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<front>
<journal-meta>
<journal-id journal-id-type="pmc">JPA</journal-id>
<journal-id journal-id-type="nlm-ta">JPA</journal-id>
<journal-id journal-id-type="publisher-id">JPA</journal-id>
<journal-title-group>
<journal-title>Journal of Psychology in Africa</journal-title>
</journal-title-group>
<issn pub-type="ppub">1433-0237</issn>
<issn pub-type="epub">1815-5626</issn>
<publisher>
<publisher-name>Tech Science Press</publisher-name>
<publisher-loc>USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">65774</article-id>
<article-id pub-id-type="doi">10.32604/jpa.2025.065774</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Reliability, validity and measurement invariance of the difficulties in emotion regulation Scale-8 in Chinese adolescents</article-title>
<alt-title alt-title-type="left-running-head">Reliability, validity and measurement invariance of the difficulties in emotion regulation Scale-8 in Chinese adolescents</alt-title>
<alt-title alt-title-type="right-running-head">Reliability, validity and measurement invariance of the difficulties in emotion regulation Scale-8 in Chinese adolescents</alt-title>
</title-group>
<contrib-group>
<contrib id="author-1" contrib-type="author">
<name name-style="western">
<surname>Zhang</surname>
<given-names>Yali</given-names>
</name>
<xref ref-type="aff" rid="aff-1">1</xref>
</contrib>
<contrib id="author-2" contrib-type="author">
<name name-style="western">
<surname>Jiang</surname>
<given-names>Hao</given-names>
</name>
<xref ref-type="aff" rid="aff-1">1</xref>
</contrib>
<contrib id="author-3" contrib-type="author">
<name name-style="western">
<surname>Bian</surname>
<given-names>Yuewen</given-names>
</name>
<xref ref-type="aff" rid="aff-2">2</xref>
</contrib>
<contrib id="author-4" contrib-type="author" corresp="yes">
<name name-style="western">
<surname>Zhang</surname>
<given-names>Fuhai</given-names>
</name>
<xref ref-type="aff" rid="aff-1">1</xref>
<email>Fuhaizhang991@sina.com</email>
</contrib>
<aff id="aff-1"><label>1</label><institution>College of Education, Hebei Normal University</institution>, <addr-line>Shijiazhuang, 050024</addr-line>, <country>China</country></aff>
<aff id="aff-2"><label>2</label><institution>Department of Psychology, University of Macau</institution>, <addr-line>Macau, 519000</addr-line>, <country>China</country></aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>&#x002A;</label>Correspondence: Fuhai Zhang, <email>Fuhaizhang991@sina.com</email></corresp>
</author-notes>
<pub-date date-type="collection" publication-format="electronic">
<year>2025</year>
</pub-date>
<pub-date date-type="pub" publication-format="electronic">
<day>30</day><month>06</month><year>2025</year>
</pub-date>
<volume>35</volume>
<issue>2</issue>
<fpage>271</fpage>
<lpage>275</lpage>
<history>
<date date-type="received">
<day>02</day>
<month>07</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>03</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2025 The Authors.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Published by Tech Science Press.</copyright-holder>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This work is licensed under a <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="TSP_JPA_65774.pdf"></self-uri>
<abstract>
<p>This study aimed to determine the reliability, validity and measurement invariance of scores from the Difficulties in Emotion Regulation Scale-8 in Chinese context. A total of 1114 Chinese adolescents were participants in three phases: N &#x003D; 424 for the initial DERS-8 measure completion; N &#x003D; 586 the DERS-8, General Anxiety Disorder Scale, Depression Scale and Emotion Regulation Scale completion, with an interval of one month. Then an additional 104 adolescents also completed DERS-8, General Anxiety Disorder Scale, Depression Scale and Emotion Regulation Scale. Both exploratory and confirmatory factor analyses confirmed the one-factor model of the scale, and the fitness indicators were &#x03C7;<sup>2</sup>/df &#x003D; 4.05, RMSEA &#x003D; 0.07, CFI &#x003D; 0.98, and TLI &#x003D; 0.97. Each item of the DERS-8 had good discrimination. The internal consistency reliability coefficient, split-half reliability coefficient and test-retest reliability coefficient of the scale scores were 0.90, 0.87 and 0.66, respectively. The findings suggest the Chinese version of the DERS-8 is a reliable measure of difficulty of emotion regulation in Chinese adolescents.</p>
</abstract>
<kwd-group kwd-group-type="author">
<kwd>difficulties in emotion regulation</kwd>
<kwd>reliability</kwd>
<kwd>validity</kwd>
<kwd>adolescents</kwd>
</kwd-group>
<funding-group>
<award-group id="awg1">
<funding-source>Science Research Project of Hebei Education Department</funding-source>
<award-id>BJ2025238</award-id>
</award-group>
<award-group id="awg2">
<funding-source>Humanities and Social Science Research Project of Hebei Normal University</funding-source>
<award-id>S24YX002</award-id>
</award-group>
<award-group id="awg3">
<funding-source>Humanities and Social Science Research Foundation of Hebei Normal University</funding-source>
<award-id>S22B019</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Emotional regulation refers to the psychological process by which individuals modulate the intensity or potency of their affect to better adapt to their environment (<xref ref-type="bibr" rid="ref-11">Gross, 2015</xref>). Individual would differ in their emotional regulation ability, and some would be with poor emotional regulation ability or difficulty in emotion regulation (<xref ref-type="bibr" rid="ref-19">Thurm et al., 2023</xref>). With good emotional regulation ability comes positive mood, physical and mental health as well as social adaptation (<xref ref-type="bibr" rid="ref-8">Clayton et al., 2023</xref>; <xref ref-type="bibr" rid="ref-15">Miu et al., 2022</xref>). Conversely, poor emotional regulation would diminish psychological motivation, risking mood and anxiety disorders, eating disorders, attention-deficit/hyperactivity disorders, and behavioral problems (<xref ref-type="bibr" rid="ref-1">Arslan et al., 2022</xref>; <xref ref-type="bibr" rid="ref-12">Hua &#x0026; Ma, 2022</xref>; <xref ref-type="bibr" rid="ref-16">Nguyen et al., 2024</xref>; <xref ref-type="bibr" rid="ref-17">Penner et al., 2023</xref>; <xref ref-type="bibr" rid="ref-19">Thurm et al., 2023</xref>). However, emotional regulation indicators may vary by culture, and few studies have examined the measures of emotional regulation in collectivist Chinese culture. We aimed to determine the psychometric properties of the Difficulties in Emotion Regulation Scale-8 (<xref ref-type="bibr" rid="ref-17">Penner et al., 2023</xref>) in Chinese Adolescents.</p>
