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Difficulties in Emotion Regulation Scale

Difficulties in Emotion Regulation Scale

What is DERS

The Difficulties in Emotion Regulation Scale (DERS) is a 36-item self-report measure of difficulties in emotion regulation. The six separate (albeit related) dimensions of emotion regulation wherein difficulties may occur, include (a) lack of awareness of emotional responses, (b) lack of clarity of emotional responses, (c) nonacceptance of emotional responses, (d) limited access to emotion regulation strategies perceived as effective, (e) difficulties controlling impulses when experiencing negative emotions, and (f) difficulties engaging in goal-directed behaviors when experiencing negative emotions.

DERS Printable PDF

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DERS Scoring and Interpretation

Participants are asked to indicate how often the items apply to themselves, with responses ranging from 1 to 5, where 1 is almost never (0–10%), 2 is sometimes (11– 35%), 3 is about half the time (36–65%), 4 is most of the time (66–90%), and 5 is almost always (91–100%).

Reverse-scored items - 1,2,6,7,8,10,17,20,22,24,34

Subscales

  • Nonacceptance of Emotional Responses (NONACCEPTANCE) - 11, 12, 21, 23, 25, 29
  • Difficulties Engaging in Goal-Directed Behavior (GOALS) - 13, 18, 20, 26, 33
  • Impulse Control Difficulties (IMPULSE) - 3, 14, 19, 24, 27, 32
  • Lack of Emotional Awareness (AWARENESS) - 2, 6, 8, 10, 17, 34
  • Limited Access to Emotion Regulation Strategies (STRATEGIES) - 15, 16, 22, 28, 30, 31, 35, 36
  • Lack of Emotional Clarity (CLARITY) - 1, 4, 5, 7, 9

The overall score as well as the individual subscale scores are calculated.

Means and Standard Deviations for DERS Scales Among Women (n = 260) and Men (n = 97)

Table 4
WomenWomenMenMen

Scale

Mean

SD

Mean

SD

DERS Overall

77.99

20.72

80.66

18.79

NONACCEPTANCE

11.65

4.72

11.55

4.20

GOALS

14.41

4.95

14.34

5.16

IMPULSE

10.82

4.41

11.55

4.59

AWARENESS

14.34

4.60

16.26

4.61

STRATEGIES

16.16

6.19

16.23

6.26

CLARITY

10.61

3.80

10.74

3.67

Higher scores indicate greater difficulties in emotion regulation (i.e., greater emotion dysregulation).

PsyPack can automatically score the DERS assessment and prepare corresponding tables and graphs.

DERS sample result

Further, PsyPack automatically plots a graph to help you easily track progress over time.

DERS track progress

Sample Report of DERS

Domain

Emotion Regulation, Emotions

What does DERS measure

The purpose of the evaluation is to:

  • measure that assesses individuals' typical levels of emotion dysregulation across six domains: nonacceptance of negative emotions, inability to engage in goal-directed behaviors when distressed, difficulties controlling impulsive behaviors when distressed, limited access to emotion regulation strategies perceived as effective, lack of emotional awareness, and lack of emotional clarity.

Administration

Self-administered

Type of outcome tool

Clinical

Assessment modes

Questionnaire

Age and eligibility

18 years and above

Estimated time

About 10 minutes

Notes

Since the questionnaire relies on client self-report, all responses should be verified by the clinician, and a definitive diagnosis is made on clinical grounds taking into account how well the client understood the questionnaire, as well as other relevant information from the client.

Moreover, the reliance on only self-reported emotional responding is limiting, as it is likely that some individuals do not have full awareness of their emotional responses, thereby reducing the extent to which they can accurately report on those responses.

The Difficulties in Emotion Regulation Scale (DERS) is based on a clinically-useful conceptualization of emotion regulation that was developed to be applicable to a wide variety of psychological difficulties and relevant to clinical applications and treatment development. Specifically, the conceptual definition of emotion regulation on which the DERS is based emphasizes the functionality of emotions and focuses on adaptive ways of responding to emotional distress, including the: (a) awareness, understanding, and acceptance of emotions; (b) ability to control behaviors when experiencing negative emotions; (c) flexible use of situationally-appropriate strategies to modulate the intensity and/or duration of emotional responses, rather than to eliminate emotions entirely; and (d) willingness to experience negative emotions as part of pursuing meaningful activities in life.

Scores on the DERS have been found to be associated with multiple forms of psychopathology, including posttraumatic stress disorder, borderline personality disorder, major depression, eating disorders, and generalized anxiety disorder. In addition, emotion regulation difficulties as assessed by the DERS are related to a number of maladaptive behaviors thought to serve an emotion regulating function, such as deliberate self-harm, substance use, risky sexual behavior, and purging behavior. The DERS has also demonstrated associations with biological, psychophysiological, neurological, and behavioral (e.g., persistence on laboratory-based distress-inducing tasks) indices of emotion regulation. Finally, scores on the DERS have been found to change in response to treatments that target emotion regulation, including an emotion regulation group therapy and dialectical behavior therapy, suggesting that the measure is sensitive to change over time and has utility in treatment outcome research.

Attribution and References

Gratz, K.L., Roemer, L. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment 26, 41–54 (2004). https://doi.org/10.1023/B:JOBA.0000007455.08539.94