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Social Competence and Eating Disorders: Development and Validation of the Anorexia and Bulimia Problem Inventory

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Abstract

Incompetence at solving interpersonal problems is a possible antecedent of anorexic and bulimic behaviors in college-age women. A role-play measure of interpersonal competence, the Anorexia and Bulimia Problem Inventory (ABPI), was developed empirically and then was tested in two validation studies. ABPI scores for two samples of college women were compared: a subclinical sample [extremely high scores on the Eating Attitudes Test (EAT)] and a control sample (extremely low EAT scores). Groups differed as predicted. The second study replicated and extended these findings. The ABPI scores of clinical, subclinical, and control samples of college women differed significantly. Bulimic bingers, purgers, and laxative users were least competent on the ABPI. A lack of group differences on the Helping Situations Inventory supported the ABPI's discriminant validity. A correlation between the ABPI and Beck Depression Inventory supported the ABPI's convergent validity. ABPI competence appears to be related to certain subtypes of eating disorders.

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REFERENCES

  • Apple, R. F. (1999). Interpersonal therapy for bulimia nervosa. Journal of Clinical Psychology, 55, 715–725.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 53–63.

    Google Scholar 

  • Cattanach, L., & Rodin, J. (1988). Psychosocial components of the stress process in bulimia. International Journal of Eating Disorders, 7, 75–88.

    Google Scholar 

  • Davis, R., Freeman, R., & Solyom, L. (1985). Mood and food: An analysis of bulimic episodes. Journal of Psychiatric Research, 19, 331–335.

    Google Scholar 

  • Davis, R., Freeman, R. J., & Garner, D. M. (1988). A naturalistic investigation of eating behavior in bulimia nervosa. Journal of Consulting and Clinical Psychology, 56, 273–279.

    Google Scholar 

  • Fairburn, C. G. (1997). Interpersonal psychotherapy for bulimia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of treatment for eating disorders, 2nd ed. (pp. 278–294). New York: Guilford Press.

    Google Scholar 

  • Fairburn, C. G., Marcus, M. D., & Wilson, G. T. (1993). Cognitive-behavioral therapy for binge eating and bulimia nervosa: A comprehensive treatment manual. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment, and treatment (pp. 361–404). New York: Guilford Press.

    Google Scholar 

  • Fisher-Beckfield, D., & McFall, R. M. (1982). The development of a competence inventory for college men and evaluation of relationships between competence and depression. Journal of Consulting and Clinical Psychology, 50, 697–705.

    Google Scholar 

  • Freeman, B. J., Rosenthal, L., Donahoe, C. P., Jr., Schlundt, D. G., & McFall, R. M. (1978). A social-behavioral analysis of skill deficits in delinquent and nondelinquent adolescent boys. Journal of Consulting and Clinical Psychology, 46, 1448–1462.

    Google Scholar 

  • Gaffney, L. R., & McFall, R. M. (1981). A comparison of social skills in delinquent and nondelinquent adolescent girls using a behavioral role-playing inventory. Journal of Consulting and Clinical Psychology, 49, 959–967.

    Google Scholar 

  • Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.

    Google Scholar 

  • Garner, D. M., Vitousek, K. M., & Pike, K. M. (1997). Cognitive-behavioral therapy for anorexia nervosa., In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of treatment for eating disorders, 2nd ed. (pp. 94–144). New York: Guilford Press.

    Google Scholar 

  • Goldfried, M. R., & D'Zurilla, T. J. (1969). A behavioral-analytic model for assessing competence. In C. D. Spielberger (Ed.), Current topics in clinical and community psychology, Vol. 1 (pp. 151–196). New York: Academic Press.

    Google Scholar 

  • Goldsmith, J. B., & McFall, R. M. (1975). Development and evaluation of an interpersonal skill-training program for psychiatric inpatients. Journal of Abnormal Psychology, 84, 51–58.

    Google Scholar 

  • Grilo, C. M., Shiffman, S., & Carter-Campbell, J. T. (1994). Binge eating antecedents in normal-weight nonpurging females: Is there consistency? International Journal of Eating Disorders, 16, 239–249.

