jnef Etkili Hemşirelik Dergisi 2980-3527 Dokuz Eylul University 10.46483/deuhfed.1161234 Nursing (Other) Hemşirelik (Diğer) Çocuklarda Stresin Duygusal Yeme Davranışına Etkisi Effects of Stress on Emotional Eating Behavior in Children https://orcid.org/0000-0003-4811-2098 Başkale Hatice PAMUKKALE UNIVERSITY https://orcid.org/0000-0003-0574-0270 Demiral Ümran DENİZLİ DEVLET HASTANESİ 01 15 2024 17 1 47 58 08 12 2022 08 08 2023 Copyright © 2008, Journal of Nursing Effect 2008 Journal of Nursing Effect

Giriş: Çocuklar anksiyete gibi duyguları bastırmak için yemeye başlandığında bu durum duygusal yeme ile sonuçlanabilir. Amaç: Bu çalışmanın amacı çocuklarda stresin duygusal yeme davranışına etkisini belirlemektir. Yöntem: Tanımlayıcı kesitsel çalışmanın örneklemini 5. ve 6. Sınıfta öğrenim gören 291 öğrenci oluştur-muştur. Veriler Sosyodemografik Bilgi Formu, Çocuk ve Adölesanlar için Duygusal Yeme Ölçeği ve Ço-cuklarda (8-11 Yaş) Algılanan Stres Ölçeği kullanılarak toplanmıştır. Verilerin analizinde tek yönlü varyans analizi, pearson korelasyon analizi ve regresyon analizi kullanılmıştır. Bulgular: Çocukların yaş ortalaması 10.50±0.50, %58.1’i kız, boylarının ortalaması 143.56±7.88, kilola-rının ortalaması 37.30±7.64 ve beden kitle indekslerinin ortalaması 18.01±2.86’dır. Çocuklarda Algılanan Stres Ölçeği ile Kaygı-Öfke-Hayal Kırıklığı Alt Boyutu arasında (r=.183, p<.05), Depresif Belirtiler Alt Boyutu arasında (r=.142, p<.05) ve Çocuk ve Adölesanlar İçin Duygusal Yeme Ölçeği arasında (r=.173, p<.05) istatistiksel olarak anlamlı ve pozitif yönde bir ilişki olduğu görülmüştür. Araştırmada stresin duygu¬sal yeme (t=2.979, p<.05) üzerinde istatistiksel olarak anlamlı bir etkisinin olduğu belirlenmiştir. Duygusal yeme üzerindeki değişimin %3’ünü açıkladığı görülmektedir (Düzenlenmiş R2=.030). Stresteki 1 birimlik artış, duygusal yeme üzerindeki .442’lik artışa (β=.442) neden olmaktadır. Sonuç: Bu çalışmadaki sonuçlar çocukların duygusal yeme davranışı sergilediklerini göstermektedir. Bu nedenle okul hemşirelerinin stres taraması yaparak stres yaşayan çocuklara stres yönetimi eğitimi vermesinin duygusal yemenin etkisini azaltabileceği düşünülmektedir.

Background: When children start eating to suppress emotions such as anxiety, this can result in emotional eating. Objectives: The aim of this study was to determine the effect of stress on emotional eating behavior in chil¬dren. Methods: The descriptive cross-sectional study’s sample consisted of 291 students in the 5th and 6th grades. Data were collected using the Sociodemographic Information Form, Emotional Eating Scale for Children and Adolescents, and Perceived Stress Scale for Children (8-11 Years). One-way analysis of variance, Pear¬son correlation analysis, and regression analysis used in the data analysis. Results: The mean age of the children was 10.50±0.50, 58.1% of them were girls, their average height was 143.56±7.88, their weight was 37.30±7.64, and their body mass index was 18.01±2.86. It was determined that a statistically significant and positive relationship between the Perceived Stress Scale in Children and Anxiety-Anger-Frustration Sub-Dimension (r=.183, p<.05), between Depressive Symptoms Sub-Dimension (r=.142, p<.05) and Emotional Eating Scale for Children and Adolescents (r= .173, p<.05). The study found that stress had a statistically significant effect on emotional eating (t=2.979, p<.05). It appears that 3% of the change in emotional eating is explained (Adjusted R2=.030). A 1-unit increase in stress causes an increase of .442 (β=.442) on emotional eating. Conclusion: The results of this study show that children exhibit emotional eating behavior. Therefore, it is thought that school nurses providing stress management training to children who experience stress by scan-ning for stress can reduce the effect of emotional eating.

