Does the Interpersonal Model Generalize to Obesity Without Binge Eating?

Coco, Gianluca Lo; Sutton, Rachel; Tasca, Giorgio A.; Salerno, Laura; Oieni, Veronica; Compare, Angelo

doi:10.1002/erv.2459

Cited by 25 publications

(27 citation statements)

References 46 publications

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“…Although there is some evidence that BED is associated with greater psychopathology than their weight-matched counterparts without BED (Ivezaj et al, 2016; Lo Coco et al, 2016), there were no differences between the two groups concerning the specific personality traits (viz., impulsivity, reward sensitivity, and anxiety-proneness) assessed in our study.…”

Section: Discussionmentioning

confidence: 87%

Binge Eating Disorder (BED) in Relation to Addictive Behaviors and Personality Risk Factors

et al. 2017

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While there is good evidence that binge eating disorder (BED) is linked to higher-than-expected use of a broad range of addictive behaviors, mechanisms underlying this association are not well understood. Using a mediation-analytical approach with three age- and gender-matched groups – overweight/obese adults with (n = 42) and without (n = 104) BED, and normal-weight control participants (n = 73) – we tested the hypothesis that adults with BED would engage in more addictive behaviors and have higher scores on a personality-risk index than the two control groups. We also anticipated that the relationship between BED and addictive behaviors would be mediated by a high-risk personality profile. The predicted mediation effect was strongly supported. Contrary to expectation, BED participants did not engage in more addictive behaviors or have higher personality-risk scores than their weight-matched counterparts. However, both overweight/obese groups did have significantly higher scores than the normal-weight group. The relationships among personality risk, elevated body mass index (BMI), and addictive behaviors have important clinical implications, especially for treatments that target psycho-behavioral intervention for compulsive overeating and substance-use disorders.

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Section: Discussionmentioning

confidence: 87%

Binge Eating Disorder (BED) in Relation to Addictive Behaviors and Personality Risk Factors

et al. 2017

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“…The findings suggest that overweight women without BED may use similar ways of regulating their affect and experience similar types of interpersonal problems as women with BED. Lo Coco et al () reported that negative affect plays a complex role in the interpersonal functioning and weight of obese women without BED that is not yet fully understood. As suggested by Lo Coco et al (), negative affect may lead to and be a consequence of interpersonal problems, and both of these issues may result in overeating and obesity.…”

Section: Discussionmentioning

confidence: 99%

“…Lo Coco et al () reported that negative affect plays a complex role in the interpersonal functioning and weight of obese women without BED that is not yet fully understood. As suggested by Lo Coco et al (), negative affect may lead to and be a consequence of interpersonal problems, and both of these issues may result in overeating and obesity. Our findings suggest that similar to women with BED, overweight women without BED use both hyperactivating and deactivating affect regulation strategies.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, weight loss treatment or psychological treatment for other presenting problems should assess whether overweight women without BED are experiencing unresolved/disorganized attachment states of mind related to loss or abuse. If so, therapy targeting the loss and/or abuse may help these individuals decrease overeating as a way to cope with negative affect (Lo Coco et al, ) and may help those seeking weight loss treatment maintain weight loss (Harrington, ).…”

Section: Discussionmentioning

confidence: 99%

“…The interpersonal model of binge eating posits that interpersonal problems result in negative affect, which triggers binge eating as a way of coping (Wilfley et al, 1998;Wilfley et al, 2002). Recently, Ivanova et al (2015) and Lo Coco et al (2016) found that negative affect mediated the relationship between interpersonal problems and BED symptoms, thus providing empirical support for the interpersonal model in a clinical sample. Interpersonal therapies are well suited for patients diagnosed with BED because these treatments focus on developing and sustaining satisfying relationships and using adaptive strategies for coping with social and interpersonal problems and negative affect (Wilfley et al, 1998).…”

