Resumen
Este artículo analiza la influencia de la desregulación emocional en los trastornos de la conducta alimentaria (TCA) desde la Teoría de Redes de Síntomas (TRS). Se realizó una revisión narrativa de la literatura en bases de datos (EBSCO, Scielo, Scopus, PubMed, PsycINFO), seleccionando 50 estudios publicados entre 2017 y 2025 que abordaran TCA, TRS y regulación emocional. Los estudios revisados incluían muestras clínicas y no clínicas de adolescentes y adultos. Los hallazgos muestran que síntomas emocionales como culpa, vergüenza y ansiedad corporal funcionan como nodos centrales que mantienen y agravan el TCA. Se concluye que la TRS facilita la identificación de los objetivos terapéuticos específicos y ofrece un modelo dinámico y transdiagnóstico para comprender la psicopatología alimentaria. Además, se recomienda integrar este enfoque en la práctica clínica para optimizar intervenciones y mejorar la comprensión de los procesos subyacentes de los TCA.
Referencias
Aloi, M., Rania, M., Carbone, E. A., et al. (2021). Metacognition and emotion regulation as treatment targets in eating disorders: A network analysis perspective. Journal of Eating Disorders. https://doi.org/10.1186/s40337-021-00376-x
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787
Barakat, S., McLean, S. A., Bryant, E., Le, A., Marks, P., National Eating Disorder Research Consortium, Touyz, S., & Maguire, S. (2023). Risk factors for eating disorders: findings from a rapid review. Journal of Eating Disorders, 11(1), 8. https://doi.org/10.1186/s40337-022-00717-4
Borsboom, D. (2017). A network theory of mental disorders. World Psychiatry, 16(1), 5–13. https://doi.org/10.1002/wps.20375
Borsboom, D., Cramer, A. O. J., y Kalis, A. (2019). ¿Trastornos cerebrales? En realidad, no: ¿Por qué las estructuras de red bloquean el reduccionismo en la investigación en psicopatología? Ciencias del Comportamiento y del Cerebro, 42, e2. https://doi.org/10.1017/S0140525X17002266
Brandão, V. C. S., Xavier, W. de S., Ambrósio, C. L. B., & Santana, R. A. de. (2021). Prevalencia de ortorexia nerviosa en estudiantes universitarios de salud: Revisión descriptiva. Research, Society and Development, 10(8), e1720710846. https://doi.org/10.33448/rsd-v10i8.17207
Bringmann, L. F., Pe, M. L., Kircanski, K., Tuerlinckx, F., & Rottenberg, J. (2022). A network approach to understanding emotion dysregulation in eating disorders. Clinical Psychological Science, 10(2), 297–312. https://doi.org/10.1177/2167702621995030
Butler, R. M., & Heimberg, R. G. (2020). Exposure therapy for eating disorders: A systematic review. Clinical Psychology Review, 77, 101849. https://doi.org/10.1016/j.cpr.2020.101849
Coutinho, B. de M. C., Pariz, C. G., Krahe, T. E., & Mograbi, D. C. (2024). Are you how you eat? Aspects of self-awareness in eating disorders. Personality Neuroscience, 7, e9. https://doi.org/10.1017/pen.2024.2.
Fairburn, C (2008) Cognitive behavior therapy and eating disorders. The Guilford Press. https://www.guilford.com/books/Cognitive-Behavior-Therapy-and-Eating-Disorders/Christopher-Fairburn/9781593857097
Feng, B., Harms, J., Chen, E., Gao, P., Xu, P., & He, Y. (2023). Current discoveries and future implications of eating disorders. International Journal of Environmental Research and Public Health, 20(14). https://doi.org/10.3390/ijerph20146505
Ferreira, L & Nunes, M (2023) Is the locus of control a predictor and/or mediator of emotional dysregulation psychopathological symptoms? Ciencias Psicológicas, 17(2). https://doi.org/10.22235/cp.v17i2.2850
Florencia, C; Garay, C; Etchvers, M; Muiños, R; Peker, G & Gómez-Penedo, M (2022) Contemporaneous Emotion Regulation Theoretical Models: A Systematic Review. Interacciones, 8, e237. http://dx.doi.org/10.24016/2022.v8.237
García, F (2021) Body image dissatisfaction among rural population: a systematic review. Mexican Journal of Medical Research ICSA, 9(17). https://doi.org/10.29057/mjmr.v9i17.5581
Giel, K. E., et al. (2022). Eating disorders in adolescence: A narrative review. Child and Adolescent Psychiatry and Mental Health, 16, 1–14.