    Google Scholar 

  • Grissett, N. I., & Norvell, N. K. (1992). Perceived social support, social skills, and quality of relationships in bulimic women. Journal of Consulting and Clinical Psychology, 60, 293–299.

    Google Scholar 

  • Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110, 86–108.

    Google Scholar 

  • Herzog, D. B., Keller, M. B., Lavori, P. W., & Ott, I. L. (1987). Social impairment in bulimia. International Journal of Eating Disorders, 6, 741–747.

    Google Scholar 

  • Johnson, C., & Berndt, D. J. (1983). Preliminary investigation of bulimia and life adjustment. American Journal of Psychiatry, 140, 774–777.

    Google Scholar 

  • Johnson, W. G., Schlundt, D. G., & Jarrell, M. P. (1986). Exposure with response prevention, training in energy balance, and problem solving therapy for bulimia nervosa. International Journal of Eating Disorders, 5, 35–45.

    Google Scholar 

  • Johnson, W. G., Schlundt, D. G., Barclay, D. R., Carr-Nangle, R. E., & Engler, L. B. (1995). A naturalistic functional analysis of binge eating. Behavior Therapy, 26, 101–118.

    Google Scholar 

  • Kelly, G. A. (1955). The psychology of personal constructs (2 vols.). New York: Norton.

    Google Scholar 

  • Kiesler, D. J. (1966). Some myths of psychotherapy research and the search for a paradigm. Psychological Bulletin, 65, 110–136.

    Google Scholar 

  • Koff, E., & Sangani, P. (1997). Effects of coping style and negative body image on eating disturbance. International Journal of Eating Disorders, 22, 51–56.

    Google Scholar 

  • Lachenbruch, P. A., & Mickey, M. R. (1968). Estimation of error rates in discriminant analysis. Technometrics, 10, 1–11.

    Google Scholar 

  • Larson, R., & Johnson, C. (1985). Bulimia: Disturbed patterns of solitude. Addictive Behaviors, 10, 281–290.

    Google Scholar 

  • Lee, M. I., & Miltenberger, R. G. (1997). Function assessment and binge eating: A review of the literature and suggestions for future research. Behavior Modification, 21, 159–171.

    Google Scholar 

  • Lingswiler, V. M., Crowther, J. H., & Stephens, M. A. P. (1989). Affective and cognitive antecedents to eating episodes in bulimia and binge eating. International Journal of Eating Disorders, 8, 533–539.

    Google Scholar 

  • McClelland, D. C. (1973). Testing for competence rather than for “intelligence.” American Psychologist, 28, 1–14.

    Google Scholar 

  • McFall, R. M. (1976). Behavioral training: A skill-acquisition approach to clinical problems. Morristown, NJ: General Learning Press.

    Google Scholar 

  • McFall, R. M. (1982). A review and reformulation of the concept of social skills. Behavioral Assessment, 4, 1–33.

    Google Scholar 

  • McFall, R. M., & Dodge, K. A. (1982). Self-management and interpersonal skills learning. In P. Karoly & F. Kanfer (Eds.), Self-management and behavior change: From theory to practice (pp. 353–392). New York: Pergamon Press.

    Google Scholar 

  • McManus, F., & Waller, G. (1995). A functional analysis of binge-eating. Clinical Psychology Review, 15, 845–863.

    Google Scholar 

  • Mischel, W. (1968). Personality and assessment. New York: Wiley.

    Google Scholar 

  • Neckowitz, P., & Morrison, T. L. (1991). Interactional coping strategies of normal-weight bulimic women in intimate and nonintimate stressful situations. Psychological Reports, 69, 1167–1175.

    Google Scholar 

  • Peterson, C. B., & Mitchell, J. E. (1999). Psychosocial and pharmacological treatment of eating disorders: A review of research findings. Journal of Clinical Psychology, 55, 685–697.

    Google Scholar 

  • Polivy, J., & Herman, C. P. (1993). Etiology of binge eating: Psychological mechanisms. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment, and treatment (pp. 173–205). New York: Guilford Press.

