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Psychometric Evaluation of the Norwegian Difficulties in Emotion Regulation Scale in a Multi-Site Sample of Patients With Personality Disorders and Personality Problems.

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Τίτλος: Psychometric Evaluation of the Norwegian Difficulties in Emotion Regulation Scale in a Multi-Site Sample of Patients With Personality Disorders and Personality Problems.
Συγγραφείς: Pedersen G; Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway., Hummelen B, Gulbrandsen S; Section for Group Treatment, Kronstad District Psychiatric Center, Haukeland University Hospital, Bergen, Norway., Leitemo K; Section for Group Treatment, Centre for Mental Health and Addiction, Lovisenberg Diaconal Hospital, Oslo, Norway., Oftedal E; Division of Adult Mental Health Care, Group Outpatient Clinic, Stavanger District Psychiatric Center, Stavanger University Hospital, Stavanger, Norway.; Department of Caring and Ethics, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway., Tenebroso A; Fekjær Psychiatric Center, South-Eastern Norway Regional Health Authority, Hamar, Norway., Morken KTE; Department of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.; Department of Clinical Psychology, University of Bergen, Bergen, Norway., Lindberget K; District Psychiatric Center Strømme, Sørlandet Hospital, Kristiansand, University of Oslo, Oslo, Norway., Ulvestad DA; Outpatient Clinic for Specialized Treatment of Personality Disorders, Nydalen District Psychiatric Center, Oslo University Hospital, Oslo, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Wilberg T; Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Kvarstein EH; Department of Research and Innovation, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Πηγή: Journal of clinical psychology [J Clin Psychol] 2026 Sep; Vol. 82 (9), pp. 1388-1402. Date of Electronic Publication: 2026 Jun 05.
Τύπος έκδοσης: Journal Article; Multicenter Study
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley Country of Publication: United States NLM ID: 0217132 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-4679 (Electronic) Linking ISSN: 00219762 NLM ISO Abbreviation: J Clin Psychol Subsets: MEDLINE
Imprint Name(s): Publication: <2005-> : Hoboken, N.J. : Wiley
Original Publication: Brandon, Vt. [etc.] Clinical Psychology Pub. Co.
Ιατρικοί όροι (MeSH): Personality Disorders*/physiopathology , Personality Disorders*/diagnosis , Psychometrics*/instrumentation , Psychometrics*/standards , Emotional Regulation*/physiology , Affective Symptoms*/diagnosis , Psychiatric Status Rating Scales*/standards, Humans ; Female ; Male ; Adult ; Norway ; Middle Aged ; Reproducibility of Results ; Young Adult
Περίληψη: Objective: The validity and psychometric qualities of the Difficulties in Emotion Regulation Scale (DERS) in populations with a broader range of personality disorders (PDs) are still unclear. The aim of the current study was to analyze the factor structure and validity of DERS and two of its short-forms (DERS-SF and DERS-18), their relation to PD features and personality functioning, gender differences, and the overlap between concepts of alexithymia and emotion regulation.
Method: Data were extracted from a multi-site clinical sample of patients with PDs or personality related problems referred to specialist mental health services (n = 2093). Confirmatory factor analyses (CFA)-specifically first-order correlated and bifactor analysis, as well as analysis of measurement invariance-were applied. Linear associations and group differences were investigated by correlational analysis and independent samples t-tests. DERS and its shortforms were validated through associations with PD features (PD criteria), measures of personality functioning (LPFS-BF), and alexithymia (TAS-20).
Results: CFA of the short forms revealed good model fit, while the full version of DERS showed poorer fit. None of the bifactor analyses supported a strong general factor. Gender differences were prominent, and substantial associations were found between DERS and PD criteria, LPFS-BF, and TAS-20.
Conclusion: DERS and its short forms demonstrated acceptable reliability and validity in a sample of patients with PDs and personality related problems. Without support for a general factor, interpretation of the total scores of DERS should be conducted with care, especially if the subscales Awareness and Clarity are included. Given the advantages of the short forms, the selection of one version over another seems to be of limited consequence.
(© 2026 Wiley Periodicals LLC.)
