TY - JOUR T1 - Relationship Between Emotional Eating and Stress Levels in Pregnant Women and Affecting Factors TT - Gebelerde Duygusal Yeme ve Stres Düzeyi Arasındaki İlişki ve Etkileyen Faktörler AU - Yüksel, Rüveyda AU - Dündar, Tuğba PY - 2025 DA - August Y2 - 2025 DO - 10.29058/mjwbs.1621582 JF - Medical Journal of Western Black Sea JO - Med J West Black Sea PB - Zonguldak Bülent Ecevit Üniversitesi WT - DergiPark SN - 2822-4302 SP - 205 EP - 213 VL - 9 IS - 2 LA - en AB - 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 inthe third trimester visiting a public hospital for follow-up made up the sample. The Emotional Eating Scale, the Tilburg Pregnancy DistressScale, and a questionnaire form were instruments to collect data. Kruskal-Wallis test, Independent samples t-test, descriptive statisticalanalyses, 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 importantcorrelation was detected between participants’ emotional eating and education levels. Those who slept six hours or less during pregnancyand those who did not engage in at least thirty minutes of sports three days a week exhibited higher distress levels. Additionally, 43.3% of thewomen with pregnancy did not change their meal count during this period, while 41.5% ate due to emotions rather than hunger, indicatingthat eating habits influenced their mental state. All reasons for eating among women with pregnancy were found to impact their emotionaleating. 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 receivestress management training, nutritional counseling, and psychological support, and be encouraged to do physical activity KW - Emotional eating KW - pregnant KW - stress N2 - 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’yledeğerlendirildi.Bulgular: Gebelerin üçte biri ilk gebeliğini yaşamaktaydı, çoğunlukla ilköğretim düzeyinde eğitime sahiplerdi. Katılımcıların duygusal yemedüzeyleriyle eğitim düzeyi arasında anlamlı farklılık olduğu, gebeliği sırasında 6 saat ve daha az uyuyanlar ile haftada en az 3 gün 30 dk. sporyapmayanların distreslerinin yüksek olduğu görüldü. Gebelerin %43.3’ünün öğün sayısında değişiklik olmadığı, %41.5’inin gebelik sırasındaaçlık dışında duyguları nedeniyle de yemek yediği, yeme alışkanlıklarının ruhsal durumu üzerinde etkili olduğu belirlendi. Gebelerin tümyemek 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 düzeyiatmaktadır. Gebelere stres yönetimi eğitimleri, beslenme danışmanlığı, psikolojik destek verilmesi ve fiziksel aktivite konusunda teşvikedilmeleri önerilebilir. CR - 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 CR - 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 CR - 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 CR - 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 CR - 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 CR - 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 CR - 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 CR - 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 CR - 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 CR - 10. Yau YHC, Potenza M N. Stress and eatingbehaviors. MinervaEndocrinologica. 2013;38(3):255-67. CR - 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 CR - 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 CR - 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 CR - 14. Çelik AS, Atasever İ. Gebelerde algılanan stres düzeylerinin ve etkileyen faktörlerin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020;23(2):267-76. CR - 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 CR - 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 CR - 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 CR - 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. CR - 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 CR - 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 CR - 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. CR - 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. CR - 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 CR - 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 CR - 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 CR - 26. Tabachnick B, Fidell L. Using Multivariate Statistics. 6th ed., Boston, Pearson Education, 2013. CR - 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. CR - 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 CR - 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 CR - 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 CR - 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 CR - 32. Silvestri R, Aricò I. Sleepdisorders in pregnancy. Sleep Science. 2019;12(3):232. https://doi.org/10.5935/1984-0063.20190098 CR - 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 CR - 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 CR - 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 CR - 36. Artal R. Exercise and pregnancy. In: Clinical Maternal- Fetal Medicine. 1st ed., CRC Press; 2021. https://doi. org/10.1201/9781003222590-38 CR - 37. Sánchez-Polán M, Franco E, Silva-José C, Gil-Ares J, Pérez-Tejero J, Barakat R, Refoyo I. Exercise during pregnancy and prenatal depression: A systematic review and meta- analysis. Frontiers in Physiology. 2021;12:640024. https:// doi.org/10.3389/fphys.2021.640024 CR - 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 CR - 39. Erkılıç İ, Özenoğlu A. (2022). Gebelikte Yeme Tutumu ve Yeme Davranışı Bozuklukları. In: Önay Derin D, editors. Sağlık Bilimleri Alanında Uluslararası Araştırmalar VII. 1st ed., Konya, Eğitim Yayınevi, 89-113. CR - 40. Sarı S. Hamilelik döneminde yeme bozukluğu ile anksiyete ve depresyon arasındaki ilişki (Yayımlanmamış Yüksek Lisans Tezi), İstanbul, İstanbul Gelişim Üniversitesi, 2022, 1- 157. (Erişim Tarihi:16.01.2025, Adres: https://acikerisim.gelisim. edu.tr/xmlui/handle/11363/3924). CR - 41. Zhang J, Zhang Y, Huo S, Ma Y, Ke Y, Huang Z. Emotionaleating and its association with pregnancyweightgain and postpartumdepression: A prospectivecohort study. Journal of AffectiveDisorders. 2020;278:366-72. CR - 42. Carandang RR, Epel E, Radin R, Lewis JB, Ickovics JR, Cunningham SD. Perceivedstress and depressivesymptoms are associated with emotionaleating but not nutritionalıntake during pregnancy: A prospectivecohort study. Journal of Midwifery&- Women’s Health. 2024;69(1):64-70. https://doi.org/10.1111/ jmwh.13537 UR - https://doi.org/10.29058/mjwbs.1621582 L1 - https://dergipark.org.tr/tr/download/article-file/4528105 ER -