 Çocuk Duygusal Yeme Stres Child Emotional Eating Stress Bektaş, M., Bektaş, I., Selekoğlu, Y., Kudubes, A. A., Altan, S. S., ve Ayar, D. (2016). Psychometric properties of the Turkish version of the Emotional Eating Scale for children and adolescents. Eating Behaviors, 22, 217-221. https://doi.org/10.1016/j.eatbeh.2016.06.021 Bennett, J., Greene, G., ve Schwartz-Barcott, D. (2013). Perceptions of emotional eating behavior: A qualitative study of college students. Appetite, 60, 187-192. https:// doi.org/10.1016/j.appet.2012.09.023 Boswell, N., Byrne, R., ve Davies, P. S. W. (2018). Eating behavior traits associated with demographic variables and implications for obesity outcomes in early childhood. Appetite, 120, 482-490. https://doi.org/10.1016/j. appet.2017.10.012 Braden, A., Emley, E., Watford, T., Anderson, L., ve Musher-Eizenman, D. (2020). Self-reported emotional eating is not related to greater food intake: Results from two laboratory studies. Psychology Health, 35(4), 500- 517. https://doi.org/10.1080/08870446.2019.1649406 Coker Ross, C. (2016). The emotional eating workbook: A proven-effective, step-by-step guide to end your battle with food and satisfy your soul, Canada:New Harbinger Publications Derks, I. P., Sijbrands, E. J., Wake, M., Qureshi, F., Van der Ende, J., Hillegers, M. H., ve Jansen, P. W. (2018). Eating behavior and body composition across childhood: A prospective cohort study. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 1-9. https://doi.org/10.1186/s12966-018-0725-x Echeverri-Alvarado, B., Pickett, S., ve Gildner, D. (2020). A model of post-traumatic stress symptoms on binge eating through emotion regulation difficulties and emotional eating. Appetite, 150, 104659. https://doi.org/10.1016/j. appet.2020.104659 Ek, A., Nordin, K., Nyström, C. D., Sandvik, P., Eli, K., ve Nowicka, P. (2020). Responding positively to “children who like to eat”: Parents’ experiences of skills-based 57 treatment for childhood obesity. Appetite, 145, 104488. https://doi.org/10.1016/j.appet.2019.104488 Ek, A., Vásquez‐Barquero, M. Y., Sandvik, P., Eli, K., Somaraki, M., ve Nowicka, P. (2021). The role of parental depression during early childhood obesity treatment— Secondary findings from a randomized controlled trial. Pediatric Obesity, 16(6), e12754. https://doi.org/10.1111/ ijpo.12754 Ekim, A., ve Ocakci, A. F. (2021). Emotional eating: Really hungry or just angry? Journal of Child Health Care, 25(4): 562–572. https://doi.org/10.1177/1367493520967831 Gallo, L. A., Gallo, T. F., Young, S. L., Moritz, K. M., ve Akison, L. K. (2020). The impact of isolation measures due to COVID-19 on energy intake and physical activity levels in Australian university students. Nutrients, 12(6), 1865. https://doi.org/10.3390/nu12061865 Gouveia, M. J., Canavarro, M. C., ve Moreira, H. (2019). How can mindful parenting be related to emotional eating and overeating in childhood and adolescence? The mediating role of parenting stress and parental child-feeding practices. Appetite, 138, 102-114. https://doi. org/10.1016/j.appet.2019.03.021 Herle, M., Fildes, A., ve Llewellyn, C. H. (2018). Emotional eating is learned not inherited in children, regardless of obesity risk. Pediatric Obesity, 13(10), 628-631. https:// doi.org/10.1111/ijpo.12428 Hill, D. C., Moss, R. H., Sykes-Muskett, B., Conner, M., ve O’Connor, D. B. (2018). Stress and eating behaviors in children and adolescents: Systematic review and meta-analysis. Appetite, 123, 14–22. https://doi.org/10.1016/j. appet.2017.11.109 Hsu, T., ve Raposa, E. B. (2021). Effects of stress on eating behaviours in adolescents: a daily diary investigation. Psychology Health, 36(2), 236-251. https://doi.org/10.10 80/08870446.2020.1766041 Jalo, E., Konttinen, H., Vepsäläinen, H., Chaput, J.