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Patterns of interpersonal problems associated with binge eating disorder
K L Eldredge1, K D Locke, L M Horowitz
1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California 94305, USA.
The International Journal of Eating Disorders
|April 30, 1998
Summary
Individuals with binge eating disorder (BED) experience unique interpersonal problems. Addressing specific issues like vindictiveness and social avoidance may improve treatment outcomes for BED.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Binge eating disorder (BED) is associated with interpersonal difficulties.
- Understanding these problems is crucial for effective treatment.
Purpose of the Study:
- To compare interpersonal problems in BED patients to psychiatric norms.
- To identify if specific interpersonal issues predict treatment success in BED.
Main Methods:
- 88 females with BED participated in a treatment trial.
- Pretreatment data from the Inventory of Interpersonal Problems (IIP) was analyzed.
- Comparisons were made to psychiatric and nonpsychiatric norms and treatment outcomes.
Main Results:
- BED patients reported less distress regarding vindictiveness (hostile dominance) than psychiatric norms.
- Good eating disorder symptom outcome correlated with less distress in social avoidance.
- Good weight loss outcome correlated with greater distress in vindictiveness.
Conclusions:
- Interpersonal problems in BED differ from general psychiatric populations.
- Targeting specific interpersonal difficulties, such as vindictiveness and social avoidance, may enhance BED treatment effectiveness.