Hedonic Hunger in Pregnancy: Links to Dietary Inflammation, Distress, and Partner Support
Year 2026,
Volume: 13 Issue: 1
,
154
-
170
,
30.04.2026
Mevra Aydın Çil
,
Melisa Ünal
,
Beyza Nur Karakurt
,
Merve Karaoğlu
Abstract
Objectives: This study aimed to examine the relationship between hedonic hunger, the Dietary Inflammatory Index (DII), and various psychological factors in pregnant women.
Materials and Methods: This cross-sectional study was conducted between November 2023 and March 2024 using face-to-face interviews on 123 pregnant women in Erzurum Province. The data collection form consisted of five parts: the socio-demographic form, “Tilburg Pregnancy Distress Scale (TPDS)”, “Power of Food Scale (PFS-Tr)”, “Spouse Support Scale”, and Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). DII was calculated by using foods and nutrients derived from the SQ-FFQ data.
Results: Of the participants, 61.8% were aged 25–34 years, and 30.9% were high school graduates. It was found that 78% of the pregnant women were overweight/obese, and 74.8% had hedonic hunger. There was a statistically significant negative relationship between DII and spouse support scores of pregnant women (r=-0.24, p=0.007). Significant differences were observed in spouse support scores across hedonic hunger groups, with women reporting lower levels of hedonic hunger demonstrating higher spouse support compared to those with higher hedonic hunger (p<0.05).
Conclusion: This study showed for the first time in the literature that spousal support is associated with hedonic hunger and DII scores of pregnant women. Inadequate spousal support may lead to hedonic eating behavior and unhealthy nutrition. Understanding the interaction between dietary inflammatory potential and psychosocial factors is essential for developing preventive nutritional interventions aimed at protecting maternal and fetal health. These findings emphasize the importance of involving spouses in nutrition education programs for pregnant women.
Project Number
TÜBİTAK 2209-A Üniversite Öğrencileri Araştırma Projeleri Destekleme Programı kapsamında (proje numarası: 1919B012309094)
References
-
Abdollahi, S., Soltani, S., de Souza, R. J., Forbes, S. C., Toupchian, O., & Salehi-Abargouei, A. (2021). Associations between maternal dietary patterns and perinatal outcomes: a systematic review and meta-analysis of cohort studies. Advances in Nutrition, 12(4), 1332-1352.
-
Ahluwalia, N., Andreeva, V. A., Kesse-Guyot, E., & Hercberg, S. (2013). Dietary patterns, inflammation and the metabolic syndrome. Diabetes & Metabolism, 39(2), 99-110.
-
Bejarano, C. M., & Cushing, C. C. (2018). Dietary motivation and hedonic hunger predict palatable food consumption: An intensive longitudinal study of adolescents. Annals of Behavioral Medicine, 52(9), 773-786.
-
Berthoud, H. R. (2011). Metabolic and hedonic drives in the neural control of appetite: who is the boss? Current Opinion in Neurobiology, 21(6), 888-896.
-
Betts, G. M., Lipsky, L. M., Temmen, C. D., Siega-Riz, A. M., Faith, M. S., & Nansel, T. R. (2021). Poorer mental health and sleep quality are associated with greater self-reported reward-related eating during pregnancy and postpartum: An observational cohort study. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 58.
-
Bozkurt, O.&Yıldıran, H. (2022). The Relationship of Hedonic Hunger with Obesity in Children and Adolescents. Gazi Journal of Health Sciences, 7(2), 103-110.
-
Calli, B., & Dikmen, H. A. (2023). The relationship between spousal support and depression, anxiety, stress, and prenatal attachment in high-risk pregnancies. Annals of Medical Research, 30(6), 692-8
-
Cavicchia, P. P., Steck, S. E., Hurley, T. G., Hussey, J. R., Ma, Y., Ockene, I. S., & Hébert, J. R. (2009). A new dietary inflammatory index predicts interval changes in serum high-sensitivity C-reactive protein. The Journal of Nutrition, 139(12), 2365-2372.
