Lost in Emotion and Connection: The Interaction Between Alexithymia, Emotional Eating, and Digital Addictions in Middle Adolescence
Yıl 2025,
Cilt: 25 Sayı: 3, 163 - 171, 31.10.2025
Asli Devrim Lanpir
,
Özlem Akarsu
,
Hatice Kübra Barcın Güzeldere
,
Kardelen Düzgün
Mahmut Caner Us
Öz
Objective: This study aimed to investigate the relationships between alexithymia, emotional eating, and problematic digital media use (internet and smartphone addiction) during middle adolescence, examining both mediation and moderation models.
Materials and Methods: A cross-sectional study was conducted between November 27, 2024 and January 1, 2025 with 234 participants aged 14-17 years. Participants completed validated self-report measures assessing alexithymia (TAS-20), emotional eating (EES-C), internet addiction (IAT-SF), and smartphone addiction (SAS-SF). Multiple linear regression, mediation (PROCESS Model 4), and moderation (PROCESS Model 1) analyses were performed.
Results: The mean TAS-20 score was 55.1 (SD = 10.0), indicating moderate alexithymia, with girls scoring significantly higher than boys (p < 0.001, d = 0.53). Overall, 50.2% of the participants were classified as having smartphone addiction, with a higher prevalence in females (57.6%) than males (39.4%). The mean EES-C score was 58.2 (SD = 21.0), with no significant gender differences. Moderate positive correlations were found between alexithymia and both internet addiction (r = 0.44) and smartphone addiction (r = 0.33; both p < 0.05). Regression analysis revealed that internet addiction (B = 0.436, p < 0.001), but not smartphone addiction, significantly predicted alexithymia. Mediation analysis showed no significant indirect effect of emotional eating between alexithymia and internet addiction. Moderation analysis also revealed that alexithymia did not significantly moderate the emotional eating–internet addiction link.
Conclusion: While alexithymia was directly associated with problematic internet and smartphone use, emotional eating did not mediate or moderate these relationships. These findings suggest that emotional eating and technology use may represent independent emotional regulation pathways rather than interconnected outcomes during middle adolescence.
Etik Beyan
The study was conducted as part of the “School Health Practice Protocol” developed in collaboration with Istanbul Medeniyet University Rectorate and the Kartal District Directorate of National Education. After receiving ethical approval, adolescents and their parents were informed about the study's content, and those willing to participate provided written informed consent through the Voluntary Participation Consent Form. Only participants who signed the form and whose parents gave the consent were included in the study.
Destekleyen Kurum
Istanbul Medeniyet University
Teşekkür
Authors thank all the participants included in the present study.
Kaynakça
-
Christie D, Viner R. Adolescent development. BMJ. 2005 Feb 3;330(74 86):301-4. google scholar
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Sisk LM, Gee DG. Stress and adolescence: vulnerability and opportunity during a sensitive developmental window Current Opinion in Psychology. 2022 Apr 1;44:286-92. google scholar
-
Iannattone S, Miscioscia M, Raffagnato A, Gatta M. The Role of Alexithymia in Social Withdrawal during Adolescence: A Case-Control Study. Children. 2021 Feb;8(2):165. google scholar
-
Honkalampi K, Tolmunen T, Hintikka J, Rissanen ML, Kylma J, Laukkanen E. The prevalence of alexithymia and its relationship with the Youth Self-Report problem scales among Finnish adolescents. Comprehensive Psychiatry. 2009 May 1;50(3):263-8. google scholar
-
Westwood H, Kerr-Gaffney J, Stahl D, Tchanturia K. Alexithymia in eating disorders: Systematic review and meta-analyses of studies using the Toronto Alexithymia Scale Journal of Psychosomatic Research. 2017 Aug 1;99:66-81. google scholar
-
Yurtdaş Depboylu G, Fındık BE. Relationships among alexithymia, psychological distress, and disordered eating behaviors in adolescents. Appetite. 2024;200:107536. google scholar
-
Lozano-Blasco R, Latorre-Martınez M, Cortes-Pascual A. Screen addicts: A meta-analysis of internet addiction in adolescence Children and Youth Services Review. 2022 Apr 1;135:106373. google scholar
-
