The research into emotional regulation in eating disorders (EDs) has shown specific impairments and maladaptive coping strategies in patients, and there is an increasing interest in the role of the emotional domain in the treatment outcome. This study aims to evaluate the effect of a specialized inpatient treatment characterized by both an intensive and comprehensive standardized multidisciplinary programme based on cognitive–behavioural therapy and a flexible and personalized component implemented by third-wave interventions. A cohort of 67 female ED patients (anorexia nervosa = 28, bulimia nervosa = 28 and binge eating disorder = 11) underwent an evaluation of emotional regulation difficulties, alexithymia and dissociative symptomatology at admission to a specialized ED ward. The psychological modifications were subsequently re-evaluated upon discharge, after an inpatients treatment of 60 days, examining specific changes in the specific psychopathology. A significant improvement after specialized ED treatment was shown in alexithymia, emotional regulation difficulties and dissociation symptoms, with higher effect sizes in patients with higher alexithymia scores. As regards the specific effect of the psychological improvement, changes into alexithymia scores have shown specific correlations with ED psychopathology (p < 0.010) and with difficulties in emotional regulation (p < 0.010) in patients with higher alexithymia levels at admission. Emotional regulation and dissociation should therefore be evaluated in ED patients and may be improved with specific therapeutic approaches, while alexithymia remains a clinical trait, even with a significant reduction.

中文翻译：

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进食障碍中的述情障碍、分离和情绪调节：通过专门住院治疗改善的证据

对饮食失调 (ED) 情绪调节的研究表明，患者存在特定的损伤和适应不良的应对策略，并且人们越来越关注情绪领域在治疗结果中的作用。本研究旨在评估专业住院治疗的效果，其特点是基于认知行为疗法的强化和全面标准化多学科计划以及通过第三波干预实施的灵活和个性化组件。一组 67 名女性 ED 患者（神经性厌食症 = 28，神经性贪食症 = 28 和暴食症 = 11）在进入专门的 ED 病房时接受了情绪调节困难、述情障碍和分离症状的评估。随后在住院治疗 60 天后，在出院时重新评估心理改变，检查特定精神病理学的特定变化。在述情障碍、情绪调节困难和分离症状方面，经过专门的 ED 治疗后显示出显着改善，在述情障碍评分较高的患者中效果更大。至于心理改善的具体效果，述情障碍评分的变化已显示出与 ED 精神病理学的特定相关性。在述情障碍评分较高的患者中具有较高的效应量。至于心理改善的具体效果，述情障碍评分的变化已显示出与 ED 精神病理学的特定相关性。在述情障碍评分较高的患者中具有较高的效应量。至于心理改善的具体效果，述情障碍评分的变化已显示出与 ED 精神病理学的特定相关性。p < 0.010）和 入院时述情障碍水平较高的患者 情绪调节困难（p < 0.010）。因此，应在 ED 患者中评估情绪调节和分离，并可能通过特定的治疗方法得到改善，而述情障碍仍然是临床特征，即使显着减少。