<sec id="s1_1">
<title>The difficulties in emotion regulation scale (DERS)</title>
<p>The Difficulties in Emotion Regulation Scale (DERS, <xref ref-type="bibr" rid="ref-9">Gratz &#x0026; Roemer, 2004</xref>) is the most widely used measurement tool and consists of 36 questions with a 5-point scoring system based on a 4-factor model of emotion regulation. It comprises 6 dimensions: emotional response unacceptance, difficulty in engaging in target behaviors, difficulty in impulse control, difficulty in emotion detection, lack of emotional clarity, and limited use of emotion regulation strategies (<xref ref-type="bibr" rid="ref-9">Gratz &#x0026; Roemer, 2004</xref>). However, researchers are full of concerns about whether the dimension of difficulty in emotion detection exists independently, so some researchers merged it with the dimension of lack of emotional clarity, thus becoming five factors (<xref ref-type="bibr" rid="ref-2">Bardeen et al., 2012</xref>; <xref ref-type="bibr" rid="ref-3">Brown &#x0026; Melas, 2024</xref>; <xref ref-type="bibr" rid="ref-16">Nguyen et al., 2024</xref>). Moreover, the five factors model of the scale has problems of high similarity of dimensions and poor differentiation (<xref ref-type="bibr" rid="ref-20">Todorov et al., 2023</xref>). Additionally, there is redundancy among questions within almost every dimension, where positive and negative measurements are repeated up to six times. Therefore, one current task is to improve the measurement efficiency and simplify the questionnaire appropriately.</p>
<p>In light of this, developed The Difficulties in Emotion Regulation Scale-8 (DERS-8; <xref ref-type="bibr" rid="ref-17">Penner et al., 2023</xref>) could be an improvement. Notably, the DERS-8 has language improvement with each item beginning with &#x201C;when I am upset.&#x201D; and also has an even representation of positive and negative items for clarity. Difficulty in emotion regulation has been modified to mean an individual&#x2019;s insufficient ability to engage in adaptive emotion-regulating behaviors when experiencing negative emotions.</p>
<p>At present, the cross-cultural applicability of the DERS-8 has yet to be verified. This study aimed to test DERS-8 reliability, validity, and measurement invariance of scores in Chinese adolescents.</p>
</sec>
</sec>
<sec id="s2">
<title>Methods</title>
<sec id="s2_1">
<title>Participants and setting</title>
<p>A total of 1114 Chinese adolescents were participants (females &#x003D; 593, mean age &#x003D; 15.27 SD &#x003D; 1.86). They attended high school in Hebei Province, China. Among these students, 190 are enrolled in Grade 7, 200 are enrolled in Grade 8, 185 are enrolled in Grade 9, are enrolled in Grade 7, 142 are enrolled in Grade 10, 208 are enrolled in Grade 11 and 189 are enrolled in Grade 12. There are 436 students from urban areas and 678 students from rural areas.</p>
</sec>
<sec id="s2_2">
<title>Measures</title>
<sec id="s2_2_1">
<title>Difficulties in emotion regulation Scale-8 (DERS-8, <xref ref-type="bibr" rid="ref-17">Penner et al., 2023</xref>)</title>
<p>The DERS-8 comprises 8 items scored from 1 (never) to 5 (always) points, without reverse-scoring questions. The higher the total score is, the more difficult it is to regulate emotions. This was translated into Chinese using to capture the nuances of Chinese language expression habits (see <xref ref-type="table" rid="table-1">Table 1</xref>). In the early stage, 15 teenagers evaluate the comprehensibility of the items and with a high concordance of agreement above 90%.</p>
<table-wrap id="table-1">
<label>Table 1</label>
<caption>
<title>The discrimination and factor loading for each item of the DERS-8</title>
</caption>
<table>
<colgroup>
<col align="left"/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Items</th>
<th>Discrimination</th>
<th>Factor loading</th>
</tr>
</thead>
<tbody>
<tr>
<td>1. When I&#x2019;m upset, I can&#x2019;t do things.</td>
<td>0.64&#x002A;&#x002A;</td>
<td>0.73</td>
</tr>
<tr>
<td>2. When I&#x2019;m upset, I lose control.</td>
<td>0.73&#x002A;&#x002A;</td>
<td>0.80</td>
</tr>
<tr>
<td>3. When I&#x2019;m upset, I feel helpless about my state.</td>
<td>0.66&#x002A;&#x002A;</td>
<td>0.74</td>
</tr>
<tr>
<td>4. When I&#x2019;m upset, I find it difficult to control my behavior.</td>
<td>0.74&#x002A;&#x002A;</td>
<td>0.81</td>
</tr>
<tr>
<td>5. When I&#x2019;m upset, I don&#x2019;t think anything can make me feel. better.</td>
<td>0.73&#x002A;&#x002A;</td>
<td>0.81</td>
</tr>
<tr>
<td>6. When I&#x2019;m upset, I get annoyed with myself for being in that. state.</td>
<td>0.72&#x002A;&#x002A;</td>
<td>0.80</td>
</tr>
<tr>
<td>7. When I&#x2019;m upset, it&#x2019;s hard to think about anything else.</td>
<td>0.68&#x002A;&#x002A;</td>
<td>0.77</td>
</tr>
<tr>
<td>8. When I&#x2019;m upset, it takes me a long time to feel better.</td>
<td>0.71&#x002A;&#x002A;</td>
<td>0.79</td>
</tr>
<tr>
<td>Eigenvalue</td>
<td></td>
<td>4.85</td>
</tr>
<tr>
<td>Variance (%)</td>
<td></td>
<td>60.65%</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-1fn1" fn-type="other">
<p><italic>Note</italic>. <sup><italic>&#x002A;&#x002A;</italic></sup><italic>p</italic> &#x003C; 0.01.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2_2_2">
