Negative Affect Mediates the Relationship Between Interpersonal Problems and Binge-Eating Disorder Symptoms and Psychopathology in a Clinical Sample: A Test of the Interpersonal Model

This study evaluated the validity of the interpersonal model of binge‐eating disorder (BED) psychopathology in a clinical sample of women with BED. Data from a cross‐sectional sample of 255 women with BED were examined for the direct effects of interpersonal problems on BED symptoms and psychopathology, and indirect effects mediated by negative affect. Structural equation modelling analyses demonstrated that higher levels of interpersonal problems were associated with greater negative affect, and greater negative affect was associated with higher frequency of BED symptoms and psychopathology. There was a significant indirect effect of interpersonal problems on BED symptoms and psychopathology mediated through negative affect. Interpersonal problems may lead to greater BED symptoms and psychopathology, and this relationship may be partially explained by elevated negative affect. The results of the study are the first to provide support for the interpersonal model of BED symptoms and psychopathology in a clinical sample of women. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.