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A cross-sectional survey of eating behaviors and psychological factors among young people some psychological factors and eating behaviors

Year 2024, Volume: 5 Issue: 5, 231 - 237, 26.10.2024
https://doi.org/10.47582/jompac.1511388

Abstract

Aims: Understanding the cognitive, behavioral, and psychological issues associated with eating provides important insight into the development of diseases such as obesity and anorexia, and possibly ways to prevent or treat their occurrence. This study aims to examine the associations between cognitive, behavioral, and emotional aspects of eating habits and psychological factors such as depression, anxiety, and stress among young people.
Methods: The study was conducted with 390 university students, 43.3% male and 56.7% female. The data of the study were gathered via a survey form. The survey form includes a personal information form, the Three Factors Eating Questionnaire (TFEQ-R21) and the Depression, Anxiety and Stress Scale (DASS-21).
Results: It was determined that individuals with depression, anxiety and stress had higher uncontrolled eating, cognitive restraint and emotional eating scores than healthy individuals (p<0.05). Emotional eating scores of women were greater than those of men (r= 0.141; p=0.001). A 1-point increase in stress score was associated with 0.330 and 0.207 point increases in uncontrolled eating and cognitive restraint scores, respectively (p<0.001). A 1- point increase in depression score increases the emotional eating score by 0.261 points (p<0.001).
Conclusion: Depression, anxiety, and stress were significantly linked to disordered eating behaviors, highlighting the need for integrated mental health and nutritional interventions. In future studies, evaluating the effects of these psychological factors on food and nutrient intakes may contribute to the determination of the nutritional status of young adults.