<title>General anxiety disorder scale (GADS, <xref ref-type="bibr" rid="ref-18">Sun et al., 2021</xref>)</title>
<p>The GADS comprises seven items (e.g., &#x201C;Worrying too much about a variety of things&#x201D;). The items are on a Likert scale ranging from 0 to 3 (never to a lot). The higher the score was, the greater the participants&#x2019; anxiety. The Cronbach&#x2019;s &#x03B1; coefficient for GADS scores was 0.83 in the present study.</p>
</sec>
<sec id="s2_2_3">
<title>Depression scale (DS, <xref ref-type="bibr" rid="ref-7">Chang et al., 2018</xref>)</title>
<p>The DS comprises 7 items (e.g., &#x201C;I feel depressed and sad&#x201D;), and it has a single-dimensional structure. Items are on a Likert scale of 0 to 4 was used (no &#x007E; always), with higher scores indicating more significant depression. The Cronbach&#x2019;s &#x03B1; coefficient for DS scores was 0.82.</p>
</sec>
<sec id="s2_2_4">
<title>Emotion regulation scale (ERS, <xref ref-type="bibr" rid="ref-23">Wang et al., 2007</xref>)</title>
<p>The ERS comprises 14 items on cognitive reappraisal (7 items, e.g., &#x201C;I will try to change my perception of the surrounding environment in order to make myself feel happier&#x201D;) and expression inhibition (7 items e.g., &#x201C;When I feel happy, I will try my best not to show it&#x201D;). The items are scored on a scale ranging from 1 to 7 points (very negative to very positive), with higher scores indicating better use of specific emotion regulation strategies. The Cronbach&#x2019;s &#x03B1; coefficients for ERS cognitive reappraisal and expression inhibition scores were 0.71 and 0.73, respectively.</p>
</sec>
</sec>
<sec id="s2_3">
<title>Procedure</title>
<p>This research received ethical approval by the Ethics Committee of Hebei Normal University and obtained informed consent from all participating students. At the time of data collection, we declare to participants that they can withdraw at any time during the filling process and that the results of filling will be kept confidential. Three samples were involved as followed: Sample 1 (N &#x003D; 424 for item analysis and exploratory factor analysis), Sample 2 (N &#x003D; 586 for confirmatory factor analysis), and Sample 3 (N &#x003D; 104 for test-retest reliability).</p>
</sec>
<sec id="s2_4">
<title>Data analysis</title>
<p>SPSS24.0 was used to analyze the scale&#x2019;s differentiation, Cronbach&#x2019;s &#x03B1; coefficient, criterion validity and factor structure. AMOS 24.0 was used for confirmatory factor analysis and measurement invariance tests. The fitting degree of confirmatory factor analysis is mainly evaluated by looking at Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), Incremental Fit Index (IFI), Normed Fit Index (NFI), Goodness of Fit Index (GFI) and Root Mean Square Error of Approximation (RMSEA). Among them, CFI, TLI, IFI, NFI, GFI are considered good if they exceed 0.90, and RMSEA is considered good if they are less than 0.08 (<xref ref-type="bibr" rid="ref-13">Jekauc et al., 2013</xref>; <xref ref-type="bibr" rid="ref-18">Sun et al., 2021</xref>).</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<sec id="s3_1">
<title>Item analysis</title>
<p>The item-total correlation coefficient of the DERS-8 was calculated. The results showed that the discrimination of each item ranged from 0.64 to 0.74, all above 0.4, indicating that the item discrimination was good, and all items were retained for subsequent analysis (<xref ref-type="table" rid="table-1">Table 1</xref>).</p>

</sec>
<sec id="s3_2">
<title>Construct validity analysis</title>
<p>Principal component analysis and promax oblique rotation were used to conduct exploratory factor analysis on the data of sample 1. The results show that the KMO value is 0.90, indicating that it is suitable for factor analysis. The scree plot shows only one factor with an eigenvalue greater than 1 (<xref ref-type="fig" rid="fig-1">Figure 1</xref>), and the load of this factor in each problem is more than 0.7 (<italic>p</italic> &#x003C; 0.01), as shown in <xref ref-type="table" rid="table-1">Table 1</xref>. This factor explained 60.65% of the total variation.</p>
<fig id="fig-1">
<label>Figure 1</label>
<caption>
<title>Scree plot</title>
</caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="JPA_65774-fig-1.tif"/>
</fig>
<p>Confirmatory factor analysis was performed on the data of sample 2, and the model operation results were well fitted, with fitting indices meeting the measurement standards (&#x03C7;<sup>2</sup><italic>/df</italic> &#x003D; 4.05, RMSEA &#x003D; 0.07, CFI &#x003D; 0.98, TLI &#x003D; 0.97, IFI &#x003D; 0.98, NFI &#x003D; 0.97, GFI &#x003D; 0.97). This indicates that the DERS-8 has a single-factor structure (<xref ref-type="fig" rid="fig-2">Figure 2</xref>).</p>
<fig id="fig-2">
<label>Figure 2</label>
<caption>
<title>Confirmatory factor analysis. <italic>Note.</italic> <sup>&#x002A;&#x002A;&#x002A;</sup><italic>p</italic> &#x003C; 0.001.</title>
</caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="JPA_65774-fig-2.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>Criterion validity analysis</title>
<p>The total DERS-8 score was positively correlated with both the anxiety scale (r &#x003D; 0.43, <italic>p</italic> &#x003C; 0.01) and the depression scale (r &#x003D; 0.41, <italic>p</italic> &#x003C; 0.01). There was a significant negative association with expression inhibition (r &#x003D; &#x2212;0.58, <italic>p</italic> &#x003C; 0.01) and cognitive reappraisal (r &#x003D; &#x2212;0.61, <italic>p</italic> &#x003C; 0.01) on the emotional regulation scale. This indicates that individuals with more difficulty in emotion regulation have less use of emotion regulation strategies and more obvious negative emotions. The results show that the ERSP accords with reality and has good external validity.</p>
</sec>
<sec id="s3_4">
<title>Reliability analysis</title>
