. Journal of Clinical Psychology, 0, 1–19. Sharp, C., Venta, A., Vanwoerden, S., Schramm, A., Ha, C., Newlin, E., et al. (2016). First empirical evaluation of the link between attachment, social cognition and borderline features in adolescents. Comprehensive Psychiatry, 64, 4–11. Smith, G. T., McCarthy, D. M., & Anderson, K. G. (2000). On the sins of short-form development. Psychological Assessment, 12, 102–111. Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59(2–3), 25–52. Victor, S. E., & Klonsky, E. D. (2016). Validation of a brief version of the difficulties in emotion regulation scale in five samples. Journal of Psychopathology and Behavioral Assessment, 38(4), 582–589. Weinbach, N., Sher, H., & Bohon, C. J. (2017). Differences in emotion regulation difficulties across types of eating disorders during adolescence. Journal of Abnormal Child Psychology. https://doi.org/10.1007/s10802-017-0365-7. Weiss, N. H., Bold, K. W., Sullivan, T. P., & Armeli, S. (2017). Testing bidirectional associations among emotion regulation strategies and substance use: A daily diary study. Addiction, 112(4), 695–704. Wilks, C. R., Korslund, K. E., Harned, M. S., & Linehan, M. M. (2016). Dialectical behavior therapy and domains of functioning over two years. Behaviour Research and Therapy, 77, 162–169.