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BMC Psychiatry. 2024 Oct 1;24(1):647. (PMID: 39354408)
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J Psychosom Res. 1994 Jan;38(1):23-32. (PMID: 8126686)
J Clin Psychol. 2022 Jun;78(6):1118-1136. (PMID: 34716595)
J Pers Disord. 2009 Feb;23(1):20-8. (PMID: 19267659)
Compr Psychiatry. 1983 Sep-Oct;24(5):399-411. (PMID: 6354575)
J Clin Psychol. 2021 Oct;77(10):2323-2340. (PMID: 33971018)
Psychol Psychother. 2017 Dec;90(4):586-599. (PMID: 28585718)
J Clin Psychol. 2022 Jun;78(6):1201-1219. (PMID: 34855219)
Psicol Reflex Crit. 2022 May 6;35(1):11. (PMID: 35522349)
Psychiatry Res. 2019 Sep;279:278-283. (PMID: 30975439)
J Pers Disord. 2005 Dec;19(6):674-89. (PMID: 16553562)
J Clin Psychol. 2021 Jul;77(7):1591-1606. (PMID: 33971024)
BMC Psychol. 2023 May 19;11(1):165. (PMID: 37208768)
J Pers Disord. 2015 Dec;29(6):794-808. (PMID: 25562536)
Int J Eat Disord. 2014 Sep;47(6):630-9. (PMID: 24659541)
J Psychiatr Res. 2014 Nov;58:175-80. (PMID: 25171941)
Personal Ment Health. 2019 Feb;13(1):3-14. (PMID: 30230242)
Front Psychol. 2018 Apr 19;9:539. (PMID: 29725312)
Psychol Bull. 1990 Mar;107(2):238-46. (PMID: 2320703)
Personal Ment Health. 2013 Nov;7(4):277-87. (PMID: 24343977)
J Psychopathol Behav Assess. 2016 Sep;38(3):443-455. (PMID: 41522882)
J Pers Assess. 2016;98(3):223-37. (PMID: 26514921)
Curr Psychiatry Rep. 2013 Jan;15(1):335. (PMID: 23250816)
Multivariate Behav Res. 1990 Apr 1;25(2):173-80. (PMID: 26794479)
Psychol Methods. 2016 Jun;21(2):137-50. (PMID: 26523435)
Exp Aging Res. 1992 Autumn-Winter;18(3-4):117-44. (PMID: 1459160)
J Psychopathol Behav Assess. 2016 Jun;38(2):284-296. (PMID: 27239096)
J Pers Assess. 2013;95(2):129-40. (PMID: 23030794)
Front Psychol. 2016 May 26;7:769. (PMID: 27303333)
J Pers Assess. 2010 Nov;92(6):544-59. (PMID: 20954056)
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Contributed Indexing: Keywords: DERS; bifactor analysis; emotion dysregulation; personality disorder; validity
Entry Date(s): Date Created: 20260605 Date Completed: 20260805 Latest Revision: 20260902
Update Code: 20260902
PubMed Central ID: PMC13441393
DOI: 10.1002/jclp.70165
PMID: 42247633
Βάση Δεδομένων: MEDLINE
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  Data: Psychometric Evaluation of the Norwegian Difficulties in Emotion Regulation Scale in a Multi-Site Sample of Patients With Personality Disorders and Personality Problems.
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  Data: Objective: The validity and psychometric qualities of the Difficulties in Emotion Regulation Scale (DERS) in populations with a broader range of personality disorders (PDs) are still unclear. The aim of the current study was to analyze the factor structure and validity of DERS and two of its short-forms (DERS-SF and DERS-18), their relation to PD features and personality functioning, gender differences, and the overlap between concepts of alexithymia and emotion regulation.&lt;br /&gt;Method: Data were extracted from a multi-site clinical sample of patients with PDs or personality related problems referred to specialist mental health services (n = 2093). Confirmatory factor analyses (CFA)-specifically first-order correlated and bifactor analysis, as well as analysis of measurement invariance-were applied. Linear associations and group differences were investigated by correlational analysis and independent samples t-tests. DERS and its shortforms were validated through associations with PD features (PD criteria), measures of personality functioning (LPFS-BF), and alexithymia (TAS-20).&lt;br /&gt;Results: CFA of the short forms revealed good model fit, while the full version of DERS showed poorer fit. None of the bifactor analyses supported a strong general factor. Gender differences were prominent, and substantial associations were found between DERS and PD criteria, LPFS-BF, and TAS-20.&lt;br /&gt;Conclusion: DERS and its short forms demonstrated acceptable reliability and validity in a sample of patients with PDs and personality related problems. Without support for a general factor, interpretation of the total scores of DERS should be conducted with care, especially if the subscales Awareness and Clarity are included. Given the advantages of the short forms, the selection of one version over another seems to be of limited consequence.&lt;br /&gt; (&#169; 2026 Wiley Periodicals LLC.)
– Name: Ref
  Label: References
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  Data: &lt;i&gt;Keywords: &lt;/i&gt;DERS; bifactor analysis; emotion dysregulation; personality disorder; validity
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  Data: 10.1002/jclp.70165
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        Value: 10.1002/jclp.70165
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        Text: English
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        StartPage: 1388
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      – SubjectFull: Humans
        Type: general
      – SubjectFull: Female
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      – SubjectFull: Male
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      – SubjectFull: Middle Aged
        Type: general
      – SubjectFull: Reproducibility of Results
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      – SubjectFull: Young Adult
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      – SubjectFull: Personality Disorders physiopathology
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      – SubjectFull: Personality Disorders diagnosis
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      – SubjectFull: Psychometrics instrumentation
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      – SubjectFull: Psychiatric Status Rating Scales standards
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      – TitleFull: Psychometric Evaluation of the Norwegian Difficulties in Emotion Regulation Scale in a Multi-Site Sample of Patients With Personality Disorders and Personality Problems.
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            – D: 01
              M: 09
              Text: 2026 Sep
              Type: published
              Y: 2026
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