<p>The Cronbach&#x2019;s &#x03B1; coefficient of the DERS-8 is 0.90. The split-half reliability coefficient of the DERS-8 for parity was 0.87. Based on sample 3, the test-retest reliability of the DERS-8 was calculated to be 0.66.</p>
</sec>
<sec id="s3_5">
<title>Measurement invariance test</title>
<p>Based on sample 2, the equivalence of DER-8 cross-gender measurement was tested. Firstly, the single-dimensional structure model was well fitted for both male (&#x03C7;<sup>2</sup>/df &#x003D; 2.75, RMSEA &#x003D; 0.07, CFI &#x003D; 0.98, TLI &#x003D; 0.97) and female (&#x03C7;<sup>2</sup>/df &#x003D; 2.95, RMSEA &#x003D; 0.07, CFI &#x003D; 0.98, TLI &#x003D; 0.95). Then, the model of configural invariance, metric invariance, scalar invariance and strict invariance are established and compared in turn. If &#x0394;CFI &#x2264; 0.01 and &#x0394;RMSEA &#x2264; 0.015, the measurement equivalence of the model is acceptable (<xref ref-type="bibr" rid="ref-13">Jekauc et al., 2013</xref>). The results showed that the baseline model was well fitted (<italic>&#x03C7;2/df</italic> &#x003D; 4.38, RMSEA &#x003D; 0.96, CFI &#x003D; 0.96, TLI &#x003D; 0.93), indicating that the scale had morphological invariance between different genders and was a single factor structure. On this basis, the DERS-8 factor loadings were then restricted to be equal between different genders. It was found that compared with Model 1, the &#x0394;CFI and &#x0394;RMSEA of Model 4 was less than 0.01 and 0.015 respectively, indicating that the DERS-8 factor loadings were within Same for different genders. On this basis, we further restricted the measurement intercepts to be equal in different genders. It was found that compared with Model 2, the &#x0394;CFI and &#x0394;RMSEA of Model 4 was less than 0.01 and 0.015, respectively, indicating that the DERS-8 measurement intercepts were equal among different genders. On this basis, we further limited the error variance to be equal for different genders. The results showed that the &#x0394;CFI and &#x0394;RMSEA of Model 4 was less than 0.01 and 0.015, respectively, compared with Model 3, indicating that the measurement error of DERS-8 is equal for different genders (<xref ref-type="table" rid="table-2">Table 2</xref>). Finally, the independent sample t test found that there was no significant difference (<italic>p</italic> &#x003D; 0.12) in the emotion regulation difficulty scores of boys (M &#x003D; 3.64, SD &#x003D; 0.83) and girls (M &#x003D; 3.54, SD &#x003D; 0.69).</p>
<table-wrap id="table-2">
<label>Table 2</label>
<caption>
<title>Measurement invariance across genders</title>
</caption>
<table>
<colgroup>
<col align="left"/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Model</th>
<th><italic><bold>&#x03C7;</bold>2</italic></th>
<th>df</th>
<th>TLI</th>
<th>CFI</th>
<th>RMSEA</th>
<th>Model comparison</th>
<th><bold>&#x25B3;</bold>CFI</th>
</tr>
</thead>
<tbody>
<tr>
<td>1 Configural invariance</td>
<td>148.75</td>
<td>34.00</td>
<td>0.930</td>
<td>0.958</td>
<td>0.076</td>
<td></td>
<td></td>
</tr>
<tr>
<td>2 Metric invariance</td>
<td>157.45</td>
<td>41.00</td>
<td>0.941</td>
<td>0.957</td>
<td>0.070</td>
<td>2 vs. 1</td>
<td>&#x2212;0.001</td>
</tr>
<tr>
<td>3 Scalar invariance</td>
<td>191.07</td>
<td>49.00</td>
<td>0.940</td>
<td>0.948</td>
<td>0.070</td>
<td>3 vs. 2</td>
<td>&#x2212;0.009</td>
</tr>
<tr>
<td>4 Strict invariance</td>
<td>200.32</td>
<td>50.00</td>
<td>0.938</td>
<td>0.945</td>
<td>0.072</td>
<td>4 vs. 3</td>
<td>&#x2212;0.003</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p>This study is the first to examine the psychometric properties of the DERS-8 in Chinese adolescents. The analysis revealed that the Chinese version of the DERS-8 performed well in the discrimination of each item, all of which were higher than 0.4, meeting the measurement standards and requirements (<xref ref-type="bibr" rid="ref-24">Zhang et al., 2024</xref>). Therefore, all the items were suitable for testing with Chinese adolescents without deleting the item.</p>
<p>The results of exploratory factor analysis showed that only one common factor could be extracted, the factor loading of each item was greater than 0.7, the variance of all items was greater than 60%, similar to the English version of the DERS-8. Further confirmatory factor analysis also supported the single-factor structure of the DERS-8, with good model fit and excellent validity, indicating that the single-factor structure is also applicable in the Chinese context. The single-factor structure of the scale has been gradually accepted and adopted by researchers in recent years (<xref ref-type="bibr" rid="ref-20">Todorov et al., 2023</xref>). The language adjustment of the new version of the scale and the improvement of the questions made the single-factor structure more stable.</p>
<p>Criterion validity analysis revealed that the DERS-8 score was significantly positively correlated with anxiety, depression and emotion regulation questionnaire scores, and the correlation degree was moderate. Moreover, the correlation intensity of the DERS-8 was close to that of previous studies (<xref ref-type="bibr" rid="ref-4">Burton et al., 2022</xref>), indicating good calibration validity. Previous studies have shown that difficulty in emotion regulation is closely associated with many maladaptive behaviors that are considered to function in emotion regulation, such as intentional self-harm, substance use, and risky sexual behaviors (<xref ref-type="bibr" rid="ref-10">Gratz &#x0026; Roemer, 2008</xref>; <xref ref-type="bibr" rid="ref-22">Tull et al., 2012</xref>, <xref ref-type="bibr" rid="ref-21">2015</xref>; <xref ref-type="bibr" rid="ref-25">Zhao et al., 2022</xref>). This result is consistent with those of other studies, indicating that individuals with poor emotion regulation ability may lack the ability to invoke emotion regulation strategies, risking emotional distress or even emotional disorders (<xref ref-type="bibr" rid="ref-6">Carruthers et al., 2022</xref>; <xref ref-type="bibr" rid="ref-22">Tull et al., 2012</xref>; <xref ref-type="bibr" rid="ref-25">Zhao et al., 2022</xref>). A good emotional regulation ability can help individuals reduce negative emotions and maintain a rational and flat state of mind.</p>
