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Gebelerde Duygusal Yeme ve Stres Düzeyi Arasındaki İlişki ve Etkileyen Faktörler

Year 2025, Volume: 9 Issue: 2, 205 - 213, 31.08.2025

Abstract

Amaç: Gebelikte duygusal yeme ve stres arasındaki ilişkiyi ve bu ilişkiyi etkileyen faktörleri ele almaktır.
Gereç ve Yöntemler: Bu çalışma analitik-kesitsel tipte bir araştırmadır. Araştırmanın örneklemini kamuya bağlı bir hastanede izlenen 3.
trimesterdeki 282 gebe oluşturdu. Araştırmada anket formu, Duygusal Yeme Ölçeği ve Tilburg Gebelikte Distres Ölçeği kullanıldı.Veriler,
tanımlayıcı istatistiksel analizler, Bağımsız Örneklem t Testi, Tek Yönlü Varyans Analizi, Kruskal Wallis ve Mann Whitney U Testi’yle
değerlendirildi.
Bulgular: Gebelerin üçte biri ilk gebeliğini yaşamaktaydı, çoğunlukla ilköğretim düzeyinde eğitime sahiplerdi. Katılımcıların duygusal yeme
düzeyleriyle eğitim düzeyi arasında anlamlı farklılık olduğu, gebeliği sırasında 6 saat ve daha az uyuyanlar ile haftada en az 3 gün 30 dk. spor
yapmayanların distreslerinin yüksek olduğu görüldü. Gebelerin %43.3’ünün öğün sayısında değişiklik olmadığı, %41.5’inin gebelik sırasında
açlık dışında duyguları nedeniyle de yemek yediği, yeme alışkanlıklarının ruhsal durumu üzerinde etkili olduğu belirlendi. Gebelerin tüm
yemek yeme sebepleri duygusal yemeleri üzerinde etkiliydi. İki ölçek arasında pozitif yönlü anlamlılık olduğu saptandı (p=0.007).
Sonuç: Gebelerin kişisel özellikleriyle stres ve duygusal yeme eğilimleri arasında fark olup, gebelerde distres arttıkça duygusal yeme düzeyi
atmaktadır. Gebelere stres yönetimi eğitimleri, beslenme danışmanlığı, psikolojik destek verilmesi ve fiziksel aktivite konusunda teşvik
edilmeleri önerilebilir.

Ethical Statement

Bu çalışma için etik kurul onayı Aydın Adnan Menderes Üniversitesi Hemşirelik Fakültesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan (tarih: 02 Ağustos 2023, sayı: E-76261397-050.99-394226, Karar No: 1) alınmıştır.

