The Difficulties in Emotional Regulation among a Cohort of Females with Lipedema.

Al-Wardat, M; Clarke, C; Alwardat, N; Kassab, M; Salimei, C; Gualtieri, P; Marchetti, M; Best, T; Di Renzo, L

The Difficulties in Emotional Regulation among a Cohort of Females with Lipedema.

Al-Wardat, M Clarke, C Alwardat, N Kassab, M

Salimei, C Gualtieri, P Marchetti, M Best, T Di Renzo, L

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Publisher:: MDPI AG
Publication Type:: Journal Article
Citation:: International Journal of Environmental Research and Public Health, 2022, 19, (20), pp. 1-9
Issue Date:: 2022-10-21

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Field	Value	Language
dc.contributor.author	Al-Wardat, M
dc.contributor.author	Clarke, C
dc.contributor.author	Alwardat, N
dc.contributor.author	Kassab, M https://orcid.org/0000-0002-1417-2503
dc.contributor.author	Salimei, C
dc.contributor.author	Gualtieri, P
dc.contributor.author	Marchetti, M
dc.contributor.author	Best, T
dc.contributor.author	Di Renzo, L
dc.date.accessioned	2022-11-30T04:49:14Z
dc.date.available	2022-10-19
dc.date.available	2022-11-30T04:49:14Z
dc.date.issued	2022-10-21
dc.identifier.citation	International Journal of Environmental Research and Public Health, 2022, 19, (20), pp. 1-9
dc.identifier.issn	1660-4601
dc.identifier.issn	1660-4601
dc.identifier.uri	http://hdl.handle.net/10453/163930
dc.description.abstract	BACKGROUND: Lipedema is a chronic and progressive adipose tissue disorder that causes significant morbidity and negatively influences mental health and quality of life, and increases the risk of depression, anxiety, and eating disorders. One construct of relevance to better understanding psychological disorders is emotion regulation (ER). Therefore, the aim of this study is to investigate the difficulties in ER among lipedema patients compared to healthy people without lipedema. METHODS: This cross-sectional study assessed differences in ER and anxiety between two groups: 26 female patients with lipedema and 26 sex- and age-matched healthy controls. The Difficulties in Emotion Regulation Scale (DERS) assessed emotional regulation across six dimensions: Impulse control, goal-directed behavior, awareness, clarity, non-acceptance, and strategies. Anxiety was assessed by the Hamilton Anxiety Scale (HAM-A). ANOVA assessed differences in measures between lipedema and healthy control groups. RESULTS: Lipedema patients presented with significantly more difficulties in ER and a higher level of anxiety than those without lipedema. Specifically, the lipedema group showed higher and significant differences in total DERS and anxiety scores and all DERS subscales scores compared to those without lipedema. CONCLUSIONS: Lipedema patients showed significant difficulties with ER, and were associated with anxiety symptoms, indicating that ER difficulties may play a role in developing emotional disorders, such as anxiety, for patients with lipedema. The health care provider should pay more attention to ER difficulties and psychological status among lipedema patients.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI AG
dc.relation.ispartof	International Journal of Environmental Research and Public Health
dc.relation.isbasedon	10.3390/ijerph192013679
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	Toxicology
dc.subject.mesh	Anxiety
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Emotional Regulation
dc.subject.mesh	Emotions
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Lipedema
dc.subject.mesh	Quality of Life
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Emotional Regulation
dc.subject.mesh	Lipedema
dc.subject.mesh	Quality of Life
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Anxiety
dc.subject.mesh	Emotions
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Emotions
dc.subject.mesh	Anxiety
dc.subject.mesh	Quality of Life
dc.subject.mesh	Female
dc.subject.mesh	Lipedema
dc.subject.mesh	Emotional Regulation
dc.title	The Difficulties in Emotional Regulation among a Cohort of Females with Lipedema.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	Switzerland
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-30T04:49:08Z
pubs.issue	20
pubs.publication-status	Published
pubs.volume	19
utslib.citation.issue	20

Abstract:

BACKGROUND: Lipedema is a chronic and progressive adipose tissue disorder that causes significant morbidity and negatively influences mental health and quality of life, and increases the risk of depression, anxiety, and eating disorders. One construct of relevance to better understanding psychological disorders is emotion regulation (ER). Therefore, the aim of this study is to investigate the difficulties in ER among lipedema patients compared to healthy people without lipedema. METHODS: This cross-sectional study assessed differences in ER and anxiety between two groups: 26 female patients with lipedema and 26 sex- and age-matched healthy controls. The Difficulties in Emotion Regulation Scale (DERS) assessed emotional regulation across six dimensions: Impulse control, goal-directed behavior, awareness, clarity, non-acceptance, and strategies. Anxiety was assessed by the Hamilton Anxiety Scale (HAM-A). ANOVA assessed differences in measures between lipedema and healthy control groups. RESULTS: Lipedema patients presented with significantly more difficulties in ER and a higher level of anxiety than those without lipedema. Specifically, the lipedema group showed higher and significant differences in total DERS and anxiety scores and all DERS subscales scores compared to those without lipedema. CONCLUSIONS: Lipedema patients showed significant difficulties with ER, and were associated with anxiety symptoms, indicating that ER difficulties may play a role in developing emotional disorders, such as anxiety, for patients with lipedema. The health care provider should pay more attention to ER difficulties and psychological status among lipedema patients.

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http://hdl.handle.net/10453/163930