<p>Reliability analysis revealed that the reliability of the Chinese version of the DERS-8 was 0.90, which is very close to that of the English version (&#x03B1; &#x003D; 0.91). The reliability of the Chinese version of the DERS-8 is also above 0.8, and the reliability of the retest after a one-month interval is 0.66, which meets the measurement standards. High retest reliability reflects a trait rather than a state of difficulty in emotional regulation, which means that emotional regulation reflects individual differences in ability and is relatively stable (<xref ref-type="bibr" rid="ref-5">Carona et al., 2022</xref>). It also distinguishes the scale from the State-Emotion Regulation Difficulty Scale (<xref ref-type="bibr" rid="ref-14">Lavender et al., 2017</xref>).</p>
<sec id="s4_1">
<title>Implications for practice</title>
<p>The Chinese version of the DERS-8 has multiple advantages compared with the original emotional regulation difficulty scale. It avoids the variances by positive and negative scoring for a more unified measure. The most important step is to remove many repeated and ineffective measurement questions, significantly reducing the number of test questions without losing accuracy and effectiveness. The adapted more concise and would be incredibly convenient for clinical measurement and screening.</p>
</sec>
<sec id="s4_2">
<title>Strengths, limitations and future directions and conclusion</title>
<p>This study revealed that the DERS-8 has measurement invariance among Chinese adolescents. This study has several limitations that need to be considered. The sampling approach adopted was convenience sampling, and all participants were from Hebei Province, which greatly restricts the generalizability of the results. In the future, the sampling range and population can be expanded to test the measurement effect of this tool. Additionally, another limitation is the absence of using Item Response Theory (IRT) technology to analyze the information content of each item. In future research, it is essential to conduct further verification based on the Rasch model to gain more accurate insights into item quality and functionality, thus improving the overall validity and reliability of the study&#x2019;s measurement approach. In conclusion, the Chinese version of the DERS-8 has various reliability and validity indicators and can be used to measure difficulties in emotion regulation in Chinese adolescents.</p>
</sec>
</sec>
</body>
<back>
<ack>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding Statement</title>
<p>This work was funded by Science Research Project of Hebei Education Department (BJ2025238), Humanities and Social Science Research Project of Hebei Normal University (S24YX002). Humanities and Social Science Research Foundation of Hebei Normal University (S22B019).</p>
</sec>
<sec>
<title>Author Contributions</title>
<p>Study conception and design: Yali Zhang; data collection and draft manuscript
preparation: Hao Jiang; analysis and interpretation of results: Yuewen Bian; manuscript revision, and data analysis: Fuhai Zhang.</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of Data and Materials</title>
<p>The data that support the findings of this study are available from the corresponding author upon reasonable request.</p>
</sec>
<sec>
<title>Ethics Approval</title>
<p>This study was approved by the Ethics Committee of Hebei Normal University (BJ2025238), in accordance with the principles of the Declaration of Helsinki.</p>
</sec>
<sec>
<title>Informed Consent</title>
<p>The researcher sought and gained the consent of the participants to take part in the study. All participants accepted and voluntarily participated in the study after the researcher assured them of anonymity and that their responses were solely for academic purposes.</p>
</sec>
<sec sec-type="COI-statement">
<title>Conflicts of Interest</title>
<p>The authors declare no conflicts of interest to report regarding the present study.</p>
</sec>
<ref-list content-type="authoryear">
<title>References</title>
<ref id="ref-1"><label>Arslan et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Arslan</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Ayhan</surname>, <given-names>N. Y.</given-names></string-name>, <string-name><surname>&#x00C7;evik</surname>, <given-names>E.</given-names></string-name>, <string-name><surname>Sar&#x0131;yer</surname>, <given-names>E. T.</given-names></string-name>, &#x0026; <string-name><surname>&#x00C7;olak</surname>, <given-names>H.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Effect of emotion regulation difficulty on eating attitudes and body mass index in university students: A cross-sectional study</article-title>. <source>Journal of Men&#x2019;s Health</source>, <volume>18</volume>(<issue>10</issue>), <fpage>199</fpage>. <pub-id pub-id-type="doi">10.31083/j.jomh1810199</pub-id></mixed-citation></ref>
<ref id="ref-2"><label>Bardeen et al. (2012)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bardeen</surname>, <given-names>J. R.</given-names></string-name>, <string-name><surname>Fergus</surname>, <given-names>T. A.</given-names></string-name>, &#x0026; <string-name><surname>Orcutt</surname>, <given-names>H. K.</given-names></string-name></person-group> (<year>2012</year>). <article-title>An examination of the latent structure of the difficulties in emotion regulation scale</article-title>. <source>Journal of Psychopathology and Behavioral Assessment</source>, <volume>34</volume>(<issue>3</issue>), <fpage>382</fpage>&#x2013;<lpage>392</lpage>. <pub-id pub-id-type="doi">10.1007/s10862-012-9280-y</pub-id></mixed-citation></ref>