Section: Binge-eating Disordermentioning

confidence: 98%

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Change in attachment states of mind of women with binge‐eating disorder

Maxwell

Tasca

Grenon

et al. 2017

Clin Psychology and Psychoth

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Insecure and unresolved/disorganized attachment states of mind may impact affect regulation and interpersonal functioning that contribute to binge eating in women with binge-eating disorder (BED). Group psychological treatment may facilitate changes from insecure to secure and from unresolved-disorganized to non-unresolved/disorganized attachment states of mind. This study used attachment theory to understand better the psychopathology of BED and co-morbid overweight status and to understand better the treatment response of patients with BED who receive group psychotherapy. Women with BED attended group psychodynamic interpersonal psychotherapy and completed the Adult Attachment Interview pretreatment and 6 months posttreatment. Matched samples of overweight women without BED and normal-weight women without BED completed the Adult Attachment Interview at 1 time point. Women with BED had significantly higher rates of preoccupied and unresolved/disorganized attachment states of mind compared to normal-weight women without BED and had similar rates of insecure and unresolved/disorganized attachment states of mind compared to overweight women without BED. Of the women with BED who had an insecure and/or unresolved/disorganized attachment states of mind at pretreatment, about 60% demonstrated clinically relevant changes to secure and to non-unresolved/disorganized states of mind at 6 months post group psychodynamic interpersonal psychotherapy. Results indicated that some women with BED may benefit from interventions that help them regulate hyperactivated affect and create coherent narratives. Both women with BED and overweight women without BED may benefit from treatments that help them develop more adaptive affect regulation strategies related to unresolved/disorganized attachment states of mind.

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Persistence of friendly and submissive interpersonal styles among those with binge‐eating disorder: Comparisons with matched controls and outcomes after group therapy

Brugnera

Carlucci

Compare

et al. 2019

Clin Psychology and Psychoth

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Interpersonal problems play a prominent role in the development of binge-eating disorder (BED), so reducing their intensity may be a key focus of many psychological interventions. In recent years, several interpersonal treatments for BED were developed, which posit that binge eating arises to manage relational problems. However, few studies have evaluated the prototypical interpersonal problems, and no studies evaluated the longitudinal changes in interpersonal functioning after treatment within this population. We investigated the severity and prototypicality of interpersonal problems of 101 overweight women with BED from pre-group psychodynamic-interpersonal psychotherapy (GPIP) to 12 months post-GPIP. At baseline, we compared patients' interpersonal problems with two groups of matched controls (46 overweight and 49 normal weight women without a diagnosis of BED) and examined circular correlations between relational problems, depressive symptoms, and binge-eating frequency. Results showed that participants with BED had significantly higher levels of interpersonal problems compared with the matched control samples, with predominantly nonassertive and exploitable styles. Depressive symptoms were related to the presence of friendly-submissive interpersonal problems only among those with BED. Although the intensity of nonassertive interpersonal problems of patients with BED decreased post-group treatment, their profiles remained prototypically nonassertive and exploitable across all time points. Women with BED experience higher levels of interpersonal difficulties exemplified by an exploitable/nonassertive style that significantly improve but continue to prevail even after treatment. Clinicians might modify interventions to focus on increasing interpersonal skills and decreasing interpersonal dysfunctions among those with BED. KEYWORDS binge-eating disorder, interpersonal circumplex, interpersonal problems, obesity, group psychodynamic-interpersonal psychotherapy, structural summary method

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Does the Interpersonal Model Generalize to Obesity Without Binge Eating?

Cited by 25 publications

References 46 publications

Binge Eating Disorder (BED) in Relation to Addictive Behaviors and Personality Risk Factors

Binge Eating Disorder (BED) in Relation to Addictive Behaviors and Personality Risk Factors

Change in attachment states of mind of women with binge‐eating disorder

Persistence of friendly and submissive interpersonal styles among those with binge‐eating disorder: Comparisons with matched controls and outcomes after group therapy

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