https://doi.org/10.1186/s13034-022-00458-9
Gross, J. J., & Jazaieri, H. (2014). Emotion regulation theory: An affective science perspective. Clinical Psychological Science, 2(4), 387–401.
https://doi.org/10.1177/2167702614536164
Jin, Y., Zhang, Y., Liu, L., & Li, X. (2022). A systematic review of network analysis in eating disorders: Identifying central symptoms and clinical implications. Journal of Psychiatric Research, 150, 334–345. https://doi.org/10.1016/j.jpsychires.2022.03.020
Lavender, J. M., Wonderlich, S. A., Engel, S. G., Gordon, K. H., Kaye, W. H., & Mitchell, J. E. (2015). Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa. The International Journal of Eating Disorders, 48(6), 674–682. https://doi.org/10.1002/eat.22476
Leppanen, J., Brown, D., McLinden, H., Williams, T & Tchanturia, K (2022) The Role of Emotion Regulation in Eating Disorders: A Meta-Analysis. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.793094
Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.
Mares, L. S., Davenport, R. A., & Kiropoulos, L. A. (2024). Adverse Childhood Experiences and Depression, Anxiety, and Eating Disorders in Young Adults. APA P sycNet. https://psycnet.apa.org/fulltext/2023-71148-001.html
Martínez, F & Reivan, G (2025) Desregulación emocional como factor del trastorno obsesivo compulsivo. Una revisión sistemática. Revista Multidisciplinaria Investigación Contemporánea, 3(2). https://doi.org/10.58995/redlic.rmic.v3.n2.a106
Martínez, L (2021) Trastornos de la conducta alimentaria en estudiantes universitarios. Revisión de la incidencia de la anorexia nerviosa [Tesis] Universidad de León. http://doi.org/10.18002/10612/14420
McNally, R. J. (2021). Network analysis of psychopathology: Controversies and challenges. Annual Review of Clinical Psychology, 17, 31–53. https://www.annualreviews.org/content/journals/10.1146/annurev-clinpsy-081219-112822
Mellowspring, A. C. (2023). Eating Disorders in the Primary Care Setting. Primary Care, 50(1), 103–117. https://doi.org/10.1016/j.pop.2022.10.012
Mendia, J; Borreguero, N; Pascual, A; Conejero, S (2023) Emociones autoconscientes relacionadas con el cuerpo y la apariencia y sintomatología de trastornos de la conducta alimentaria en una muestra de hombres adultos. Revista Mexicana de Trastornos Alimentarios, 13(2). https://doi.org/10.22201/fesi.20071523e.2023.2.762
Mendia, J; Pascual, A; Conejero, S; Mayordomo, S; Amutio, A (2025) Revista Mexicana de Trastornos Alimentarios, 15(1), 77-89. https://doi.org/10.22201/fesi.20071523e.2025.1.852
Mercado, M; González, L & Romero-Acosta, K (2022) Relación entre síntomas internalizados y riesgo de trastorno de la conducta alimentaria en adolescentes. Psicología desde el Caribe, 39(1). https://doi.org/10.14482/psdc.39.1.152.46
Monteleone, A. M., & Cascino, G. (2021). The network approach to eating disorders: A systematic review. Clinical Psychology Review, 87, 102038.
Monteleone, A. M., Cascino, G., & Treasure, J. (2022). A network approach to eating disorders: Insights into clinical profiles and treatment targets. Frontiers in Psychology, 13, 860467. https://doi.org/10.3389/fpsyg.2022.860467
Morán, C; Victoriano, M; Parra, J; Ibacache, X; Pérez, R; Sánchez, J; Sáez, K & Mosso, C (2024) Insatisfacción corporal, autoestima, sintomatología depresiva y estado nutricional en adolescentes, Andes Pediátrica, 95(1). http://dx.doi.org/10.50641/andespediatr.v95i1.477
O’Connor, E., Garceau, C., Polhill, S., & Tascione, C. (2024). Evidence-based group therapy for eating disorders: Incorporating emotion regulation skills. Psychological Services. https://doi.org/10.1037/ser0000775
Öst, L; Brattmyr, M; Finnes, A; Ghaderi, A; Havne, A; Hedman-Lagerlöf, M; Parling, T; Welch, E & Wergeland, G (2024) Cognitive behavior therapy for adult eating disorders in routine clinical care: A systematic review and meta‐analysis. International Journal of Eating Disorders, 57(2) p249. https://doi.org/10.1002/eat.24104
Peris-Delcampo, D., & Sala Soriano, A. (2021). Factores de riesgo en la Dismorfia Muscular: una revisión bibliográfica. Informació Psicològica, (121), 23–50. https://doi.org/10.14635/ipsic.1938
Prefit, A. B., Cândea, D. M., & Szentagotai-Tătar, A. (2019). Emotion regulation and eating disorders: A meta-analysis. Appetite, 143, 104438.
