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Self‐reported emotion regulation difficulties in psychosis: Psychometric properties of the Difficulties in Emotion Regulation Scale (DERS‐16)

2021/05/10 by Caroline Lawlor, Silia Vitoratou, Claire Hepworth +1 · 20 citations
Medicine · Psychology · #Clinical psychology #Confirmatory factor analysis #Convergent validity #Digital Mental Health Interventions #Expressed emotion #Internal consistency #Machine learning #Measurement invariance #Personality Disorders and Psychopathology #Predictive validity #Psychiatry #Psychological intervention #Psychology #Psychometrics #Psychosis #Reliability (semiconductor) #Scale (ratio) #Schizophrenia research and treatment #Structural equation modeling #Test validity

paper · pdf · doi:10.1002/jclp.23164

published in Journal of Clinical Psychology 77(10), 2323-2340 (Wiley)

openalex publication_date 2021/05/10 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

OBJECTIVE: Individuals with psychosis self-report difficulties in understanding, relating, and responding to emotions as treatment priorities, yet we lack comprehensive, reliable, and valid assessments for routine clinical use. METHODS: The psychometric properties of a brief version of the Difficulties in Emotion Regulation Scale-16 (DERS-16) were examined using anonymized data from a sample of 150 outpatients with psychosis. RESULTS: Confirmatory factor analysis supported the five-factor structure of the DERS-16. The model fit was further improved by omitting two items. Measurement invariance was shown with respect to age and gender. The DERS-16 demonstrated good internal consistency, well comparable to the original DERS. Evidence toward convergent validity is also presented. CONCLUSION: Findings suggest that the DERS-16 is a reliable and valid measure of self-reported emotion regulation difficulties in individuals with psychosis. Further research on the clinical utility of the DERS-16 is needed, including examination of its test-retest reliability and predictive validity in response to targeted interventions.

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