2015
DOI: 10.1111/cp.12036
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Self‐esteem mediates the associations among negative affect, body disturbances, and interpersonal problems in treatment‐seeking obese individuals

Abstract: Background This study investigated the relationship among negative affect, body image disturbances (BID), and interpersonal problems, and the mediating effect of self‐esteem in a group of treatment‐seeking obese individuals. Methods Four hundred twenty‐two obese patients (85 males and 337 females) completed standardised measures that assessed negative affect, BID, self‐esteem, and interpersonal problems. Results Structural equation modelling showed that obese individuals with greater negative affect and BID re… Show more

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Cited by 11 publications
(4 citation statements)
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“…That is, the interpersonal problems latent factor was also a significant mediator as well as a predictor of binge eating psychopathology. This finding is consistent with previous research that showed that higher levels of negative affect are associated with interpersonal difficulties in treatment-seeking individuals with obesity (Carr, Friedman, & Jaffe, 2007;Salerno et al, 2015), accordingly to the eating disorder specific interpersonal model of psychotherapy (Rieger et al, 2010) that posits that negative social interactions both trigger and are triggered by psychosocial distress and dysfunctional eating behaviours. Interestingly, these results suggest that the overeating in treatment-seeking individuals with obesity without BED may be more complexly determined.…”
Section: Discussionsupporting
confidence: 92%
“…That is, the interpersonal problems latent factor was also a significant mediator as well as a predictor of binge eating psychopathology. This finding is consistent with previous research that showed that higher levels of negative affect are associated with interpersonal difficulties in treatment-seeking individuals with obesity (Carr, Friedman, & Jaffe, 2007;Salerno et al, 2015), accordingly to the eating disorder specific interpersonal model of psychotherapy (Rieger et al, 2010) that posits that negative social interactions both trigger and are triggered by psychosocial distress and dysfunctional eating behaviours. Interestingly, these results suggest that the overeating in treatment-seeking individuals with obesity without BED may be more complexly determined.…”
Section: Discussionsupporting
confidence: 92%
“…Secondly, the internal consistency of the IIP-32 and its construct validity will be examined. It is expected that patients with eating disorders and obesity would report significantly higher interpersonal difficulties than non-clinical participants; and that high IIP-32 scores will be associated with high psychological distress and low self-esteem levels, consistently with the previous studies on the validity of the IIP (Horowitz et al, 2000 ; Vanheule et al, 2006 ; McEvoy et al, 2013 ; Salerno et al, 2015 ) in both the clinical and non-clinical samples.…”
Section: Introductionsupporting
confidence: 69%
“…Both Alden et al ( 1990 ) and Horowitz et al ( 2000 ) reported acceptable internal consistency reliability values, ranging from alpha = 0.72 to 0.85 for the IIP-64, and also good test-retest reliability (range from r = 0.50 to 0.84) (Horowitz et al, 2000 ). The validity of the IIP has been supported in examinations of its associations with different forms of mental disorders, such as anxiety (Salzer et al, 2008 ), depression (Grosse Holtforth et al, 2014 ), eating disorders (Hartmann et al, 2010 ), as well as with psychological distress and global functioning (Horowitz et al, 2000 ; Vittengl et al, 2003 ; Vanheule et al, 2006 ; McEvoy et al, 2013 ), insecure attachment (Haggerty et al, 2009 ), and low self-esteem (Salerno et al, 2015 ). However, psychometric research on the IIP-32 is still a matter of debate (Horowitz et al, 2000 ).…”
Section: Introductionmentioning
confidence: 99%
“…Researchers have identified a positive relationship between negative affectivity and WFC in all its forms, including emotion‐based (Carlson, 1999). Given the inverse relationship between negative affectivity and self‐esteem (Dunkely, Berg, & Zuroff, 2012; Salerno et al, 2015), a direct relationship between self‐esteem and emotion‐based WFC is plausible. Furthermore, Braunstein‐Bercovitz (2013) found that higher levels of personal empowerment, described as “enhanced self‐esteem and a sense of mastery and autonomy” (p. 95), were related to lower levels of emotion‐based WFC, thereby providing the most direct evidence of a link between these two constructs.…”
Section: Self‐esteemmentioning
confidence: 99%