Supporting Institution

YOK

Thanks

YOK

References

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  • 2. Ribeiro MM, Andrade A, Nunes I. (). Physical exercise in pregnancy: Benefits, risks and prescription. Journal of Perinatal Medicine. 2022;50(1):4-17. https://doi.org/10.1515/jpm-2021- 0315
  • 3. Pascal R, Casas I, Genero M, Nakaki A, Youssef L, Larroya M, Benitez L, Gomez Y, Martinez-Aran A, Morilla I, Oller-Guzmán TM, Martin-Asuero A, Vieta E, CrispiF,Gratacos E, Gomez- Roig MD, Crovetto F. Maternalstress, anxiety, well-being, and sleepquality in pregnantwomenthroughoutgestation. Journal of Clinical Medicine. 2023;12 (23):7333. https://doi.org/10.3390/ jcm12237333
  • 4. Uğurlu M, Arslan G, Yüksel M. The relationship between pregnancystress and sleepquality with trimester: pregnancystress and sleepquality. Göbeklitepe Sağlık Bilimleri Dergisi. 2023;6 (12):37-48. https://doi.org/10.55433/gsbd.149
  • 5. Bulguroğlu Hİ, Bulguroğlu M, Özkul Ç, Gündüz AG. (2023). Investigation of the effect of pilates exercises on posturalstability and fear of birth in pregnancy. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2023;7(3):530-40. https://doi. org/10.46237/amusbfd.1253720
  • 6. Al Hamimi J, Al Shidhani A, Al Mamari M, Al Wahaibi A, Al Awaidy ST. Eatingbehaviors during pregnancy: A cross-sectional study. Healthcare. 2024;12(16):1616. https://doi. org/10.3390/healthcare12161616
  • 7. Koçak Uyaroğlu A, Ünal E, Karabacak M. Genç kadınlarda duygusal yeme ile depresyon, anksiyete ve stres ilişkisi. Turkish Journal of Family Medicine and Primary Care. 2024;18(1):1-8. https://doi.org/10.21763/tjfmpc.1276022
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  • 15. Çelik G, Yılmaz E, Nazik F, Unver H. Determination of distress, emotionaleating and internalizedweightbiaslevels of Turkishpregnantwomen. J. Obstet. Gynaecol. (Lahore). 2023;43(1):1- 7. https://doi.org/10.1080/01443615.2022.2153020
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  • 17. Cordeiro AL, Santos BO, Souza CM, Santos RG. Functıonaleffects of aquaticexercise in pregnant: A systematıcrevıew. Clinical and Biomedical Research. 2021;41(4):339-46. https://doi. org/10.22491/2357-9730.106169
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  • 19. Agrisdian Z, Probandari A, Pamungkasari E. The Role of emotıonaleatıng a medıator in relatıonshıp between sleepduratıon and qualıtywıthcarbohydrateıntake among pregnantwomen. National Nutrition Journal/Media Gizi Indonesia. 2022;17(2):115-21. https://doi.org/10.20473/mgi.v17i2.115- 121
  • 20. Fariandini A, Fanani M, Mulyani S. doesemotionaleatingmediate the effect of physicalactivity and sleepduration on fatintake in pregnantwomen? Media Gizi Indonesia. 2022;17(3):273-80. https://doi.org/10.20473/mgi.v17i3.273-280
  • 21. Garaulet M, Canteras M, Morales E, López-Guimera G, Sánchez-Carracedo D, Corbalán-Tutau MD. Validation of a questionnaire on emotionaleating for use in cases of obesity; the EmotionalEaterQuestionnaire (EEQ). Nutr. Hosp. 2012;27(2):645-51.
  • 22. Arslantaş H, Dereboy F, Yüksel R, İnalkaç S. Duygusal Yeme Ölçeği›nin Türkçe çevirisinin geçerlik ve güvenirlik çalışması. Turk Psikiyatri Derg. 2019;30(X):1-10.
  • 23. Pop VJ, Pommer AM, Pop-Purceleanu M, Wijnen HA, Bergink V, Pouwer F. Development of the Tilburgpregnancydistressscale: the TPDS. BMC pregnancy and Childbirth. 2011;11:1-8. https://doi.org/10.1186/1471-2393-11-80
  • 24. Çapık A, Pasinlioglu T. Validity and reliability study of the TilburgPregnancyDistressScale into Turkish. J. Psychiatr. Ment. Health Nurs. 2015;22:260-69. https://doi.org/10.1037/t45991- 000
  • 25. Çapık A, Apay SE, Sakar T. Gebelerde distres düzeyinin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2015;18(3):196-203. https://doi.org/10.17049/ahsbd.97570
  • 26. Tabachnick B, Fidell L. Using Multivariate Statistics. 6th ed., Boston, Pearson Education, 2013.
  • 27. Albayrak A, Eroğlu A, Kalaycı Ş, Küçüksille E, Ak B, Karaatlı M, Keskin H. SPSS Uygulamalı Çok Değişkenli İstatistik Teknikler. 9th ed., Ankara, Asil Yayıncılık, 2005.
  • 28. Shriver LH, Eagleton SG, Hosseinzadeh M, Buehler C, Wideman L, Leerkes EM. Associations among eatingbehaviors, foodsecuritystatus, and dietaryintake during pregnancy. Appetite. 2023;191:107062. https://doi.org/10.1016/j.appet. 2023.107062
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  • 30. Felder JN, Laraia B, Coleman-Phox K, Bush N, Suresh M, Thomas M, Adler N, Epel E, Prather AA. Poor sleepquality, psychologicaldistress, and the bufferingeffect of mindfulness training during pregnancy. BehavioralSleep Medicine. 2018;16(6):611-24. https://doi.org/10.1080/15402002.2016.12 66488
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  • 38. Marconcin P, Peralta M, Gouveia ER, Ferrari G, Carraca E, Ihle A, Marques A. Effects of exercise during pregnancy on postpartumdepression: A systematic review of meta-analyses. Biology. 2021;10(12):1331. https://doi.org/10.3390/biology10121331
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Relationship Between Emotional Eating and Stress Levels in Pregnant Women and Affecting Factors

