TY - JOUR T1 - Kadınlarda hedonik yeme ve yalnızlık arasındaki ilişkide depresyon, anksiyete ve stresin aracı rolü TT - The mediating role of depression, anxiety and stress in the relationship between hedonic eating and loneliness in women AU - Arpa Zemzemoğlu, Tuba Eda AU - Türkkan, Tuğba AU - Bülbül, Kenan PY - 2025 DA - July Y2 - 2025 DO - 10.3153/FH25023 JF - Food and Health JO - Food Health PB - Özkan ÖZDEN WT - DergiPark SN - 2602-2834 SP - 268 EP - 278 VL - 11 IS - 3 LA - tr AB - Bu çalışmada, yetişkin kadınlarda hedonik yeme ve yalnızlık arasındaki ilişkide depresyon, anksiyete ve stresin aracılık rollerinin incelenmesi amaçlanmıştır. Çalışmaya, Gümüşhane ilinde ikamet eden 278 kadın katılmıştır. Veriler Demografik Bilgi Formu, UCLA Yalnızlık Ölçeği, Depresyon Anksiyete Stres Ölçeği (DASS-21) ve Hedonik Yeme Ölçeği kullanılarak toplanmıştır. Analizlerde Bağımsız Gruplar T Testi, Tek Yönlü Varyans Analizi (ANOVA), Pearson Momentler Çarpımı Korelasyon Katsayısı ve Paralel Aracılık Analizi (PROCESS Macro Model 4) yöntemleri kullanılmıştır. Araştırma bulguları, hedonik yeme ile yalnızlık, depresyon, anksiyete ve stres arasında pozitif yönde anlamlı ilişkiler olduğunu göstermiştir. Aracılık analizi sonuçlarına göre, depresyon ve anksiyete değişkenlerinin hedonik yeme ile yalnızlık arasındaki ilişkide anlamlı aracı roller üstlendiği, stresin ise aracı rolünün bulunmadığı tespit edilmiştir. Elde edilen sonuçlar, hedonik yemenin bireylerin psikolojik iyilik halleri ve yalnızlık eğilimleri üzerinde dolaylı etkiler yarattığını göstermekte olup, müdahale programlarının duygusal düzenleme becerilerini geliştirmeye odaklanması gerektiğine işaret etmektedir. KW - Hedonik yeme KW - Yalnızlık KW - Depresyon KW - Anksiyete KW - Stres KW - Kadınlar N2 - This study aimed to examine the mediating roles of depression, anxiety, and stress in the relationship between hedonic eating and loneliness among adult women. The study sample consisted of 278 women residing in Gümüşhane, Turkey. Data were collected using a Demographic Information Form, the UCLA Loneliness Scale, the Depression Anxiety Stress Scale (DASS-21), and the Hedonic Eating Scale. Analyses were conducted using Independent Samples T-Test, One-Way Analysis of Variance (ANOVA), Pearson Product-Moment Correlation Coefficient, and Parallel Mediation Analysis (PROCESS Macro Model 4). The findings indicated that there were significant positive relationships between hedonic eating and loneliness, depression, anxiety, and stress. According to the results of the mediation analysis, depression and anxiety significantly mediated the relationship between hedonic eating and loneliness, whereas stress did not play a mediating role. These results suggest that hedonic eating exerts indirect effects on individuals’ psychological well-being and tendencies toward loneliness, highlighting the need for intervention programs focused on enhancing emotional regulation skills. CR - Açik, M., Bozdağ, A.N.S., Çakiroğlu, F.P. (2021). The quality and duration of sleep are related to hedonic hunger: a cross-sectional study in university students. Sleep and Biological Rhythms, 19, 163–172. https://doi.org/10.1007/s41105-020-00303-8 CR - Ackermans, M.A., Jonker, N.C., Bennik, E.C., de Jong, P.J. (2022). Hunger increases negative and decreases positive emotions in women with a healthy weight. Appetite, 168, 1–7. https://doi.org/10.1016/j.appet.2021.105746 CR - Akkaya, K.U., Uslu, B., Özcan, B.A. (2022). The relationship of hedonic hunger with depression and physical activity in students of faculty of health sciences. Topics in Clinical Nutrition, 37(1), 33–40. https://doi.org/10.1097/TIN.0000000000000267 CR - Aliasghari, F., Nazm, S.A., Yasari, S., Mahdavi, R., Bonyadi, M. (2021). Associations of the ANKK1 and DRD2 gene polymorphisms with overweight, obesity and hedonic hunger among women from the Northwest of Iran. Eating and Weight Disorders, 26(1), 305–312. https://doi.org/10.1007/s40519-020-00851-5 CR - Alonso-Alonso, M., Woods, S.C., Pelchat, M., Grigson, P.S., Stice, E., Farooqi, S. et