    Google Scholar 

  • Rorty, M., Yager, J., Buckwalter, J. G., & Rossotto, E. (1999). Social support, social adjustment, and recovery status in bulimia nervosa. International Journal of Eating Disorders, 26, 1–12.

    Google Scholar 

  • Schlundt, D. G., Johnson, W. G., & Jarrell, M. P. (1985). A naturalistic functional analysis of eating behavior in bulimia and obesity. Advances in Behavior Research and Therapy, 7, 149–162.

    Google Scholar 

  • Schlundt, D. G., Johnson, W. G., & Jarrell, M. P. (1986). A sequential analysis of environmental, behavioral, and affective variables predictive of vomiting in bulimia nervosa. Behavioral Assessment, 8, 253–269.

    Google Scholar 

  • Shatford, L. A., & Evans, D. R. (1986). Bulimia as a manifestation of the stress process: A LISREL causal modeling analysis. International Journal of Eating Disorders, 5, 451–473.

    Google Scholar 

  • Stice, E. (1999). Clinical implications of psychosocial research on bulimia nervosa and binge-eating disorder. Journal of Clinical Psychology, 55, 675–683.

    Google Scholar 

  • Stickney, M. I., & Miltenberger, R. G. (1999). Evaluating direct and indirect measures for the functional assessment of binge eating. International Journal of Eating Disorders, 26, 195–204.

    Google Scholar 

  • Soukup, V. M., Beiler, M. E., & Terrell, F. (1990). Stress, coping style, and problem solving ability among eating-disordered inpatients. Journal of Clinical Psychology, 46, 592–599.

    Google Scholar 

  • Troop, N. A., Holbrey, A., Trowler, R., & Treasure, J. L. (1994). Ways of coping in women with eating disorders. Journal of Nervous and Mental Disease, 182, 535–540.

    Google Scholar 

  • Troop, N. A., Holbrey, A., & Treasure, J. L. (1998). Stress, coping, and crisis support in eating disorders. International Journal of Eating Disorders, 24, 157–166.

    Google Scholar 

  • Van Buren, D. J., & Williamson, D. A. (1988). Marital relationships and conflict resolution skills of bulimics. International Journal of Eating Disorders, 7, 735–741.

    Google Scholar 

  • Ward, C. I., & McFall, R. M. (1986). Further validation of the Problem Inventory for Adolescent Girls: Comparing Caucasian and Black delinquents and nondelinquents. Journal of Consulting and Clinical Psychology, 54, 732–733.

    Google Scholar 

  • Wilfley, D. E., Agras, W. S., Telch, C. F., Rossiter, E. M., Schneider, J. A., Cole, A. G., Sifford, L., & Raeburn, S. D. (1993). Group cognitive-behavioral therapy and group interpersonal psychotherapy for the nonpurging bulimic individual: A controlled comparison. Journal of Consulting and Clinical Psychology, 61, 296–305.

    Google Scholar 

  • Wilson, G. T., Fairburn, C. G., & Agras, W. S. (1997). Cognitive-behavioral therapy for bulimia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of treatment for eating disorders, 2nd ed. (pp. 67–93). New York: Guilford Press.

    Google Scholar 

  • Yager, J., Rorty, M., & Rossotto, E. (1995). Coping styles differ between recovered and nonrecovered women with bulimia nervosa, but not between recovered women and non-eating-disordered control subjects. Journal of Nervous and Mental Disease, 183, 86–94.

    Google Scholar 

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Authors and Affiliations

  1. Indiana University, USA

    Richard M. McFall, Barbara J. Eason, Christine B. Edmondson & Teresa A. Treat

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  1. Richard M. McFall
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  2. Barbara J. Eason
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  3. Christine B. Edmondson
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  4. Teresa A. Treat
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Correspondence to Richard M. McFall.

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McFall, R.M., Eason, B.J., Edmondson, C.B. et al. Social Competence and Eating Disorders: Development and Validation of the Anorexia and Bulimia Problem Inventory. Journal of Psychopathology and Behavioral Assessment 21, 365–394 (1999). https://doi.org/10.1023/A:1022176917166

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