Kirmayer LJ, Raikhel E, Rahimi S. Cultures of the Internet: Identity, community, and mental Health Transcult Psychiatry. 2013;50(2):165-91. google scholar
-
Luo H, Zhao Y, Hong J, Wang H, Zhang X, Tan S. Effect of Alexithymia on Internet Addiction Among College Students: The Mediating Role of Metacognition Beliefs Front Psychol [Internet]. 2022 Jan 10 [cited 2025 Apr 28];12. https:// www.frontiersin.orghttps://www.frontiersin.org/journals/psychology/articles/ 10.3389/fpsyg.2021.788458/full google scholar
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Sunday OJ, Adesope OO, Maarhuis PL. The effects of smartphone addiction on learning: A meta-analysis. Computers in Human Behavior Reports. 2021 Aug 1;4:100114. google scholar
-
Buctot DB, Kim N, Kim JJ. Factors associated with smartphone addiction prevalence and its predictive capacity for health-related quality of life among Filipino adolescents Children and Youth Services Review. 2020;110:104758. google scholar
-
Islam MR, Mondol AA, Kundu R, et al. Prevalence, associated factors and consequence of problematic smartphone use among adolescents and young adults in Bangladesh: A cross-sectional study. PLOS ONE. 2024 Aug 26;19(8):e0308621. google scholar
-
Sohn SY, Rees P, Wildridge B, Kalk NJ, Carter B. Prevalence of problematic smartphone usage and associated mental health outcomes amongst children and young people: a systematic review, meta-analysis and GRADE of the evidence. BMC Psychiatry 2019;19:356. google scholar
-
Mahapatra A, Sharma P. Association of Internet addiction and alexithymia: A scoping review Addictive Behaviors. 2018;81:175-82. google scholar
-
Jin X, Jiang Q, Xiong W, Zhao W. Effects of use motivations and alexithymia on smartphone addiction: mediating role of insecure attachment. Front Psychol. 2023 Jul 17;14:1227931. google scholar
-
Szepietowska M, Nowak B, Dşbrowska A, Skinderowicz K, Wilczynski B, Krajewski PK, et al. Alexithymia in adolescents in Poland: an important issue in the holistic approach to patient care Postepy Dermatol Alergol. 2023 Feb;40(1):54-8. Mendia J, Zumeta LN, Cusi O, Pascual A, Alonso-Arbiol I, Dıaz V et al. Gender differences in alexithymia: insights from an updated meta-analysis. Personality and Individual Differences. 2024 Sep 1;227:112710. google scholar
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Varchetta M, Tagliaferri G, Mari E, Quaglieri A, Cricenti C, Giannini AM, et al. Exploring Gender Differences in Internet Addiction and Psychological Factors: A Study in a Spanish Sample Brain Sci. 2024 Oct 19;14(10):1037. google scholar
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Jââskelâinen A, Nevanperâ N, Remes J, Rahkonen F, Jârvelin MR, Laitinen J. Stress-related eating, obesity and associated behavioral traits in adolescents: a prospective population-based cohort study. BMC Public Health. 2014 Apr 7;14:321. google scholar
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Nguyen-Rodriguez ST, Unger ,Jennifer B., and Spruijt-Metz D. Psychological Determinants of Emotional Eating in Adolescence Eating Disorders. 2009 Apr 28;17(3):211-24. google scholar
-
Shank LM, Tanofsky-Kraff M, Kelly NR, Jaramillo M, Rubin SG, Altman DR, et al. The association between alexithymia and eating behavior in children and adolescents. Appetite. 2019;142:104381. google scholar
-
Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure J Psychosom Res. 1994 Jan;38(1):23-32. google scholar
-
Güleç H, Kose S, Yazici M, Çıtak S, Evren C, Borckardt J et al. The Turkish Version of the 20-Item Toronto Alexithymia Scale (TAS-20): Reliability, Validity, and Factorial Structure Bulletin of Clinical Psychopharmacology. 2009;19:214-20. google scholar
-
Bolat N, Yavuz M, Eliacik K, Zorlu A, Evren C, Kose S. Psychometric properties of the 20-Item Toronto Alexithymia Scale in a Turkish adolescent sample AP. 2017 Aug 1;18(4):362-8. google scholar
-
Tanofsky-Kraff M, Theim KR, Yanovski SZ, Bassett AM, Burns NP, Ranzenhofer LM, et al. Validation of the Emotional Eating Scale Adapted for Use in Children and Adolescents Int J Eat Disord. 2007 Apr;40(3):232-40. google scholar
-
Bektas M, Bektas I, Selekoğlu Y, Kudubes AA, Altan SS, Ayar D. Psychometric properties of the Turkish version of the Emotional Eating Scale for children and adolescents. Eat Behav. 2016 Aug;22:217-21. google scholar
