{
  "abstract": "Purpose: Emotional dysregulation is an important aspect of psychopathology, especially borderline personality disorder, and is prevalent in populations exposed to multiple traumas, like South Africa. We describe adaptation of the emotional dysregulation questionnaire (EDQ) for South Africa and its psychometric performance.\n\nMethods: We enrolled 58 ethnically-diverse women, who had experienced severe intimate partner violence, in eight group discussions held in three Provinces. They were asked what they did when they were upset, and related questions. During the groups, cognitive interviews focused on the EDQ. We adapted the EDQ using these findings, removing very similar or poorly understood items, and drafted new items for matters raised by the women. The resulting 23 items were tested with 236 women in a pilot study.\n\nResults: Women described a range of behaviours when they were upset that indicated loss of control such as drinking heavily, being abusive, breaking things and beating their children. In the pilot, two items were highly skewed and three, measuring restricted emotional expression, were also poorly correlated with the rest of the scale and performance was poorer with them included. The remaining 18 items performed well with Cronbach’s alpha=0.862, acceptable item-rest correlations, and KMO = 0.865 (all items were above 0.80). On confirmatory factor analysis, the 18-item measure had the best fit. The measure was positively associated with depression, borderline personality disorder, PTSD and complex PTSD.\n\nConclusion: The adapted emotional dysregulation questionnaire had robust psychometric properties and is positioned to be a useful scale with traumatised populations in South Africa.",
  "abstract_shown": true,
  "affiliations": [
    "Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa",
    "Office of the Executive Scientist, South African Medical Research Council, Pretoria, South Africa",
    "School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa",
    "The School of Applied Human Sciences (Psychology), University of KwaZulu-Natal, Durban, South Africa",
    "Faculty of Medicine and Health Sciences, Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa",
    "School of Public Health: Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa",
    "School of Health Systems and Public Health, University of Pretoria"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Rachel Jewkes",
      "orcid": "0000-0002-4330-6267"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Esnat Chirwa",
      "orcid": "0000-0003-0471-4978"
    },
    {
      "affs": [
        0,
        3
      ],
      "name": "Samantha Willan",
      "orcid": "0000-0001-8629-887X"
    },
    {
      "affs": [
        4
      ],
      "name": "Gugulethu Gigaba",
      "orcid": "0000-0003-1919-1241"
    },
    {
      "affs": [
        0,
        5
      ],
      "name": "Naeemah Abrahams",
      "orcid": "0000-0002-6138-6256"
    },
    {
      "affs": [
        0,
        6
      ],
      "name": "Leane Ramsoomar",
      "orcid": "0000-0003-1934-579X"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Pinky Mahlangu",
      "orcid": "0000-0002-2094-942X"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Mercilene Machisa",
      "orcid": "0000-0001-7275-1100"
    },
    {
      "affs": [
        0
      ],
      "name": "Charntel Paile"
    },
    {
      "affs": [
        0
      ],
      "name": "Jani Nöthling",
      "orcid": "0000-0003-4123-7568"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7ygxcqe4x7yd2.bib",
  "cited_by": 0,
  "doi": "10.1016/j.ssmmh.2026.100611",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7619644/",
  "id": "7ygxcqe4x7yd2",
  "issns": [
    "2666-5603"
  ],
  "landing_url": "https://doi.org/10.1016/j.ssmmh.2026.100611",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Article"
    ],
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      "openalex",
      "3203|Personality Disorders and Psychopathology"
    ]
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  "openalex": "W7134198712",
  "pdf_url": "https://www.sciencedirect.com/science/article/pii/S2666560326000265/pdf",
  "pmcid": "PMC7619644",
  "pmid": "42965244",
  "published": "2026-10-31",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/7ygxcqe4x7yd2.ris",
  "sources": [
    {
      "first_seen": "2026-11-02T12:23:08Z",
      "native_id": "PMC7619644",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.ssmmh.2026.100611"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Personality Disorders and Psychopathology",
      "subfield": "psychiatry"
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  ],
  "title": "Adapting the Emotional Dysregulation Questionnaire for South Africa: methods of adaptation and psychometric properties of the South African Emotional Dysregulation Scale",
  "title_text": "Adapting the Emotional Dysregulation Questionnaire for South Africa: methods of adaptation and psychometric properties of the South African Emotional Dysregulation Scale",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:20:16Z",
  "url": "https://research.draconitic.com/paper/7ygxcqe4x7yd2",
  "venue": "SSM. Mental health",
  "versions": []
}