<ref id="ref-3"><label>Brown and Melas (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Brown</surname>, <given-names>W. C.</given-names></string-name>, &#x0026; <string-name><surname>Melas</surname>, <given-names>M. T.</given-names></string-name></person-group> (<year>2024</year>). <article-title>A narrative review of emotion regulation abilities, strategy use, and their relationship to alcohol</article-title>. <source>Current Addiction Reports</source>, <volume>11</volume>(<issue>2</issue>), <fpage>199</fpage>&#x2013;<lpage>209</lpage>. <pub-id pub-id-type="doi">10.1007/s40429-024-00553-3</pub-id></mixed-citation></ref>
<ref id="ref-4"><label>Burton et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Burton</surname>, <given-names>A. L.</given-names></string-name>, <string-name><surname>Brown</surname>, <given-names>R.</given-names></string-name>, &#x0026; <string-name><surname>Abbott</surname>, <given-names>M. J.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Overcoming difficulties in measuring emotional regulation: Assessing and comparing the psychometric properties of the DERS long and short forms</article-title>. <source>Cogent Psychology</source>, <volume>9</volume>(<issue>1</issue>), <fpage>2060629</fpage>. <pub-id pub-id-type="doi">10.1080/23311908.2022.2060629</pub-id></mixed-citation></ref>
<ref id="ref-5"><label>Carona et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Carona</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Xavier</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Canavarro</surname>, <given-names>M. C.</given-names></string-name>, &#x0026; <string-name><surname>Fonseca</surname>, <given-names>A.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Self-compassion and complete perinatal mental health in women at high risk for postpartum depression: The mediating role of emotion regulation difficulties</article-title>. <source>Psychology and Psychotherapy: Theory, Research and Practice</source>, <volume>95</volume>(<issue>2</issue>), <fpage>561</fpage>&#x2013;<lpage>574</lpage>. <pub-id pub-id-type="doi">10.1111/papt.12388</pub-id>; <pub-id pub-id-type="pmid">35146891</pub-id></mixed-citation></ref>
<ref id="ref-6"><label>Carruthers et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Carruthers</surname>, <given-names>S. P.</given-names></string-name>, <string-name><surname>Rossell</surname>, <given-names>S. L.</given-names></string-name>, <string-name><surname>Murray</surname>, <given-names>G.</given-names></string-name>, <string-name><surname>Karantonis</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Furlong</surname>, <given-names>L. S.</given-names></string-name> <etal>et al.</etal></person-group> (<year>2022</year>). <article-title>Mindfulness, mood symptom tendencies and quality of life in bipolar disorder: An examination of the mediating influence of emotion regulation difficulties</article-title>. <source>Journal of Affective Disorders</source>, <volume>298</volume>, <fpage>166</fpage>&#x2013;<lpage>172</lpage>. <pub-id pub-id-type="doi">10.1016/j.jad.2021.10.107</pub-id>; <pub-id pub-id-type="pmid">34715199</pub-id></mixed-citation></ref>
<ref id="ref-7"><label>Chang et al. (2018)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Chang</surname>, <given-names>C. W.</given-names></string-name>, <string-name><surname>Yuan</surname>, <given-names>R.</given-names></string-name>, &#x0026; <string-name><surname>Chen</surname>, <given-names>J. K.</given-names></string-name></person-group> (<year>2018</year>). <article-title>Social support and depression among Chinese adolescents: The mediating roles of self-esteem and self-efficacy</article-title>. <source>Children and Youth Services Review</source>, <volume>88</volume>(<issue>6</issue>), <fpage>128</fpage>&#x2013;<lpage>134</lpage>. <pub-id pub-id-type="doi">10.1016/j.childyouth.2018.03.001</pub-id></mixed-citation></ref>
<ref id="ref-8"><label>Clayton et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Clayton</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Renna</surname>, <given-names>M. E.</given-names></string-name>, <string-name><surname>Klemanski</surname>, <given-names>D. H.</given-names></string-name>, <string-name><surname>Kerns</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>McLaughlin</surname>, <given-names>K. A.</given-names></string-name> <etal>et al.</etal></person-group> (<year>2023</year>). <article-title>The impact of emotion regulation on the relationship between momentary negative affect and end-of-day worry and rumination</article-title>. <source>Cognitive Therapy and Research</source>, <volume>47</volume>(<issue>1</issue>), <fpage>94</fpage>&#x2013;<lpage>108</lpage>. <pub-id pub-id-type="doi">10.1007/s10608-022-10339-4</pub-id></mixed-citation></ref>
<ref id="ref-9"><label>Gratz and Roemer (2004)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gratz</surname>, <given-names>K. L.</given-names></string-name>, &#x0026; <string-name><surname>Roemer</surname>, <given-names>L.</given-names></string-name></person-group> (<year>2004</year>). <article-title>Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale</article-title>. <source>Journal of Psychopathology and Behavioral Assessment</source>, <volume>26</volume>(<issue>1</issue>), <fpage>41</fpage>&#x2013;<lpage>54</lpage>. <pub-id pub-id-type="doi">10.1023/B:JOBA.0000007455.08539.94</pub-id></mixed-citation></ref>
<ref id="ref-10"><label>Gratz and Roemer (2008)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gratz</surname>, <given-names>K. L.</given-names></string-name>, &#x0026; <string-name><surname>Roemer</surname>, <given-names>L.</given-names></string-name></person-group> (<year>2008</year>). <article-title>The relationship between emotion dysregulation and deliberate self-harm among female undergraduate students at an urban commuter university</article-title>. <source>Cognitive Behaviour Therapy</source>, <volume>37</volume>(<issue>1</issue>), <fpage>14</fpage>&#x2013;<lpage>25</lpage>. <pub-id pub-id-type="doi">10.1080/16506070701819524</pub-id>; <pub-id pub-id-type="pmid">18365795</pub-id></mixed-citation></ref>