-
Chen, X., Zhang, Z., Yang, H., Qiu, P., Wang, H., Wang, F., Zhao, Q., Fang, J., & Nie, J. (2020). Consumption of ultra-processed foods and health outcomes: A systematic review of epidemiological studies. Nutrition Journal, 19(1), 86.
-
Christian, L. M., & Porter, K. (2014). Longitudinal changes in serum proinflammatory markers across pregnancy and postpartum: effects of maternal body mass index. Cytokine, 70(2), 134-140.
-
Cummings, J. R., Lipsky, L. M., Schwedhelm, C., Liu, A., & Nansel, T. R. (2022). Associations of ultra- processed food intake with maternal weight change and cardiometabolic health and infant growth. International Journal of Behavioral Nutrition and Physical Activity, 19(1), 61.
-
Çapık, A. (2013). Validity and reliability study of the Tilburg Pregnancy Distress Scale (Doctoral dissertation). Atatürk University, Institute of Health Sciences, Department of Obstetrics and Gynecology Nursing, Erzurum, Türkiye.
-
Çelik, G., Yılmaz, E., Nazik, F., & Unver, H. (2023). Determination of distress, emotional eating and internalized weight bias levels of Turkish pregnant women. Journal of Obstetrics and Gynaecology, 43(1), 2153020.
-
De Cock, N., Van Lippevelde, W., Vervoort, L., Vangeel, J., Maes, L., Eggermont, S., Braet, C., Lachat, C., Huybregts, L., Goossens, L., Beullens, K., Kolsteren, P., & Van Camp, J. (2016). Sensitivity to reward is associated with snack and sugar-sweetened beverage consumption in adolescents. European journal of Nutrition, 55(4), 1623–1632.
-
Doğrul, E. (2020). The relationship between spousal support, maternal role, body image, and distress levels in pregnant women (Master’s thesis). Selçuk University, Institute of Health Sciences, Department of Midwifery, Konya, Türkiye.
-
Erhardt J, Beslenme Bilgi Sistemi (BeBiS)[Nutrition Information System] 7.1 Full Version. 2010, Stuttgart: Entwickelt an der Universität Hohenheim.
-
Farhangi, M. A., & Vajdi, M. (2020). The association between dietary inflammatory index and risk of central obesity in adults: an updated systematic review and meta-analysis. International Journal for Vitamin and Nutrition Research, 90(5); 535-552.
-
Hébert, J. R., Shivappa, N., Wirth, M. D., Hussey, J. R., & Hurley, T. G. (2019). Perspective: the Dietary Inflammatory Index (DII) lessons learned, improvements made, and future directions. Advances in Nutrition, 10(2), 185-195.
-
Ishibashi, M., Kyozuka, H., Yamaguchi, A., Fujimori, K., Hosoya, M., Yasumura, S., ... & Japan Environment and Children's Study (JECS) Group. (2020). Effect of proinflammatory diet before pregnancy on gestational age and birthweight: The Japan Environment and Children's Study. Maternal & Child Nutrition, 16(2), e12899.
-
Kabaran, S., & Ayaz, A. (2013). Effects of vitamins B12, folic acid, A, D, E and C on maternal and fetal health. Turkish Bulletin of Hygiene and Experimental Biology, 70(2), 103-12.
-
Karaağaoğlu, N., & Samur, G. E. (2017). Anne ve çocuk beslenmesi. Pegem Akademi.
-
Karamizadeh, M., Akbarzadeh, M., Gargari, B. P., Mahdavi, R., & Nikniaz, Z. (2024). Association between hedonic hunger and body mass index in adults: A systematic review and meta-analysis. Appetite, 199, 107395
-
Karamizadeh, M., Khalilitehrani, A., Akbarzadeh, M., Gargari, B. P., Mahdavi, R., & Nikniaz, Z. (2025). Association between hedonic hunger and food addiction: A systematic review and meta-analysis. Nutrition, Metabolism and Cardiovascular Diseases, 35(6), 103900
-
Killeen, S. L., Phillips, C. M., Delahunt, A., Yelverton, C. A., Shivappa, N., Hébert, J. R., ... & McAuliffe, F. M. (2021). Effect of an antenatal lifestyle intervention on dietary inflammatory index and its associations with maternal and fetal outcomes: a secondary analysis of the PEARS trial. Nutrients, 13(8), 2798.