Year 2025, Volume: 9 Issue: 2, 205 - 213, 31.08.2025

Abstract

Aim: Correlations between emotional eating and stress during pregnancy and related factors were examined in the present study.
Material and Methods: An analytical-cross-sectional study design was employed. Two hundred and eighty-two women with pregnancy in
the third trimester visiting a public hospital for follow-up made up the sample. The Emotional Eating Scale, the Tilburg Pregnancy Distress
Scale, and a questionnaire form were instruments to collect data. Kruskal-Wallis test, Independent samples t-test, descriptive statistical
analyses, one-way ANOVA, and Mann-Whitney U test were the methods of data analysis Results: Among women with pregnancy, one-third experienced their first pregnancy, and most had completed primary school. An important
correlation was detected between participants’ emotional eating and education levels. Those who slept six hours or less during pregnancy
and those who did not engage in at least thirty minutes of sports three days a week exhibited higher distress levels. Additionally, 43.3% of the
women with pregnancy did not change their meal count during this period, while 41.5% ate due to emotions rather than hunger, indicating
that eating habits influenced their mental state. All reasons for eating among women with pregnancy were found to impact their emotional
eating. A significant positive correlation was observed between the two scales (p=0.007).
Conclusion: A difference was detected between the characteristics of the women with pregnancy and stress and emotional eating tendencies.
As their distress increased, the level of their emotional eating increased as well. It can be recommended that women with pregnancy receive
stress management training, nutritional counseling, and psychological support, and be encouraged to do physical activity