<ref id="ref-11"><label>Gross (2015)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gross</surname>, <given-names>J. J.</given-names></string-name></person-group> (<year>2015</year>). <article-title>Emotion regulation: Current status and future prospects</article-title>. <source>Psychological Inquiry</source>, <volume>26</volume>(<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>26</lpage>. <pub-id pub-id-type="doi">10.1080/1047840X.2014.940781</pub-id></mixed-citation></ref>
<ref id="ref-12"><label>Hua and Ma (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hua</surname>, <given-names>Z.</given-names></string-name>, &#x0026; <string-name><surname>Ma</surname>, <given-names>D.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Depression and perceived social support among unemployed youths in China: Investigating the roles of emotion-regulation difficulties and self-efficacy</article-title>. <source>International Journal of Environmental Research and Public Health</source>, <volume>19</volume>(<issue>8</issue>), <fpage>4676</fpage>. <pub-id pub-id-type="doi">10.3390/ijerph19084676</pub-id>; <pub-id pub-id-type="pmid">35457545</pub-id></mixed-citation></ref>
<ref id="ref-13"><label>Jekauc et al. (2013)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Jekauc</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Voelkle</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Wagner</surname>, <given-names>M. O.</given-names></string-name>, <string-name><surname>Mewes</surname>, <given-names>N.</given-names></string-name>, &#x0026; <string-name><surname>Woll</surname>, <given-names>A.</given-names></string-name></person-group> (<year>2013</year>). <article-title>Reliability, validity, and measurement invariance of the German version of the physical activity enjoyment scale</article-title>. <source>Journal of Pediatric Psychology</source>, <volume>38</volume>(<issue>1</issue>), <fpage>104</fpage>&#x2013;<lpage>115</lpage>. <pub-id pub-id-type="doi">10.1093/jpepsy/jss088</pub-id>; <pub-id pub-id-type="pmid">22946084</pub-id></mixed-citation></ref>
<ref id="ref-14"><label>Lavender et al. (2017)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Lavender</surname>, <given-names>J. M.</given-names></string-name>, <string-name><surname>Tull</surname>, <given-names>M. T.</given-names></string-name>, <string-name><surname>DiLillo</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Messman-Moore</surname>, <given-names>T.</given-names></string-name>, &#x0026; <string-name><surname>Gratz</surname>, <given-names>K. L.</given-names></string-name></person-group> (<year>2017</year>). <article-title>Development and validation of a state-based measure of emotion dysregulation: The State Difficulties in Emotion Regulation Scale (S-DERS)</article-title>. <source>Assessment</source>, <volume>24</volume>(<issue>2</issue>), <fpage>197</fpage>&#x2013;<lpage>209</lpage>. <pub-id pub-id-type="doi">10.1177/1073191115601218</pub-id>; <pub-id pub-id-type="pmid">26297011</pub-id></mixed-citation></ref>
<ref id="ref-15"><label>Miu et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Miu</surname>, <given-names>A. C.</given-names></string-name>, <string-name><surname>Szent&#x00E1;gotai-T&#x0103;tar</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Balazsi</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Nechita</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Bunea</surname>, <given-names>I.</given-names></string-name> <etal>et al.</etal></person-group> (<year>2022</year>). <article-title>Emotion regulation as mediator between childhood adversity and psychopathology: A meta-analysis</article-title>. <source>Clinical Psychology Review</source>, <volume>93</volume>(<issue>4</issue>), <fpage>102141</fpage>. <pub-id pub-id-type="doi">10.1016/j.cpr.2022.102141</pub-id>; <pub-id pub-id-type="pmid">35219929</pub-id></mixed-citation></ref>
<ref id="ref-16"><label>Nguyen et al. (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Nguyen</surname>, <given-names>Q.</given-names></string-name>, <string-name><surname>Madison</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Ekas</surname>, <given-names>N. V.</given-names></string-name>, &#x0026; <string-name><surname>Kouros</surname>, <given-names>C. D.</given-names></string-name></person-group> (<year>2024</year>). <article-title>Helicopter parenting behaviors and emerging adult mental health: The mediating role of emotion dysregulation</article-title>. <source>Emerging Adulthood</source>, <volume>12</volume>(<issue>5</issue>), <fpage>820</fpage>&#x2013;<lpage>837</lpage>. <pub-id pub-id-type="doi">10.1177/21676968241254565</pub-id></mixed-citation></ref>
<ref id="ref-17"><label>Penner et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Penner</surname>, <given-names>F.</given-names></string-name>, <string-name><surname>Steinberg</surname>, <given-names>L.</given-names></string-name>, &#x0026; <string-name><surname>Sharp</surname>, <given-names>C.</given-names></string-name></person-group> (<year>2023</year>). <article-title>The development and validation of the difficulties in emotion regulation Scale-8: Providing respondents with a uniform context that elicits thinking about situations requiring emotion regulation</article-title>. <source>Journal of Personality Assessment</source>, <volume>105</volume>(<issue>5</issue>), <fpage>657</fpage>&#x2013;<lpage>666</lpage>. <pub-id pub-id-type="doi">10.1080/00223891.2022.2133722</pub-id>; <pub-id pub-id-type="pmid">36306434</pub-id></mixed-citation></ref>
<ref id="ref-18"><label>Sun et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Sun</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Liang</surname>, <given-names>K.</given-names></string-name>, <string-name><surname>Chi</surname>, <given-names>X.</given-names></string-name>, &#x0026; <string-name><surname>Chen</surname>, <given-names>S.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Psychometric properties of the generalized anxiety disorder scale-7 item (GAD-7) in a large sample of Chinese adolescents</article-title>. <source>Healthcare</source>, <volume>9</volume>(<issue>12</issue>), <fpage>1709</fpage>. <pub-id pub-id-type="doi">10.3390/healthcare9121709</pub-id>; <pub-id pub-id-type="pmid">34946435</pub-id></mixed-citation></ref>