-
Konttinen, H. (2020). Emotional eating and obesity in adults: the role of depression, sleep and genes. Proceedings of the Nutrition Society, 79(3), 283-289.
-
Lowe, M. R., Butryn, M. L., Didie, E. R., Annunziato, R. A., Thomas, J. G., Crerand, C. E., Ochner, C. N., Coletta, M. C., Bellace, D., Wallaert, M., & Halford, J. (2009). The Power of Food Scale. A new measure of the psychological influence of the food environment. Appetite, 53(1), 114–118.
-
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, 101343.
-
Mayr, S., Erdfelder, E., Buchner, A., & Faul, F. (2007). A short tutorial of GPower. Tutorials in Quantitative Methods for Psychology, 3(2), 51-59.
-
Monteiro, C. A., Cannon, G., Lawrence, M., Costa Louzada, M. D., & Pereira Machado, P. (2019). Ultra-processed foods, diet quality, and health using the NOVA classification system. Rome: FAO. 48.
-
Mulder, E. J., De Medina, P. R., Huizink, A. C., Van den Bergh, B. R., Buitelaar, J. K., & Visser, G. H. (2002). Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Human Development, 70(2),3-14.
-
Nansel, T. R., Lipsky, L. M., Faith, M., Liu, A., & Siega-Riz, A. M. (2020). The accelerator, the brake, and the terrain: Associations of reward-related eating, self-regulation, and the home food environment with diet quality during pregnancy and postpartum in the pregnancy eating attributes study (PEAS) cohort. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 149.
-
Nizamani, S., Agarwal, C. R. K., Somerset, S., & McFarlane, R. A. (2024). Together we win! Narratives of couples pursuing a healthy diet and physical activity: A qualitative study. Health Science Reports, 7(9), e70022.
-
Orloff, N. C., & Hormes, J. M. (2014). Pickles and ice cream! Food cravings in pregnancy: Hypotheses, preliminary evidence, and directions for future research. Frontiers in Psychology, 5, 1076.
-
Orloff, N. C., Flammer, A., Hartnett, J., Liquorman, S., Samelson, R., & Hormes, J. M. (2016). Food cravings in pregnancy: Preliminary evidence for a role in excess gestational weight gain. Appetite, 105, 259- 265.
-
Pop, V. J., Pommer, A. M., Pop-Purceleanu, M., Wijnen, H. A., Bergink, V., & Pouwer, F. (2011). Development of the Tilburg pregnancy distress scale: the TPDS. BMC Pregnancy and Childbirth, 11 (1), 80.
-
Rakıcıoğlu, N., Tek Acar, N., Ayaz, A. P. G., & Pekcan, G. (2009). Ölçü ve Miktarlar. Yemek ve Besin Fotoğraf Kataloğu. Ata Ofset Matbaacılık Ankara. (In Turkish)
-
Shivappa, N., Steck, S. E., Hurley, T. G., Hussey, J. R., & Hébert, J. R. (2014). Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutrition, 17(8), 1689-1696.
-
Shivappa, N., Godos, J., Hébert, J. R., Wirth, M. D., Piuri, G., Speciani, A. F., & Grosso, G. (2017). Dietary inflammatory index and cardiovascular risk and mortality. Nutrition, Metabolism and Cardiovascular Diseases, 27(6), 504–512.
-
Stok, F. M., De Vet, E., Wardle, J., Chu, M. T., De Wit, J., & De Ridder, D. T. (2015). Navigating the obesogenic environment: How psychological sensitivity to the food environment and self-regulatory competence are associated with adolescent unhealthy snacking. Eating Behaviors, 17, 19-22.
-
Türkkan, T., Bülbül, K., & Zemzemoğlu, T. E. A. (2025). The mediating role of depression, anxiety and stress in the relationship between hedonic eating and loneliness in women. Food and Health, 11(3), 268-278.
-
Ulker, I., Ayyildiz, F., & Yildiran, H. (2021). Validation of the Turkish version of the power of food scale in adult population. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26(4), 1179-1186.