References

  • Hernandez J, Bamwesigye D, Horak M. Eating behaviors of university students. Am J Public Health. 2016;100:216-222.
  • Ohara K, Mase T, Kouda K, et al. Association of anthropometric status, perceived stress, and personality traits with eating behavior in university students. Eat Weight Disord. 2019;24:521-531.
  • Suwalska J, Kolasińska K, Łojko D, et al. Eating behaviors, depressive symptoms and lifestyle in university students in Poland. Nutrients. 2022;14(5):1106.
  • Grzelak T, Dutkiewicz A, Paszynska E, et al. Neurobiochemical and psychological factors influencing the eating behaviors and attitudes in anorexia nervosa. J Physiol Biochem. 2017;73:297-305.
  • Stewart MC, Schiavo RS, Herzog DB, et al. Stereotypes, prejudice and discrimination of women with anorexia nervosa. Eur Eat Disord Rev. 2008;16(4):311-318.
  • Karakuş SŞ, Yıldırım H, Büyüköztürk Ş. Üç faktörlü yeme ölçeğinin Türk kültürüne uyarlanması: Geçerlik ve güvenirlik çalışması. TAF Preventive Med Bullet. 2016;15(3):229-237.
  • Grossniklaus DA, Dunbar SB, Tohill BC, et al. Psychological factors are important correlates of dietary pattern in overweight adults. J Cardiovasc Nurs. 2010;25(6):450-460.
  • Erden SC, Yilmaz BK, Kozaci N, et al. The relationship between depression, anxiety, and stress levels and eating behavior in emergency service workers. Cureus. 2023;15(2):e35504.
  • Araiza AM, Lobel M. Stress and eating: Definitions, findings, explanations, and implications. Soc Personal Psychol Compass. 2018;12(4):e12378.
  • Herman JP, McKlveen JM, Ghosal S, et al. Regulation of the hypothalamic-pituitary-adrenocortical stress response. Compr Physiol. 2016;6(2):603.
  • Mooreville M, Shomaker LB, Reina SA, et al. Depressive symptoms and observed eating in youth. Appetite. 2014;75:141-149.
  • Dakanalis A, Mentzelou M, Papadopoulou SK, et al. The association of emotional eating with overweight/obesity, depression, anxiety/stress, and dietary patterns: a review of the current clinical evidence. Nutrients. 2023;15(5):1173.
  • Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29(1):71-83.
  • Karlsson J, Persson L-O, Sjöström L, et al. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int J Obes. 2000;24(12):1715-1725.
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther. 1995;33(3):335-343.
  • Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): construct validity and normative data in a large non‐clinical sample. Br J Clin Psychol. 2005;44(2): 227-239.
  • Yılmaz Ö, Boz H, Arslan A. Depresyon anksiyete stres ölçeğinin (DASS 21) Türkçe kisa formunun geçerlilik-güvenilirlik çalişmasi. FESA. 2017;2(2):78-91.
  • Tabachnick BG, Fidell LS. Using multivariate statistics, 6th edn Boston. Ma: Pearson. 2013.
  • Paans NP, Bot M, Brouwer IA, et al. The association between depression and eating styles in four European countries: the MooDFOOD prevention study. J Psychosom Res. 2018;108:85-92.
  • Prefit AB, Szentagotai-Tătar A. Depression and disordered eating behaviors: the role of emotion regulation difficulties. J Evid Based Psychother. 2018;18(1)
  • Konttinen H. Emotional eating and obesity in adults: the role of depression, sleep and genes. Proc Nutr Soc. 2020;79(3):283-289.
  • Macht M. How emotions affect eating: a five-way model. Appetite. 2008;50(1):1-11.
  • Van Strien T. Causes of emotional eating and matched treatment of obesity. Curr Diab Rep. 2018;18:1-8.
  • Doumit R, Zeeni N, Sanchez Ruiz MJ, et al. Anxiety as a moderator of the relationship between body image and restrained eating. Perspect Psychiatr Care. 2016;52(4):254-264.
  • Chen J, Wang Z, Guo B, et al. Negative affect mediates effects of psychological stress on disordered eating in young Chinese women. 2012;
  • Kalkan Uğurlu Y, Mataracı Değirmenci D, Durgun H, et al. The examination of the relationship between nursing students’ depression, anxiety and stress levels and restrictive, emotional, and external eating behaviors in COVID‐19 social isolation process. Perspect Psychiatr Care. 2021;57(2):507-516.
  • Madalı B, Alkan ŞB, Örs ED, et al. Emotional eating behaviors during the COVID-19 pandemic:a cross-sectional study. Clin Nutr ESPEN. 2021;46:264-270.
  • Groesz LM, McCoy S, Carl J, et al. What is eating you? Stress and the drive to eat. Appetite. 2012;58(2):717-721.
  • Zakhour M, Haddad C, Sacre H, et al. Differences in the associations between body dissatisfaction and eating outcomes by gender? A Lebanese population study. Rev Epidemiol Sante Publique. 2021;69(3):134-144.
  • Smith JM, Serier KN, Belon KE, et al. Evaluation of the relationships between dietary restraint, emotional eating, and intuitive eating moderated by sex. Appetite. 2020;155:104817.
  • Lee S. The Relationship between coping style for stress and emotional eating behavior by gender difference. Korean J Community Nutr. 2018;33(1):11-17.
  • Filippone L, Shankland R, Hallez Q. The relationships between social media exposure, food craving, cognitive impulsivity and cognitive restraint. J Eat Disord. 2022;10(1):184.
  • Işgın K, Pekmez CT, Kabasakal A, et al. Adölesanlarda duygusal yeme, kontrolsüz yeme ve bilişsel yeme kısıtlaması davranışları ile vücut bileşimi arasındaki ilişkinin değerlendirilmesi. Beslenme ve Diyet Derg. 2014;42(2):125-131.
  • Taş E, Kabaran S. Sezgisel yeme, duygusal yeme ve depresyon: Antropometrik ölçümler üzerinde etkileri var mı. Sağlık ve Toplum. 2020;20(3):127-139.
  • Asil E, Yilmaz MV, Bodur M, et al. The effect of emotional eating on body weight and eating habits in adults. Med Sci. 2022;11(3)
  • Walker-Clarke A, Walasek L, Meyer C. Psychosocial factors influencing the eating behaviours of older adults: a systematic review. Ageing Res Rev. 2022;77:101597.
  • Leon E, Tabares M, Baile JI, et al. Eating behaviors associated with weight gain among university students worldwide and treatment interventions: a systematic review. J Am Coll Health. 2024;72(5):1624-1631.

Gençlerde Yeme Davranışlarının Bazı Psikolojik Faktörlere Göre Değerlendirilmesi: Kesitsel Bir Araştırma

Year 2024, Volume: 5 Issue: 5, 231 - 237, 26.10.2024
https://doi.org/10.47582/jompac.1511388