-P., Hu, G., Maher, C… Fogelholm, M. (2019). Emotional eating, health behaviours, and obesity in children: A 12-country cross-sectional study. Nutrients, 11, 351. https://doi. org/10.3390/nu11020351 Jansen, E., Thapaliya, G., Aghababian, A., Sadler, J., Smith, K., ve Carnell S. (2021). Parental stress, food parenting practices and child snack intake during the COVID-19 pandemic. Appetite, 161, 105119. https://doi. org/10.1016/j.appet.2021.105119 Jáuregui-Lobera, I., ve Montes-Martínez, M. (2020). Emotional eating and obesity. Jáuregui-Lobera, I. (Der.), Psychosomatic Medicine içinde (ss. 1-8). London: Psychosom Med IntechOpen Işgın, K., Pekmez, C. T., Kabasakal, A., Demirel, Z. B., Besler, H. T., ve Çetin, C. (2014). Adölesanlarda duygusal yeme, kontrolsüz yeme ve bilişsel yeme kısıtlaması davranışları ile vücut bileşimi arasındaki ilişkinin değerlendirilmesi. Beslenme ve Diyet Dergisi, 42(2), 125- 131. Kemp, E., Bui, M., ve Grier, S. (2011). Eating their feelings: Examining emotional eating in at-risk groups in the United States. Journal of Consumer Policy, 34, 211– 229. https://doi.org/10.1007/s10603-010-9149-y Kininmonth, A. R., Smith, A. D., Llewellyn, C. H., ve Fildes, A. (2020). Socioeconomic status and changes in appetite from toddlerhood to early childhood. Appetite, 146, 104517. https://doi.org/10.1016/j.appet.2019.104517 Konttinen, H. (2020). Emotional eating and obesity in adults: The role of depression, sleep and genes. Proceedings of the Nutrition Society, 79, 283–289. https://doi. org/10.1017/S0029665120000166 Kumar, A., Yadav, G., Chauhan, N., ve Bodat, S. (2019). Prevalence of depression, anxiety and stress among school going adolescents in Delhi: a cross sectional study. International Journal of Community Medicine and Public Health, 6(12), 5021-5026. https://doi.org/10.18203/2394- 6040.ijcmph20195177 Limbers, C. A., ve Summers, A. (2021). Emotional Eating and Weight Status in Adolescents: A Systematic Review. International Journal of Environmental Research and Public Health, 18(3), 991. https://doi.org/10.3390/ ijerph18030991 López-Cepero, A., Frisard, C., Bey, G., Lemon, S. C., ve Rosal, M. C. (2020). Association between food insecurity and emotional eating in Latinos and the mediating role of perceived stress. Public Health Nutrition, 23(4), 642-648. https://doi.org/10.1017/S1368980019002878 Macht, M. (2008). How emotions affect eating: A five-way model. Appetite, 50, 1–11. https://doi.org/10.1016/j. appet.2007.07.002 Messerli-Bürgy, N., Stülb, K., Kakebeeke, T. H., Arhab, A., Zysset, A. E., Leeger-Aschmann, C. S, ve Munsch, S. (2018). Emotional eating is related with temperament but not with stress biomarkers in preschool children. Appetite, 120, 256-264. https://doi.org/10.1016/j.appet.2017.08.032 Moreno, L. A., Pigeot, I., ve Ahrens, W. (2011). Epidemiology of obesity in children and adolescents. New York: Springer58 Moss, R. H., Conner, M., ve O’Connor, D. B. (2021). Exploring the effects of positive and negative emotions on eating behaviours in children and young adults. Psychology, Health & Medicine, 26(4), 457-466. https:// doi.org/10.1080/13548506.2020.1761553 Nguyen-Rodriguez, S. T., Chou, C. P., Unger, J. B, ve Spruijt-Metz, D. (2008). BMI as a moderator of perceived stress and emotional eating in adolescents. Eating Behaviors, 9(2), 238-246. https://doi.org/10.1016/j. eatbeh.2007.09.001 Nguyen-Rodriguez, S. T, Unger, J. B., ve Spruijt-Metz, D. (2009). Psychological determinants of emotional eating in