-
Vainik, U., Neseliler, S., Konstabel, K., Fellows, L. K., Dagher, A. (2015). Eating traits questionnaires as a continuum of a single concept. Uncontrolled eating. Appetite, 90, 229-239.
-
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.
-
Yıldırım, İ. (2004). Development of spousal support scale. Turkish Psychological Counseling and Guidance Journal, 22(3), 19–26.
-
Yoshikawa, T., Orita, K., Watanabe, Y., Tanaka, M. (2012). Validation of the Japanese version of the power of food scale in a young adult population. Psychological Reports, 111(1), 253-265.
-
Zellner, D. A., Loaiza, S., Gonzalez, Z., Pita, J., Morales, J., Pecora, D., & Wolf, A. (2006). Food selection changes under stress. Physiology & Behavior, 87(4), 789–793.
-
World Medical Association. (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA, 310(20), 2191-2194.
Year 2026,
Volume: 13 Issue: 1
,
154
-
170
,
30.04.2026
Mevra Aydın Çil
,
Melisa Ünal
,
Beyza Nur Karakurt
,
Merve Karaoğlu
Project Number
TÜBİTAK 2209-A Üniversite Öğrencileri Araştırma Projeleri Destekleme Programı kapsamında (proje numarası: 1919B012309094)
References
-
Abdollahi, S., Soltani, S., de Souza, R. J., Forbes, S. C., Toupchian, O., & Salehi-Abargouei, A. (2021). Associations between maternal dietary patterns and perinatal outcomes: a systematic review and meta-analysis of cohort studies. Advances in Nutrition, 12(4), 1332-1352.
-
Ahluwalia, N., Andreeva, V. A., Kesse-Guyot, E., & Hercberg, S. (2013). Dietary patterns, inflammation and the metabolic syndrome. Diabetes & Metabolism, 39(2), 99-110.
-
Bejarano, C. M., & Cushing, C. C. (2018). Dietary motivation and hedonic hunger predict palatable food consumption: An intensive longitudinal study of adolescents. Annals of Behavioral Medicine, 52(9), 773-786.
-
Berthoud, H. R. (2011). Metabolic and hedonic drives in the neural control of appetite: who is the boss? Current Opinion in Neurobiology, 21(6), 888-896.
-
Betts, G. M., Lipsky, L. M., Temmen, C. D., Siega-Riz, A. M., Faith, M. S., & Nansel, T. R. (2021). Poorer mental health and sleep quality are associated with greater self-reported reward-related eating during pregnancy and postpartum: An observational cohort study. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 58.
-
Bozkurt, O.&Yıldıran, H. (2022). The Relationship of Hedonic Hunger with Obesity in Children and Adolescents. Gazi Journal of Health Sciences, 7(2), 103-110.
-
Calli, B., & Dikmen, H. A. (2023). The relationship between spousal support and depression, anxiety, stress, and prenatal attachment in high-risk pregnancies. Annals of Medical Research, 30(6), 692-8
-
Cavicchia, P. P., Steck, S. E., Hurley, T. G., Hussey, J. R., Ma, Y., Ockene, I. S., & Hébert, J. R. (2009). A new dietary inflammatory index predicts interval changes in serum high-sensitivity C-reactive protein. The Journal of Nutrition, 139(12), 2365-2372.
-
Chen, X., Zhang, Z., Yang, H., Qiu, P., Wang, H., Wang, F., Zhao, Q., Fang, J., & Nie, J. (2020). Consumption of ultra-processed foods and health outcomes: A systematic review of epidemiological studies. Nutrition Journal, 19(1), 86.
-
Christian, L. M., & Porter, K. (2014). Longitudinal changes in serum proinflammatory markers across pregnancy and postpartum: effects of maternal body mass index. Cytokine, 70(2), 134-140.
-
Cummings, J. R., Lipsky, L. M., Schwedhelm, C., Liu, A., & Nansel, T. R. (2022). Associations of ultra- processed food intake with maternal weight change and cardiometabolic health and infant growth. International Journal of Behavioral Nutrition and Physical Activity, 19(1), 61.
-
Çapık, A. (2013). Validity and reliability study of the Tilburg Pregnancy Distress Scale (Doctoral dissertation). Atatürk University, Institute of Health Sciences, Department of Obstetrics and Gynecology Nursing, Erzurum, Türkiye.
