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    Interpersonal problems across restrictive and binge-purge samples: Data from a community-based eating disorders clinic

    200467_200467.pdf (276.8Kb)
    Access Status
    Open access
    Authors
    Raykos, B.
    McEvoy, Peter
    Carter, O.
    Fursland, A.
    Nathan, P.
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Raykos, B. and McEvoy, P. and Carter, O. and Fursland, A. and Nathan, P. 2014. Interpersonal problems across restrictive and binge-purge samples: Data from a community-based eating disorders clinic. Eating Behaviors. 15 (3): pp. 449-452.
    Source Title
    Eating Behaviors
    DOI
    10.1016/j.eatbeh.2014.06.008
    ISSN
    1471-0153
    School
    School of Psychology
    Remarks

    NOTICE: This is the author’s version of a work that was accepted for publication in Eating Behaviors. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Eating Behaviors, Vol. 15, Issue 3. (2014). doi: 10.1016/j.eatbeh.2014.06.008

    URI
    http://hdl.handle.net/20.500.11937/47707
    Collection
    • Curtin Research Publications
    Abstract

    Contemporary models of eating disorders suggest that interpersonal problems contribute to the maintenance of eating disorders. This study examined whether baseline interpersonal problems differed across eating disorder diagnoses and across eating disorder subtypes (“restrictors” vs. “binge-purge” patients) in a large clinical sample. Patients with a primary eating disorder diagnosis (N = 406) completed measures of interpersonal problems, eating disorder symptoms, and mood prior to treatment at a specialist eating disorder clinic. Across the sample, more severe eating disorder psychopathology was associated with significantly greater difficulty socializing. Anorexia Nervosa (AN) / restrictor patients reported significantly greater difficulty socializing than Bulimia Nervosa (BN) / binge-purge patients. AN patients reported significantly greater difficulty on a measure of competitiveness/assertiveness compared to BN and Eating Disorder Not Otherwise Specified patients. All findings were significant after controlling for comorbid depression and anxiety symptoms. Interpersonal problems appear to be unique risk factors for eating disorders. Specific interpersonal mechanisms include difficulties socializing and being assertive, which were most pronounced in AN patients. These findings provide potential avenues for enhancing interventions, such as adjunctive assertiveness training for AN.

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