adolescence. Eating Disorders, 17(3), 211-224. https://doi. org/10.1080/10640260902848543 Oral, T., ve Ersan, C. (2017). Çocuklarda (8-11 yaş) Algılanan Stres Ölçeği’nin Türkçe’ye uyarlama çalışması. Selçuk Üniversitesi Edebiyat Fakültesi Dergisi, 37, 419- 428. https://doi.org/10.21497/sefad.328629 Power, T. G., Hidalgo-Mendez, J., Fisher, J. O., O’Connor, T. M., Micheli, N., ve Hughes, S. O. (2020). Obesity risk in Hispanic children: Bidirectional associations between child eating behavior and child weight status over time. Eating Behaviors, 36, 101366. https://doi.org/10.1016/j. eatbeh.2020.101366 Ramadhani, N., ve Mahmudiono, T. (2021). Academic stress is associated with emotional eating behavior among adolescent. Media Gizi Indonesia, 16(1), 38-47. https:// doi.org/10.204736/mgi.v16i1. 38–47 Roy, S., Bandyopadhyay, S., Bandyopadhyay, L., Dasgupta, A., Paul, B., ve Mandal, S. (2020). Nutritional status and eating behavior of children: A study among primary school children in a rural area of West Bengal. Journal of Family Medicine and Primary Care, 9(2), 844– 849. 10.4103/jfmpc.jfmpc_965_19 Shao, A. T., ve Zhou, K. Z. (2002). Marketing research: An aid to decision making. Cincinnati, Ohio: South-Western Thomson Learning Skolmowska, D., Głabska, D., ve Guzek, D. (2022). Body mass and emotional eating: Emotional Eater Questionnaire (EEQ) in the Polish adolescents’ COVID-19 experience (PLACE-19) study. Nutrients, 14, 828. https://doi. org/10.3390/nu14040828 Snoeren, F., ve Hoefnagels. C. (2014). Measuring Perceived Social Support and Perceived Stress Among Primary School Children in the Netherlands. Child Indicators Research, 7(3), 473-486. https://doi.org/10.1007/s12187- 013-9200-z Spencer, N., ve Acheson, D. (2018). Poverty and child health. London: CRC Press Tan, C. C., ve Holub, S. C. (2018). The effects of happiness and sadness on children’s snack consumption. Appetite, 123, 169-174. https://doi.org/10.1016/j.appet.2017.12.021 Tanofsky-Kraff, M., Theim, K. R., Yanovski, S. Z., Burns, N. P., Ranzenhofer, L. M., ve Yanovski, J. A. (2007). Validation of the emotional eating scale adapted for use in children and adolescents (EES-C). International Journal of Eating Disorders, 40(3), 232–240. https://doi.org/10.1002/ eat.20362 Tate, E. B., Spruijt-Metz, D., Pickering, T. A., ve Pentz, M. A. (2015). Two facets of stress and indirect effects on child diet through emotion-driven eating. Eating Behaviors, 18, 84-90.https://doi.org/10.1016/j.eatbeh.2015.04.006 Tryon, M. S., Carter, C. S., De Cant, R., ve Laugero, K. D. (2013). Chronic stress exposure may affect the brain’s response to high calorie food cues and predispose to obesogenic eating habits. Physiology & Behavior, 120, 233-242. https://doi.org/10.1016/j.physbeh.2013.08.010 Valero-García, A. V., Olmos-Soria, M., Madrid-Garrido, J., Martínez-Hernández, I., ve Haycraft, E. (2021). The role of Regulation and emotional eating behaviour in the early development of obesity. International Journal of Environmental Research and Public Health, 18, 11884. https://doi.org/10.3390/ijerph182211884 Werthmann, J., Renner, F., Roefs, A., Huibers, M. J. H., Plumanns, L., Krott, N., ve Jansen, A. (2014). Looking at food in sad mood: Do attention biases lead emotional eaters into overeating after a negative mood induction? Eating Behaviors, 15, 230–236. https://doi.org/10.1016/j. eatbeh.2014.02.001 Wu, Y. T., Huang, D. H., Hsu, T. H., ve Hong, F.Y. (2020). Children’s stress, negative emotions, emotional eating, and eating disorders: A moderated mediation model. Journal of Psychology in Africa, 30(5), 433-439. https://doi.org/10.1 080/14330237.2020.1821319