-
Çelik, G., Yılmaz, E., Nazik, F., & Unver, H. (2023). Determination of distress, emotional eating and internalized weight bias levels of Turkish pregnant women. Journal of Obstetrics and Gynaecology, 43(1), 2153020.
-
De Cock, N., Van Lippevelde, W., Vervoort, L., Vangeel, J., Maes, L., Eggermont, S., Braet, C., Lachat, C., Huybregts, L., Goossens, L., Beullens, K., Kolsteren, P., & Van Camp, J. (2016). Sensitivity to reward is associated with snack and sugar-sweetened beverage consumption in adolescents. European journal of Nutrition, 55(4), 1623–1632.
-
Doğrul, E. (2020). The relationship between spousal support, maternal role, body image, and distress levels in pregnant women (Master’s thesis). Selçuk University, Institute of Health Sciences, Department of Midwifery, Konya, Türkiye.
-
Erhardt J, Beslenme Bilgi Sistemi (BeBiS)[Nutrition Information System] 7.1 Full Version. 2010, Stuttgart: Entwickelt an der Universität Hohenheim.
-
Farhangi, M. A., & Vajdi, M. (2020). The association between dietary inflammatory index and risk of central obesity in adults: an updated systematic review and meta-analysis. International Journal for Vitamin and Nutrition Research, 90(5); 535-552.
-
Hébert, J. R., Shivappa, N., Wirth, M. D., Hussey, J. R., & Hurley, T. G. (2019). Perspective: the Dietary Inflammatory Index (DII) lessons learned, improvements made, and future directions. Advances in Nutrition, 10(2), 185-195.
-
Ishibashi, M., Kyozuka, H., Yamaguchi, A., Fujimori, K., Hosoya, M., Yasumura, S., ... & Japan Environment and Children's Study (JECS) Group. (2020). Effect of proinflammatory diet before pregnancy on gestational age and birthweight: The Japan Environment and Children's Study. Maternal & Child Nutrition, 16(2), e12899.
-
Kabaran, S., & Ayaz, A. (2013). Effects of vitamins B12, folic acid, A, D, E and C on maternal and fetal health. Turkish Bulletin of Hygiene and Experimental Biology, 70(2), 103-12.
-
Karaağaoğlu, N., & Samur, G. E. (2017). Anne ve çocuk beslenmesi. Pegem Akademi.
-
Karamizadeh, M., Akbarzadeh, M., Gargari, B. P., Mahdavi, R., & Nikniaz, Z. (2024). Association between hedonic hunger and body mass index in adults: A systematic review and meta-analysis. Appetite, 199, 107395
-
Karamizadeh, M., Khalilitehrani, A., Akbarzadeh, M., Gargari, B. P., Mahdavi, R., & Nikniaz, Z. (2025). Association between hedonic hunger and food addiction: A systematic review and meta-analysis. Nutrition, Metabolism and Cardiovascular Diseases, 35(6), 103900
-
Killeen, S. L., Phillips, C. M., Delahunt, A., Yelverton, C. A., Shivappa, N., Hébert, J. R., ... & McAuliffe, F. M. (2021). Effect of an antenatal lifestyle intervention on dietary inflammatory index and its associations with maternal and fetal outcomes: a secondary analysis of the PEARS trial. Nutrients, 13(8), 2798.
-
Konttinen, H. (2020). Emotional eating and obesity in adults: the role of depression, sleep and genes. Proceedings of the Nutrition Society, 79(3), 283-289.
-
Lowe, M. R., Butryn, M. L., Didie, E. R., Annunziato, R. A., Thomas, J. G., Crerand, C. E., Ochner, C. N., Coletta, M. C., Bellace, D., Wallaert, M., & Halford, J. (2009). The Power of Food Scale. A new measure of the psychological influence of the food environment. Appetite, 53(1), 114–118.
-
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, 101343.
-
Mayr, S., Erdfelder, E., Buchner, A., & Faul, F. (2007). A short tutorial of GPower. Tutorials in Quantitative Methods for Psychology, 3(2), 51-59.