Abstract

Amaç: Yeme ile ilişkili bilişsel, davranışsal ve ruhsal sorunları anlamak, obezite ve anoreksiya gibi hastalıkların gelişimine önemli bir bakış açısı sağlayacak ve muhtemelen bunun ortaya çıkmasını önlemenin veya tedavi etmenin yollarını sağlayacaktır. Bu çalışmanın amacı, gençler arasında yeme alışkanlıklarının bilişsel, davranışsal ve duygusal yönleri ile deprsesyon, anksiyete ve stres arasındaki bağlantılarını incelemektir.
Yöntemler: Çalışma, çalışma kriterlerini karşılayan ve çalışmaya katılmaya gönüllü olan %43,3'ü erkek, %56,7'si kadın 390 üniversite öğrencisi ile yürütülmüştür. Çalışma verileri kişisel bilgi formu, üç faktörlü yeme anketi (TFEQ-R21) ve depresyon, anksiyete ve stres ölçeği (DASS-21) kullanılarak toplanmıştır.
Bulgular: Katılımcıların %30,5'inde depresyon, %13,1'inde anksiyete ve %61,3'ünde stres olduğu bulunmuştur. Depresyon, anksiyete ve stresi olan bireylerin kontrolsüz yeme, bilişsel kısıtlama ve duygusal yeme puanlarının sağlıklı bireylerden daha yüksek olduğu belirlenmiştir (p<0,05). Kadınların duygusal yeme puanları erkeklerden daha yüksek bulunmuştur (r= 0.141; p=0.001). Stres puanındaki 1 puanlık artış kontrolsüz yeme ve bilişsel kısıtlama puanlarında sırasıyla 0,330 ve 0,207 puanlık artış ile ilişkilendirilmiştir (p<0,001). Depresyon puanındaki 1 puanlık artış duygusal yeme puanını 0,261 puan artırmaktadır (p<0,001).
Sonuçlar: Depresyon, anksiyete ve stresin kontrolsüz yeme, bilişsel kısıtlama ve duygusal yeme davranışları ile bağlantılı olduğu bulunmuştur. Daha geniş örneklemli çalışmaların yapılması ve depresyon, anksiyete ve stresin diğer yeme davranışları ile karşılaştırılması, psikolojik faktörlerin yeme davranışları üzerindeki etkilerinin daha iyi anlaşılmasına katkıda bulunacaktır.