https://doi.org/10.1016/j.appet.2019.104438
Punzi, E., Almen, M., & Werbart, A. (2022). Emotions as bridges: Network analysis of emotional dysregulation in eating disorders. Psychology and Psychotherapy: Theory, Research and Practice, 95(4), 1164–1180. https://doi.org/10.1111/papt.12369
Riveros, G; Garrido, M & Reyes, M (2025) Factores de riesgo asociados a trastornos de conducta alimentaria en adolescentes de Lima metropolitana. Revista Mexicana de Trastornos Alimentarios, 15(1), 14-23. https://doi.org/10.22201/fesi.20071523e.2025.1.781
Rodrigues, T; Silva, R; Fernéndez-Aranda, F & Machado, P (2024) Emotion Regulation, Eating Psychopathology, and Putative Transdiagnostic Psychological Processes: Findings from an Exploratory Network Analysis in a College Sample. Nutrients, 16(20). https://doi.org/10.3390/nu16203452
Romero-Mesa, J; Peláez-Fernández, M & Extremera, N (2022) Inteligencia emocional y síntomas de trastornos alimentarios en adultos españoles: Evidencias sobre el rol mediador de las estrategias de regulación emocional. European Journal of Education and Psychology, 15(1), 1-18. https://doi.org/10.50457/ejep.v15i1.1767
Sánchez, M; Holgado, F & Carrasco, M (2023) Network análisis of internalizing and externalizing symptoms in children and adolescents. Psichothema, 35(1), 66-76. http://doi.org/10.7334/psicothema2022.17
Schlegl, S., Smith, K. E., Vierl, L., Crosby, R. D., & Naab, S. (2021). Using network analysis to compare diagnosis‐specific symptom networks in patients with eating disorders. International Journal of Eating Disorders. https://doi.org/10.1002/eat.23523
Silva de Paula, L & Leardi, M (2025) Body image distortion and its relationship with the frequent use of social networks. The effects they can cause to the body and mind. Gamification and Augmented Reality, 3(87). http://dx.doi.org/10.56294/gr202587
Sirvent, A (2024) Trastorno de la conducta alimentaria: Detección precoz, aspectos médicos y abordaje multidisciplinar. NPunto 7(76), 42-62. https://www.npunto.es/revista/76/trastornos-de-la-conducta-alimentaria-deteccion-precoz-aspectos-medicos-y-abordaje-multidisciplinar
Somé, M & Jáuregui, I (2024) Análisis de variables emocionales y neuropsicológicas en pacientes con TCA. Journal of Negative and No Positive Results, 8(1). https://dx.doi.org/10.19230/jonnpr.4910
Stengel, A., & Scharner, S. (2023). Eating Disorders (pp. 529–535). Cambridge University Press. https://doi.org/10.1017/9781911623137.072
Striegel Weissman, R., & Rosselli, F. (2017). Reducing the burden of suffering from eating disorders: Unmet treatment needs, cost of illness, and the quest for cost-effectiveness. Behaviour Research and Therapy, 88, 49–64. https://doi.org/10.1016/j.brat.2016.09.006
Valdez-Aguillar, M; Vásquez-Arévalo, R; Mancilla-Díaz, J & Beas, M (2021) Efectividad de intervenciones psicológicas en mujeres con trastorno por atracón: una revisión sistemática. Revista Mexicana de Trastornos Alimentarios, 11(2). https://doi.org/10.22201/fesi.20071523e.2021.2.722
Vilchis, H; Guadarrama, R; Bautista, M; Veytia, M & Robles, E (2025) Riesgo de trastorno de la conducta alimentaria y de exceso de control en estudiantes de psicología. Revista Mexicana de Trastornos Alimentarios, 15(1), 24-31. https://doi.org/10.22201/fesi.20071523e.2025.1.796
Westwood, H., Kerr-Gaffney, J., Stahl, D., & Tchanturia, K. (2017). Alexithymia and emotional processing in anorexia nervosa: A systematic review and meta-analysis. Journal of Abnormal Psychology, 126(4), 512–524.
https://doi.org/10.1037/abn0000269
Wolz, I., et al. (2021). Emotion regulation and outcome in eating disorder treatment: A systematic review. International Journal of Eating Disorders, 54(4), 423–439.

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.