-
Monteiro, C. A., Cannon, G., Lawrence, M., Costa Louzada, M. D., & Pereira Machado, P. (2019). Ultra-processed foods, diet quality, and health using the NOVA classification system. Rome: FAO. 48.
-
Mulder, E. J., De Medina, P. R., Huizink, A. C., Van den Bergh, B. R., Buitelaar, J. K., & Visser, G. H. (2002). Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Human Development, 70(2),3-14.
-
Nansel, T. R., Lipsky, L. M., Faith, M., Liu, A., & Siega-Riz, A. M. (2020). The accelerator, the brake, and the terrain: Associations of reward-related eating, self-regulation, and the home food environment with diet quality during pregnancy and postpartum in the pregnancy eating attributes study (PEAS) cohort. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 149.
-
Nizamani, S., Agarwal, C. R. K., Somerset, S., & McFarlane, R. A. (2024). Together we win! Narratives of couples pursuing a healthy diet and physical activity: A qualitative study. Health Science Reports, 7(9), e70022.
-
Orloff, N. C., & Hormes, J. M. (2014). Pickles and ice cream! Food cravings in pregnancy: Hypotheses, preliminary evidence, and directions for future research. Frontiers in Psychology, 5, 1076.
-
Orloff, N. C., Flammer, A., Hartnett, J., Liquorman, S., Samelson, R., & Hormes, J. M. (2016). Food cravings in pregnancy: Preliminary evidence for a role in excess gestational weight gain. Appetite, 105, 259- 265.
-
Pop, V. J., Pommer, A. M., Pop-Purceleanu, M., Wijnen, H. A., Bergink, V., & Pouwer, F. (2011). Development of the Tilburg pregnancy distress scale: the TPDS. BMC Pregnancy and Childbirth, 11 (1), 80.
-
Rakıcıoğlu, N., Tek Acar, N., Ayaz, A. P. G., & Pekcan, G. (2009). Ölçü ve Miktarlar. Yemek ve Besin Fotoğraf Kataloğu. Ata Ofset Matbaacılık Ankara. (In Turkish)
-
Shivappa, N., Steck, S. E., Hurley, T. G., Hussey, J. R., & Hébert, J. R. (2014). Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutrition, 17(8), 1689-1696.
-
Shivappa, N., Godos, J., Hébert, J. R., Wirth, M. D., Piuri, G., Speciani, A. F., & Grosso, G. (2017). Dietary inflammatory index and cardiovascular risk and mortality. Nutrition, Metabolism and Cardiovascular Diseases, 27(6), 504–512.
-
Stok, F. M., De Vet, E., Wardle, J., Chu, M. T., De Wit, J., & De Ridder, D. T. (2015). Navigating the obesogenic environment: How psychological sensitivity to the food environment and self-regulatory competence are associated with adolescent unhealthy snacking. Eating Behaviors, 17, 19-22.
-
Türkkan, T., Bülbül, K., & Zemzemoğlu, T. E. A. (2025). The mediating role of depression, anxiety and stress in the relationship between hedonic eating and loneliness in women. Food and Health, 11(3), 268-278.
-
Ulker, I., Ayyildiz, F., & Yildiran, H. (2021). Validation of the Turkish version of the power of food scale in adult population. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26(4), 1179-1186.
-
Vainik, U., Neseliler, S., Konstabel, K., Fellows, L. K., Dagher, A. (2015). Eating traits questionnaires as a continuum of a single concept. Uncontrolled eating. Appetite, 90, 229-239.
-
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.
-
Yıldırım, İ. (2004). Development of spousal support scale. Turkish Psychological Counseling and Guidance Journal, 22(3), 19–26.
-
Yoshikawa, T., Orita, K., Watanabe, Y., Tanaka, M. (2012). Validation of the Japanese version of the power of food scale in a young adult population. Psychological Reports, 111(1), 253-265.
-
Zellner, D. A., Loaiza, S., Gonzalez, Z., Pita, J., Morales, J., Pecora, D., & Wolf, A. (2006). Food selection changes under stress. Physiology & Behavior, 87(4), 789–793.
-
World Medical Association. (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA, 310(20), 2191-2194.