References

  • 1. Gao M, Hu J, Yang L, Ding N, Wei X, Li L., Liu L, Ma Y, Wen, D. Association of sleepquality during pregnancy with stress and depression: A prospectivebirthcohort study in China. BMC Pregnancy and Childbirth. 2019;19:1-8. https://doi.org/10.1186/ s12884-019-2583-1
  • 2. Ribeiro MM, Andrade A, Nunes I. (). Physical exercise in pregnancy: Benefits, risks and prescription. Journal of Perinatal Medicine. 2022;50(1):4-17. https://doi.org/10.1515/jpm-2021- 0315
  • 3. Pascal R, Casas I, Genero M, Nakaki A, Youssef L, Larroya M, Benitez L, Gomez Y, Martinez-Aran A, Morilla I, Oller-Guzmán TM, Martin-Asuero A, Vieta E, CrispiF,Gratacos E, Gomez- Roig MD, Crovetto F. Maternalstress, anxiety, well-being, and sleepquality in pregnantwomenthroughoutgestation. Journal of Clinical Medicine. 2023;12 (23):7333. https://doi.org/10.3390/ jcm12237333
  • 4. Uğurlu M, Arslan G, Yüksel M. The relationship between pregnancystress and sleepquality with trimester: pregnancystress and sleepquality. Göbeklitepe Sağlık Bilimleri Dergisi. 2023;6 (12):37-48. https://doi.org/10.55433/gsbd.149
  • 5. Bulguroğlu Hİ, Bulguroğlu M, Özkul Ç, Gündüz AG. (2023). Investigation of the effect of pilates exercises on posturalstability and fear of birth in pregnancy. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2023;7(3):530-40. https://doi. org/10.46237/amusbfd.1253720
  • 6. Al Hamimi J, Al Shidhani A, Al Mamari M, Al Wahaibi A, Al Awaidy ST. Eatingbehaviors during pregnancy: A cross-sectional study. Healthcare. 2024;12(16):1616. https://doi. org/10.3390/healthcare12161616
  • 7. Koçak Uyaroğlu A, Ünal E, Karabacak M. Genç kadınlarda duygusal yeme ile depresyon, anksiyete ve stres ilişkisi. Turkish Journal of Family Medicine and Primary Care. 2024;18(1):1-8. https://doi.org/10.21763/tjfmpc.1276022
  • 8. Gonçalves S, Freitas F, Freitas-Rosa MA., Machado BC. Dysfunctionaleatingbehaviour, psychological well-being and adaptation to pregnancy: A study with women in the third trimester of pregnancy. Journal of Health Psychology. 2015;20(5):535-42. https://doi.org/10.1177/1359105315573432
  • 9. Faruga-Lewicka W, Staśkiewicz-Bartecka W, Janiszewska P, Grot M, Kardas M. Eatinghabitsrelated to pregnancy, body perception, attractiveness and self-confidence. Healthcare. 2024;12(19):1932. https://doi.org/10.3390/healthcare12191932
  • 10. Yau YHC, Potenza M N. Stress and eatingbehaviors. MinervaEndocrinologica. 2013;38(3):255-67.
  • 11. Tan CC, Chow CM. Stress and emotionaleating: The mediating role of eatingdysregulation. Personality and individualdifferences. 2014;66:1-4. https://doi.org/10.1016/j.paid.2014.02.033
  • 12. Van Strien T. Causes of emotionaleating and matchedtreatment of obesity. Current DiabetesReports. 2018;18(6):1-8. https://doi.org/10.1007/s11892-018-1000-x
  • 13. Blau LE, Orloff NC, Flammer A, Slatch C, Hormes JM. Foodcravingfrequencymediates the relationship between emotionaleating and excessweightgain in pregnancy. EatingBehaviors. 2018;31:120-24. https://doi.org/10.1016/j.eatbeh.2018.09.004
  • 14. Çelik AS, Atasever İ. Gebelerde algılanan stres düzeylerinin ve etkileyen faktörlerin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020;23(2):267-76.
  • 15. Çelik G, Yılmaz E, Nazik F, Unver H. Determination of distress, emotionaleating and internalizedweightbiaslevels of Turkishpregnantwomen. J. Obstet. Gynaecol. (Lahore). 2023;43(1):1- 7. https://doi.org/10.1080/01443615.2022.2153020
  • 16. Santos B, de Souza CM, Santos RG, Cordeiro ALL. Functionaleffects of aquaticexercise in pregnantwomen: A systematic review. ClinBiomedRes. 2021;41:339-46. https://doi. org/10.22491/2357-9730.106169
  • 17. Cordeiro AL, Santos BO, Souza CM, Santos RG. Functıonaleffects of aquaticexercise in pregnant: A systematıcrevıew. Clinical and Biomedical Research. 2021;41(4):339-46. https://doi. org/10.22491/2357-9730.106169
  • 18. Esin N. (2014). Örnekleme. In: Erdoğan S, Nahçıvan N, Esin N, editors.Hemşirelikte araştırma süreç, uygulama ve kritik. 5th ed., Nolbel Tıp Kitabevi; 2014. 167-92.
  • 19. Agrisdian Z, Probandari A, Pamungkasari E. The Role of emotıonaleatıng a medıator in relatıonshıp between sleepduratıon and qualıtywıthcarbohydrateıntake among pregnantwomen. National Nutrition Journal/Media Gizi Indonesia. 2022;17(2):115-21. https://doi.org/10.20473/mgi.v17i2.115- 121
  • 20. Fariandini A, Fanani M, Mulyani S. doesemotionaleatingmediate the effect of physicalactivity and sleepduration on fatintake in pregnantwomen? Media Gizi Indonesia. 2022;17(3):273-80. https://doi.org/10.20473/mgi.v17i3.273-280
  • 21. Garaulet M, Canteras M, Morales E, López-Guimera G, Sánchez-Carracedo D, Corbalán-Tutau MD. Validation of a questionnaire on emotionaleating for use in cases of obesity; the EmotionalEaterQuestionnaire (EEQ). Nutr. Hosp. 2012;27(2):645-51.
