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. 2010 May;48(5):424-8.
doi: 10.1016/j.brat.2009.12.012. Epub 2010 Jan 4.

An examination of the interpersonal model of loss of control eating in children and adolescents

Camden A Elliott  1 , Marian Tanofsky-Kraff, Lauren B Shomaker, Kelli M Columbo, Laura E Wolkoff, Lisa M Ranzenhofer, Jack A Yanovski
Affiliations

An examination of the interpersonal model of loss of control eating in children and adolescents

Camden A Elliott et al. Behav Res Ther. 2010 May.

Abstract

The interpersonal model of binge eating disorder proposes that social problems lead to negative affect which, in turn, precipitates binge eating episodes. However, no study to date has examined this model among youth who report loss of control (LOC) eating. Participants were 219 non-treatment-seeking children and adolescent volunteers, age 8-17 years (13.1 +/- 2.8 y; 50% female). Children's social problems were assessed by parent report. Youth completed self-report questionnaires of negative affect that assessed depressive symptoms and anxiety. Participants were interviewed to determine the presence or absence of LOC eating in the month prior to assessment. Structural equation modeling analyses found that social problems were positively related to LOC eating presence (p = .02). Negative affect mediated the relationship between social problems and LOC eating (95% CI Product = .00247, .01336). These preliminary results suggest that the interpersonal model of binge eating may describe one possible pathway for the development of LOC eating among non-treatment-seeking youth.

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Figures

Figure 1
Figure 1
Model of negative affect as a mediator of social problems and loss of control (LOC) eating, accounting for age, sex, race, puberty, and BMI-z. *p<.05, **p<.01, ***p<.001. Note: When negative affect was removed from the model, social problems were significantly related to LOC eating (path = 17, p = .02).
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