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Does the Interpersonal Model Generalize to Obesity Without Binge Eating?

Gianluca Lo Coco1, Rachel Sutton2, Giorgio A Tasca3

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European Eating Disorders Review : the Journal of the Eating Disorders Association
|July 8, 2016
PubMed
Summary

The interpersonal model for binge eating disorder (BED) also applies to women with obesity but without BED, mediated by negative affect. However, this model is specific to BED, not general obesity.

Keywords:
binge eating disorderinterpersonal modelinterpersonal problemsnegative affectobesity

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Area of Science:

  • Clinical Psychology
  • Eating Disorders
  • Obesity Research

Background:

  • The interpersonal model is validated for binge eating disorder (BED).
  • Its applicability to obesity without binge eating is unknown.
  • Understanding psychological factors in obesity and BED is crucial.

Purpose of the Study:

  • To compare the interpersonal model's validity in women with BED, obesity without BED, and normal weight controls.
  • To investigate the mediating role of negative affect in these groups.

Main Methods:

  • Examined data from 93 women with BED, 186 obese women without BED, and 100 normal weight controls.
  • Analyzed indirect effects of interpersonal problems on binge eating psychopathology via negative affect.
  • Tested a reverse model to assess specificity.

Main Results:

  • Negative affect mediated interpersonal problems in both BED and obese (non-binging) groups.
  • The interpersonal model was specific to BED, not general obesity.
  • This is the first study supporting the interpersonal model in obese women without BED.

Conclusions:

  • The interpersonal model is relevant for understanding psychopathology in obesity, not just BED.
  • Negative affect plays a complex role in overeating for obese individuals without BED.
  • Further research is needed to clarify the role of negative affect in non-binging obesity.