References

  • Hernandez J, Bamwesigye D, Horak M. Eating behaviors of university students. Am J Public Health. 2016;100:216-222.
  • Ohara K, Mase T, Kouda K, et al. Association of anthropometric status, perceived stress, and personality traits with eating behavior in university students. Eat Weight Disord. 2019;24:521-531.
  • Suwalska J, Kolasińska K, Łojko D, et al. Eating behaviors, depressive symptoms and lifestyle in university students in Poland. Nutrients. 2022;14(5):1106.
  • Grzelak T, Dutkiewicz A, Paszynska E, et al. Neurobiochemical and psychological factors influencing the eating behaviors and attitudes in anorexia nervosa. J Physiol Biochem. 2017;73:297-305.
  • Stewart MC, Schiavo RS, Herzog DB, et al. Stereotypes, prejudice and discrimination of women with anorexia nervosa. Eur Eat Disord Rev. 2008;16(4):311-318.
  • Karakuş SŞ, Yıldırım H, Büyüköztürk Ş. Üç faktörlü yeme ölçeğinin Türk kültürüne uyarlanması: Geçerlik ve güvenirlik çalışması. TAF Preventive Med Bullet. 2016;15(3):229-237.
  • Grossniklaus DA, Dunbar SB, Tohill BC, et al. Psychological factors are important correlates of dietary pattern in overweight adults. J Cardiovasc Nurs. 2010;25(6):450-460.
  • Erden SC, Yilmaz BK, Kozaci N, et al. The relationship between depression, anxiety, and stress levels and eating behavior in emergency service workers. Cureus. 2023;15(2):e35504.
  • Araiza AM, Lobel M. Stress and eating: Definitions, findings, explanations, and implications. Soc Personal Psychol Compass. 2018;12(4):e12378.
  • Herman JP, McKlveen JM, Ghosal S, et al. Regulation of the hypothalamic-pituitary-adrenocortical stress response. Compr Physiol. 2016;6(2):603.
  • Mooreville M, Shomaker LB, Reina SA, et al. Depressive symptoms and observed eating in youth. Appetite. 2014;75:141-149.
  • Dakanalis A, Mentzelou M, Papadopoulou SK, et al. The association of emotional eating with overweight/obesity, depression, anxiety/stress, and dietary patterns: a review of the current clinical evidence. Nutrients. 2023;15(5):1173.
  • Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29(1):71-83.
  • Karlsson J, Persson L-O, Sjöström L, et al. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int J Obes. 2000;24(12):1715-1725.
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther. 1995;33(3):335-343.
  • Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): construct validity and normative data in a large non‐clinical sample. Br J Clin Psychol. 2005;44(2): 227-239.
  • Yılmaz Ö, Boz H, Arslan A. Depresyon anksiyete stres ölçeğinin (DASS 21) Türkçe kisa formunun geçerlilik-güvenilirlik çalişmasi. FESA. 2017;2(2):78-91.
  • Tabachnick BG, Fidell LS. Using multivariate statistics, 6th edn Boston. Ma: Pearson. 2013.
  • Paans NP, Bot M, Brouwer IA, et al. The association between depression and eating styles in four European countries: the MooDFOOD prevention study. J Psychosom Res. 2018;108:85-92.
  • Prefit AB, Szentagotai-Tătar A. Depression and disordered eating behaviors: the role of emotion regulation difficulties. J Evid Based Psychother. 2018;18(1)
  • Konttinen H. Emotional eating and obesity in adults: the role of depression, sleep and genes. Proc Nutr Soc. 2020;79(3):283-289.
  • Macht M. How emotions affect eating: a five-way model. Appetite. 2008;50(1):1-11.
  • Van Strien T. Causes of emotional eating and matched treatment of obesity. Curr Diab Rep. 2018;18:1-8.
  • Doumit R, Zeeni N, Sanchez Ruiz MJ, et al. Anxiety as a moderator of the relationship between body image and restrained eating. Perspect Psychiatr Care. 2016;52(4):254-264.
  • Chen J, Wang Z, Guo B, et al. Negative affect mediates effects of psychological stress on disordered eating in young Chinese women. 2012;
  • Kalkan Uğurlu Y, Mataracı Değirmenci D, Durgun H, et al. The examination of the relationship between nursing students’ depression, anxiety and stress levels and restrictive, emotional, and external eating behaviors in COVID‐19 social isolation process. Perspect Psychiatr Care. 2021;57(2):507-516.
  • Madalı B, Alkan ŞB, Örs ED, et al. Emotional eating behaviors during the COVID-19 pandemic:a cross-sectional study. Clin Nutr ESPEN. 2021;46:264-270.
  • Groesz LM, McCoy S, Carl J, et al. What is eating you? Stress and the drive to eat. Appetite. 2012;58(2):717-721.
  • Zakhour M, Haddad C, Sacre H, et al. Differences in the associations between body dissatisfaction and eating outcomes by gender? A Lebanese population study. Rev Epidemiol Sante Publique. 2021;69(3):134-144.
  • Smith JM, Serier KN, Belon KE, et al. Evaluation of the relationships between dietary restraint, emotional eating, and intuitive eating moderated by sex. Appetite. 2020;155:104817.
  • Lee S. The Relationship between coping style for stress and emotional eating behavior by gender difference. Korean J Community Nutr. 2018;33(1):11-17.
  • Filippone L, Shankland R, Hallez Q. The relationships between social media exposure, food craving, cognitive impulsivity and cognitive restraint. J Eat Disord. 2022;10(1):184.
  • Işgın K, Pekmez CT, Kabasakal A, et al. Adölesanlarda duygusal yeme, kontrolsüz yeme ve bilişsel yeme kısıtlaması davranışları ile vücut bileşimi arasındaki ilişkinin değerlendirilmesi. Beslenme ve Diyet Derg. 2014;42(2):125-131.
  • Taş E, Kabaran S. Sezgisel yeme, duygusal yeme ve depresyon: Antropometrik ölçümler üzerinde etkileri var mı. Sağlık ve Toplum. 2020;20(3):127-139.
  • Asil E, Yilmaz MV, Bodur M, et al. The effect of emotional eating on body weight and eating habits in adults. Med Sci. 2022;11(3)
  • Walker-Clarke A, Walasek L, Meyer C. Psychosocial factors influencing the eating behaviours of older adults: a systematic review. Ageing Res Rev. 2022;77:101597.
  • Leon E, Tabares M, Baile JI, et al. Eating behaviors associated with weight gain among university students worldwide and treatment interventions: a systematic review. J Am Coll Health. 2024;72(5):1624-1631.
There are 37 citations in total.

Details

Primary Language English
Subjects Nutritional Science
Journal Section Research Articles [en] Araştırma Makaleleri [tr]
Authors

Kerim Kaan Göküstün 0000-0001-6725-4388

Kübra Kayaoğlu 0000-0001-5170-3935

Publication Date October 26, 2024
Submission Date July 5, 2024
Acceptance Date September 18, 2024
Published in Issue Year 2024 Volume: 5 Issue: 5

Cite

AMA Göküstün KK, Kayaoğlu K. A cross-sectional survey of eating behaviors and psychological factors among young people some psychological factors and eating behaviors. J Med Palliat Care / JOMPAC / jompac. October 2024;5(5):231-237. doi:10.47582/jompac.1511388

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