Social Rank and Rejection Sensitivity as Mediators of the Relationship between Insecure Attachment and Disordered Eating
European Eating Disorders Review
Published online on July 28, 2017
Abstract
Aim
The current study assessed a new interpersonal model for eating disorders (EDs), in which interpersonal rejection sensitivity (RS), appearance‐based RS and social rank were hypothesised to mediate the relationship between insecure attachment and disordered eating.
Method
The sample comprised a clinical ED group (N = 122) and a control group (N = 622). Participants were asked to complete a number of self‐report measures related to the variables of interest.
Results
Invariance testing indicated that the model was structurally non‐invariant (different across groups). For the ED group, appearance‐based RS and social rank were significant mediators of the relationship between insecure attachment and disordered eating. For the controls, the relationship between insecure attachment and disordered eating was mediated through multiple pathways involving interpersonal RS, appearance‐based RS and social rank.
Conclusion
These findings may inform existing therapies such as interpersonal psychotherapy for EDs, by emphasising the role of sensitivity to rejection in the development and maintenance of disordered eating. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.