<ref id="ref-19"><label>Thurm et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Thurm</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Satel</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Montag</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Griffiths</surname>, <given-names>M. D.</given-names></string-name>, &#x0026; <string-name><surname>Pontes</surname>, <given-names>H. M.</given-names></string-name></person-group> (<year>2023</year>). <article-title>The relationship between gambling disorder, stressful life events, gambling-related cognitive distortions, difficulty in emotion regulation, and self-control</article-title>. <source>Journal of Gambling Studies</source>, <volume>39</volume>(<issue>1</issue>), <fpage>87</fpage>&#x2013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.1007/s10899-022-10151-5</pub-id>.</mixed-citation></ref>
<ref id="ref-20"><label>Todorov et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Todorov</surname>, <given-names>E. H.</given-names></string-name>, <string-name><surname>Paradis</surname>, <given-names>A.</given-names></string-name>, &#x0026; <string-name><surname>Ha</surname>, <given-names>T.</given-names></string-name></person-group> (<year>2023</year>). <article-title>Emotion regulation difficulties and relationship satisfaction in adolescent couples: The role of conflict resolution strategies</article-title>. <source>Journal of Youth and Adolescence</source>, <volume>52</volume>(<issue>8</issue>), <fpage>1753</fpage>&#x2013;<lpage>1767</lpage>. <pub-id pub-id-type="doi">10.1007/s10964-023-01787-6</pub-id>; <pub-id pub-id-type="pmid">37199853</pub-id></mixed-citation></ref>
<ref id="ref-21"><label>Tull et al. (2015)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Tull</surname>, <given-names>M. T.</given-names></string-name>, <string-name><surname>Bardeen</surname>, <given-names>J. R.</given-names></string-name>, <string-name><surname>DiLillo</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Messman-Moore</surname>, <given-names>T.</given-names></string-name>, &#x0026; <string-name><surname>Gratz</surname>, <given-names>K. L.</given-names></string-name></person-group> (<year>2015</year>). <article-title>A prospective investigation of emotion dysregulation as a moderator of the relation between posttraumatic stress symptoms and substance use severity</article-title>. <source>Journal of Anxiety Disorders</source>, <volume>29</volume>, <fpage>52</fpage>&#x2013;<lpage>60</lpage>. <pub-id pub-id-type="doi">10.1016/j.janxdis.2014.11.003</pub-id>; <pub-id pub-id-type="pmid">25483275</pub-id></mixed-citation></ref>
<ref id="ref-22"><label>Tull et al. (2012)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Tull</surname>, <given-names>M. T.</given-names></string-name>, <string-name><surname>Weiss</surname>, <given-names>N. H.</given-names></string-name>, <string-name><surname>Adams</surname>, <given-names>C. E.</given-names></string-name>, &#x0026; <string-name><surname>Gratz</surname>, <given-names>K. L.</given-names></string-name></person-group> (<year>2012</year>). <article-title>The contribution of emotion regulation difficulties to risky sexual behavior within a sample of patients in residential substance abuse treatment</article-title>. <source>Addictive Behaviors</source>, <volume>37</volume>(<issue>10</issue>), <fpage>1084</fpage>&#x2013;<lpage>1092</lpage>. <pub-id pub-id-type="doi">10.1016/j.addbeh.2012.05.001</pub-id>; <pub-id pub-id-type="pmid">22658304</pub-id></mixed-citation></ref>
<ref id="ref-23"><label>Wang et al. (2007)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wang</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Lu</surname>, <given-names>Y. P.</given-names></string-name>, &#x0026; <string-name><surname>Li</surname>, <given-names>Z. Q.</given-names></string-name></person-group> (<year>2007</year>). <article-title>Test of emotion regulation scale in adolescents</article-title>. <source>Chinese Journal of Clinical Psychology</source>, <volume>15</volume>(<issue>3</issue>), <fpage>236</fpage>&#x2013;<lpage>238</lpage>. </mixed-citation></ref>
<ref id="ref-24"><label>Zhang et al. (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhang</surname>, <given-names>Y.</given-names></string-name>, <string-name><surname>Zhao</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Bian</surname>, <given-names>Y.</given-names></string-name>, &#x0026; <string-name><surname>Zhang</surname>, <given-names>F.</given-names></string-name></person-group> (<year>2024</year>). <article-title>Reliability and validity of the short version of the childhood abuse self-report scale in Chinese college students</article-title>. <source>BMC Psychology</source>, <volume>12</volume>(<issue>1</issue>), <fpage>256</fpage>. <pub-id pub-id-type="doi">10.1186/s40359-024-01734-5</pub-id>; <pub-id pub-id-type="pmid">38720387</pub-id></mixed-citation></ref>
<ref id="ref-25"><label>Zhao et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhao</surname>, <given-names>Y.</given-names></string-name>, <string-name><surname>Wu</surname>, <given-names>K.</given-names></string-name>, <string-name><surname>Wang</surname>, <given-names>Y.</given-names></string-name>, <string-name><surname>Zhao</surname>, <given-names>G.</given-names></string-name>, &#x0026; <string-name><surname>Zhang</surname>, <given-names>E.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Construct validity of brief difficulties in emotion regulation scale and its revised version: Evidence for a general factor</article-title>. <source>Current Psychology</source>, <volume>41</volume>(<issue>2</issue>), <fpage>1085</fpage>&#x2013;<lpage>1096</lpage>. <pub-id pub-id-type="doi">10.1007/s12144-021-02056-0</pub-id></mixed-citation></ref>
</ref-list>
</back></article>