al. (2015). Food reward system: current perspectives and future research needs. Nutr. Rev., 73, 296–307. https://doi.org/10.1093/nutrit/nuv002 CR - Atik, D., Neşe, A., Özcan Yüce, U. (2019). Scale development study: Hedonistic Eating Scale. Acta Medica Antalya, 3(2), 147–153. https://doi.org/10.30565/medalanya.545200 CR - Berthoud, H.R. (2012). The neurobiology of food intake in an obesogenic environment. Proc Nutr Soc, 71, 478–487. https://doi.org/10.1017/S0029665112000602 CR - Cacioppo, S., Capitanio, J.P., Cacioppo, J.T. (2014). Toward a neurology of loneliness. Psychological Bulletin, 140(6), 1464–1504. https://doi.org/10.1037/a0037618 CR - Demir, A. (1989). Validity and reliability of the UCLA loneliness scale. Turkish Journal of Psychology, 7(23), 14–18. CR - Doan, S. N., Xie, B., Zhou, Y., Lei, X., Reynolds, K. D. (2022). Loneliness and cravings for sugar-sweetened beverages among adolescents. Pediatr. Obes., 17, 1–8. https://doi.org/10.1111/ijpo.12834 CR - Epel, E.S., Crosswell, A.D., Mayer, S.E., Prather, A.A., Slavich, G.M., Puterman, E., Mendes, W.B. (2018). More than a feeling: A unified view of stress measurement for population science. Frontiers in Neuroendocrinology, 49, 146–169. https://doi.org/10.1016/j.yfrne.2018.03.001 CR - Eres, R., Lim, M.H., Lanham, S., Jillard, C., Bates, G. (2021). Loneliness and emotion regulation: implications of having social anxiety disorder. Australian Journal of Psychology, 73(1), 46–56. https://doi.org/10.1080/00049530.2021.1904498 CR - Ergen, D., Dokumacıoğlu, E., Yıldız, N. (2023). Beslenme ve diyetetik öğrencilerinin hedonik açlık durumlarının değerlendirilmesi: Artvin Çoruh Üniversitesi Örneği. Haliç Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 15–22. https://doi.org/10.48124/husagbilder.1159791 CR - Erşan, E.E., Kelleci, M., Bakay, B.B. (2013). Kalp Hastalarynda Psikososyal Uyum, Depresyon, Anksiyete ve Stres Düzeylerine Bir Bakış. Klinik Psikiyatri Dergisi, 16(4), 214–224. CR - Espel-Huynh, H., Muratore, A., Lowe, M. (2018). A narrative review of the construct of hedonic hunger and its measurement by the Power of Food Scale. Obesity Sci Practice, 4, 238–249. https://doi.org/10.1002/osp4.161 CR - Hawkley, L.C., Cacioppo, J.T. (2010). Loneliness matters: a theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40, 218–227. https://doi.org/10.1007/s12160-010-9210-8 CR - Jaremka, L.M., Fagundes, C.P., Peng, J., Belury, M.A., Andridge, R.R., Malarkey, W.B., Kiecolt-Glaser, J.K. (2015). Loneliness predicts postprandial ghrelin and hunger in women. Hormones and Behavior, 70, 57–63. https://doi.org/10.1016/j.yhbeh.2015.01.011 CR - Jung, J.Y., Kim, K.H., Woo, H.Y., Shin, D.W., Shin, Y.C., Oh, K.S., Lim, S.W. (2017). Binge eating is associated with trait anxiety in Korean adolescent girls: A cross sectional study. BMC Women’s Health, 17(8), 1–8. https://doi.org/10.1186/s12905-017-0364-4 CR - Kelly, T., Yang, W., Chen, C.S., Reynolds, K., He, J. (2008). Global burden of obesity in 2005 and projections to 2030. International Journal of Obesity, 32(9), 1431–1437. https://doi.org/10.1038/ijo.2008.102 CR - Lodder, G.M.A., Scholte, R.H.J., Goossens, L., Verhagen, M. (2015). Loneliness in early adolescence: friendship quantity, friendship quality, and dyadic processes. J. Clin. Child Adolesc. Psychol., 46(5), 709–720. https://doi.org/10.1080/15374416.2015.1070352 CR - Lovibond, S.H., Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scale. Sydney: Psychology Foundation of Australia. https://doi.org/10.1037/t01004-000 CR - Lowe, M.R., Butryn, M.L., Didie, E.R., Annunziato, R.A., Thomas, J.G., Crerand, C.E., Halford, J. (2009). The Power of Food Scale. A new measure of the psychological influence of the food environment. Appetite, 53(1), 114–118. https://doi.org/10.1016/j.appet.2009.05.016 CR - Luo, M. (2023). Social isolation, loneliness, and depressive symptoms: a twelve-year population study of temporal dynamics. The Journals of Gerontology: Series B, 78(2), 280–290. https://doi.org/10.1093/geronb/gbac174 CR - Mackinnon, D.P., Lockwood, C.M., Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39(1), 99–128. https://doi.org/10.1207/s15327906mbr3901_4 CR - Mason, T.B., Dunton, G.F., Gearhardt, A.N., Leventhal, A.M. (2020). Emotional disorder symptoms, anhedonia, and negative urgency as predictors of hedonic hunger in adolescents. Eating Behaviors, 36, 1–6. https://doi.org/10.1016/j.eatbeh.2019.101343 CR - Mead, B.R., Boyland, E.J., Christiansen, P., Halford, J.C., Jebb, S.A., Ahern, A.L. (2021). Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial. PloS One, 16(6), 1–13. https://doi.org/10.1371/journal.pone.0252110 CR - Obezite Tanı ve Tedavi Kılavuzu, 2024. Türkiye Endokrinoloji ve Metabolizma Derneği. Erişimlink: https://file.temd.org.tr/Uploads/publications/guides/documents/obezitetanitedavikilavizu-2024.pdf CR - Preacher, K.J., Hayes, A.F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, Computers, 36(4), 717–731. https://doi.org/10.3758/BF03206553 CR - Rodríguez-Bravo, A.E., De-Juanas, Á., García-Castilla, F.J. (2020). Effect of physical-sports leisure activities on young people’s psychological wellbeing. Frontiers in Psychology, 11, 1–9. https://doi.org/10.3389/fpsyg.2020.543951 CR - Rohde, K., Keller, M., la Cour, P.L., Blüher, M., Kovacs, P., Böttcher, Y. (2019). Genetics and epigenetics in obesity. Metabolism, 92, 37–50. https://doi.org/10.1016/j.metabol.2018.10.007 CR - Rosenqvist, E., Kiviruusu, O., Konttinen, H. (2022). The associations of socioeconomic status and financial strain with restrained and emotional eating among 42-year-old women and men. Appetite, 169, 1–7. https://doi.org/10.1016/j.appet.2021.105795 CR - Russell, D., Peplau, L.A., Ferguson, M.L. (1978). Developing a measure of loneliness. Journal of Personality Assessment, 42(3), 290–294. https://doi.org/10.1207/s15327752jpa4203_11 CR - Şarahman, C., Akçil Ok, M. (2019). Investigation of the relationship between hedonic status of adult ındividuals and food craving, ımpulsivity and self-esteem status. Journal of Traditional Medical Complementary Therapies, 2(2), 71–82. https://doi.org/10.5336/jtracom.2019-66520 CR - Sariçam, H. (2018). The psychometric properties of Turkish version of depression anxiety stress scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive Behavioral Psychotherapy and Research, 7(1), 19–30. https://doi.org/10.5455/JCBPR.274847 CR - Tabachnick, B., Fidell, L. (2019). Using multivariate statistics title: using multivariate statistics. In Pearson Education (6th ed., Vol. 5). USA: Pearson. CR - Tomiyama, A.J. (2019). Stress and Obesity. Annual Review of Psychology, 70, 703–718. https://doi.org/10.1146/annurev-psych-010418-102936 CR - Wheatley, S.D., Whitaker, M.J.G. (2019). Why do people overeat? Hunger, psychological eating and type 2 diabetes. Practical Diabetes, 36(4), 136–139. https://doi.org/10.1002/pdi.2232 CR - Yalçın, T., Ayyıldız, F., Yılmaz, M.V., Asil, E. (2023). Relationship of perceived depression, stress, anxiety levels and hedonic hunger. International Journal of Obesity, 47(8), 717–723. https://doi.org/10.1038/s41366-023-01315-3 CR - Yamada, M., Decety, J. (2009). Unconscious affective processing and empathy: An investigation of subliminal priming on the detection of painful facial expressions. Pain, 143(1), 71–75. https://doi.org/10.1016/j.pain.2009.01.028 CR - Yanguas, J., Pinazo-Henandis, S., Tarazona-Santabalbina, F.J. (2018). The complexity of loneliness. Acta Biomedica, 89(2), 302–314. CR - Yassıbaş, E., Bölükbaşı, H., Turan, İ.E., Demirel, A.M., Gürler, E. (2024). Hedonic hunger, food addiction, and night eating syndrome triangle in adolescents and ıts relationship with body mass ındex. Journal of Eating Disorders, 12(25), 1–8. https://doi.org/10.1186/s40337-024-00980-7 CR - World Obesity Federation. World Obesity Atlas 2023. Available from: https://www.worldobesity.org/resources/resource-library/world-obesity-atlas-2023 UR - https://doi.org/10.3153/FH25023 L1 - https://dergipark.org.tr/en/download/article-file/4627632 ER -