  • 22. Arslantaş H, Dereboy F, Yüksel R, İnalkaç S. Duygusal Yeme Ölçeği›nin Türkçe çevirisinin geçerlik ve güvenirlik çalışması. Turk Psikiyatri Derg. 2019;30(X):1-10.
  • 23. Pop VJ, Pommer AM, Pop-Purceleanu M, Wijnen HA, Bergink V, Pouwer F. Development of the Tilburgpregnancydistressscale: the TPDS. BMC pregnancy and Childbirth. 2011;11:1-8. https://doi.org/10.1186/1471-2393-11-80
  • 24. Çapık A, Pasinlioglu T. Validity and reliability study of the TilburgPregnancyDistressScale into Turkish. J. Psychiatr. Ment. Health Nurs. 2015;22:260-69. https://doi.org/10.1037/t45991- 000
  • 25. Çapık A, Apay SE, Sakar T. Gebelerde distres düzeyinin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2015;18(3):196-203. https://doi.org/10.17049/ahsbd.97570
  • 26. Tabachnick B, Fidell L. Using Multivariate Statistics. 6th ed., Boston, Pearson Education, 2013.
  • 27. Albayrak A, Eroğlu A, Kalaycı Ş, Küçüksille E, Ak B, Karaatlı M, Keskin H. SPSS Uygulamalı Çok Değişkenli İstatistik Teknikler. 9th ed., Ankara, Asil Yayıncılık, 2005.
  • 28. Shriver LH, Eagleton SG, Hosseinzadeh M, Buehler C, Wideman L, Leerkes EM. Associations among eatingbehaviors, foodsecuritystatus, and dietaryintake during pregnancy. Appetite. 2023;191:107062. https://doi.org/10.1016/j.appet. 2023.107062
  • 29. Flores-Quijano ME, Mota-González C, Rozada G, León-Rico JC, Gómez-López ME, Vega-Sánchez R. A Mexican Spanish adaptation of the DutchEatingBehaviorQuestionnaire: Psychometricproperties and ınfluence of sociodemographic variables in pregnantwomen. Nutrients. 2023;15 (14):3243. https://doi. org/10.3390/nu15143243
  • 30. Felder JN, Laraia B, Coleman-Phox K, Bush N, Suresh M, Thomas M, Adler N, Epel E, Prather AA. Poor sleepquality, psychologicaldistress, and the bufferingeffect of mindfulness training during pregnancy. BehavioralSleep Medicine. 2018;16(6):611-24. https://doi.org/10.1080/15402002.2016.12 66488
  • 31. Bacaro V, Benz F, Pappaccogli A, De Bartolo P, Johann AF, Palagini L, Lombardo C, Feige B, Riemann D, Baglioni C. Interventions for sleep problems during pregnancy: A systematic review. Sleep Medicine Reviews. 2020;50:101234. https://doi. org/10.1016/j.smrv.2019.101234
  • 32. Silvestri R, Aricò I. Sleepdisorders in pregnancy. Sleep Science. 2019;12(3):232. https://doi.org/10.5935/1984-0063.20190098
  • 33. Gregg VH, Ferguson JE. Exercise in pregnancy. Clinics in Sports Medicine. 2017;36 (4):741-752. https://doi.org/10.1016/j. csm.2017.05.005
  • 34. Davenport MH, McCurdy AP, Mottola MF, Skow RJ, Meah VL, Poitras VJ., Gray C, Garcia AJ, Sobierajski F, Riske L, James M, Kathol A, Nuspl M, Marchand AA, Nagpal TS, Slater LG, Weeks A, Barakat R, Mottola MF. Impact of prenatal exercise on both prenatal and postnatal anxiety and depressivesymptoms: A systematic review and meta-analysis. British journal Of Sports Medicine. 2018;52(21):1376-85. https://doi. org/10.1136/bjsports-2018-099697
  • 35. Traylor CS, Johnson JD, Kimmel MC, Manuck TA. Effects of psychologicalstress on adverse pregnancyoutcomes and nonpharmacologicapproaches for reduction: An expert review. American Journal of Obstetrics&Gynecology MFM. 2020;2(4):100229. https://doi.org/10.1016/j.ajogmf. 2020.100229
  • 36. Artal R. Exercise and pregnancy. In: Clinical Maternal- Fetal Medicine. 1st ed., CRC Press; 2021. https://doi. org/10.1201/9781003222590-38
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  • 38. Marconcin P, Peralta M, Gouveia ER, Ferrari G, Carraca E, Ihle A, Marques A. Effects of exercise during pregnancy on postpartumdepression: A systematic review of meta-analyses. Biology. 2021;10(12):1331. https://doi.org/10.3390/biology10121331
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There are 42 citations in total.

Details

Primary Language English
Subjects Psychosocial Aspects of Childbirth and Perinatal Mental Health, Health Services and Systems (Other)
Journal Section Research Article
Authors

Rüveyda Yüksel 0000-0002-5997-4155

Tuğba Dündar 0000-0002-6693-0820

Publication Date August 31, 2025
Submission Date January 18, 2025
Acceptance Date July 18, 2025
Published in Issue Year 2025 Volume: 9 Issue: 2

Cite

Vancouver Yüksel R, Dündar T. Relationship Between Emotional Eating and Stress Levels in Pregnant Women and Affecting Factors. Med J West Black Sea. 2025;9(2):205-13.

Medical Journal of Western Black Sea is a scientific publication of Zonguldak Bulent Ecevit University Faculty of Medicine.

This is a refereed journal, which aims at achieving free knowledge to the national and international organizations and individuals related to medical sciences in publishedand electronic forms.

This journal is published three annually in April, August and December.
The publication language of the journal is Turkish and English.