Arai, M. orcid.org/0009-0005-8014-848X, Tonta, K.E. orcid.org/0000-0002-2836-9833, Erceg‐Hurn, D.M. orcid.org/0000-0002-1885-6160 et al. (3 more authors) (2025) Eating-specific interpersonal difficulties: changes and impacts on outcomes during ten-session cognitive behavioral therapy for eating disorders (CBT-T). International Journal of Eating Disorders, 58 (2). pp. 362-371. ISSN 0276-3478
Abstract
Objective
The relationship between self-reported interpersonal difficulties and eating disorder symptoms is well-established. The Interpersonal Relationships in Eating Disorders (IR-ED) is a new measure of eating-specific interpersonal difficulties (food-related isolation, avoidance of body evaluation, foot-related interpersonal tension). This study aims to (1) explore changes in IR-ED scores, eating disorder symptoms, and psychosocial impairment during ten-session cognitive behavioral therapy for eating disorders (CBT-T), (2) assess whether pre-treatment IR-ED scores moderate the trajectory of change in eating disorder symptoms and psychosocial impairment during CBT-T and (3) investigate the relationship between changes in the IR-ED and changes in eating disorder symptoms and psychosocial impairment.
Method
Individuals with eating disorders (N = 126, Mage = 26.08) received CBT-T and completed questionnaires at pre-, mid-, and post-treatment.
Results
Eating-specific interpersonal difficulties, eating disorder symptoms, and psychosocial impairment reduced during CBT-T. Severity of pre-treatment eating-specific interpersonal difficulties was unrelated to change in eating disorder symptoms or psychosocial impairment, irrespective of diagnosis or body mass index. Changes in interpersonal difficulties were associated with concurrent changes in eating disorder symptoms and psychosocial impairment. Early change in interpersonal difficulties did not predict later change in eating disorder symptoms or psychosocial impairment, and early changes in symptoms or psychosocial impairment did not predict later changes in interpersonal difficulties.
Conclusions
Eating-specific interpersonal difficulties improve during CBT-T, and individuals benefit from treatment regardless of their pre-treatment interpersonal difficulties. Theoretical and clinical implications are discussed.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2024 The Authors. Except as otherwise noted, this author-accepted version of a journal article published in International Journal of Eating Disorders is made available via the University of Sheffield Research Publications and Copyright Policy under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ |
Keywords: | assessment; clinical impairment; cognitive behavior therapy; eating disorders; interpersonal difficulties; interpersonal problems; psychometrics |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 07 Jan 2025 13:26 |
Last Modified: | 12 Mar 2025 17:24 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1002/eat.24336 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:221325 |
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Filename: Arai et al. (Proof) submitted IR-ED and CBT-T (1).pdf
Licence: CC-BY 4.0