-
YOUNG KS. Internet Addiction: The Emergence of a New Clinical Disorder. CyberPsychology & Behavior. 1998;1(3):237-44. google scholar
-
KUTLU M, SAVCI M, Demir Y, Aysan F. Young İnternet Bağımlılığı Testi Kısa Formunun Türkçe uyarlaması: Üniversite öğrencileri ve ergenlerde geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Dergisi. 2016 Feb 1;17:69-76. google scholar
-
Kwon M, Kim DJ, Cho H, Yang S. The Smartphone Addiction Scale: Development and Validation of a Short Version for Adolescents PLoS One. 2013;8(12):e83558. google scholar
-
Şata M, Karip F. Akıllı Telefon Bağımlılığı Ölçeği-Kısa Versiyonunun Ergenler İçin Türk Kültürüne Uyarlanması. CUE. 2018;6(4):426-40. google scholar
-
Neyzi O, Bundak R, Gökçay G, Günöz H, Furman A, Darendeliler F et al. Reference Values for Weight, Height, Head Circumference, and Body Mass Index in Turkish Children J Clin Res Pediatr Endocrinol. 2015;7(4):280-93. google scholar
-
CHILD METRICS [Internet]. [cited 2025 Jul 8]. Available from: https://www. ceddcozum.com/References google scholar
-
BMI-for-age (5-19 years) [Internet]. [cited 2025 Apr 28]. https://www.who.int/ tools/growth-reference-data-for-5to19-years/indicators/bmi-for-age google scholar
-
Muzi S, Di Trani M, Renzi A, Pace CS. Can alexithymia be assessed through an interview in adolescents? The Toronto Structured Interview for Alexithymia: Reliability, concurrent validity, discriminant validity, and relationships with emotional-behavioral symptoms Front Psychiatry [Internet]. 2023 Jan 18 [cited 2025 Apr 28];13. https://www.frontiersin.orghttps://www.frontiersin.org/ journals/psychiatry/articles/10.3389/fpsyt.2022.1055946/full google scholar
-
Kekkonen V, Kraav SL, Hintikka J, Kivimâki P, Kaarre O, Tolmunen T. The stability of alexithymia is low from adolescence to young adulthood, and the consistency of alexithymia is associated with symptoms of depression and dissociation. Journal of Psychosomatic Research. 2021 Nov 1;150:110629. google scholar
-
Joukamaa M, Taanila A, Miettunen J, Karvonen JT, Koskinen M, Veijola J. Epidemiology of alexithymia among adolescents J Psychosom Res. 2007 Oct;63(4):373-6. google scholar
-
Mnif D, Hadjkacem I, Sellami R. Alexithymia in adolescents treated for psychiatric disorders: A study of the relationship with Alexithymia in parents and with the parental link European Psychiatry. 2023 Mar;66(S1):S719-S719. google scholar
-
Erdem E, Efe YS, Özbey H. A predictor of emotional eating in adolescents: social anxiety. Archives of Psychiatric Nursing. 2023 Apr 1;43:71-5. google scholar
-
Toklu Baloglu H, Caferoglu Akin Z. A cross-sectional descriptive analysis of technology addiction in adolescents: associations with food addiction, emotional eating, and body weight status Journal of Health, Population and Nutrition. 2024 Nov 15;43(1):187. google scholar
-
Yilmaz Kafali H, Uçaktürk SA, Mengen E, Akpinar S, Erguven Demirtas M, Uneri OS. Emotion dysregulation and pediatric obesity: investigating the role of Internet addiction and eating behaviors on this relationship in an adolescent sample Eat Weight Disord. 2021 Aug 1;26(6):1767-79. google scholar
-
Domoff SE, Sutherland EQ, Yokum S, Gearhardt AN. Adolescents’ Addictive Phone Use: Associations with Eating Behaviors and Adiposity. International Journal of Environmental Research and Public Health. 2020;17(8):2861. google scholar
-
Sezer Efe Y, Döner S, Erdem E, Elmalı F. The Effect of Technology Addiction on Eating Behaviors and Physical Activity of Adolescents Int J meant Health Addiction [Internet]. 2023 Nov 27 [cited 2025 Apr 28]; Available from: https:// doi.org/10.1007/s11469-023-01205-9 google scholar
-
Türkkan T, Bülbül K, Yilmaz HÖ, Meriç ÇS. The relationship between internet and smartphone addiction and body mass index: The mediating role of eating behaviors Discov Public Health. 2025 Apr 15;22(1):165. google scholar
-
Onur EE, K. Muslu G, Manav G. Examining the relationship between subjective wellbeing and emotional eating in adolescents in Turkey Journal of Child and Adolescent Psychiatric Nursing. 2022;35(3):257-66. google scholar
-
Günaydın M, Kumcağız H. Investigation of eating behavior in adolescents in terms of family functionality Journal of Psychiatric Nursing. 2020;11(3):212-9. google scholar
-
Liu Y, Duan L, Shen Q, Ma Y, Chen Y, Xu L et al. The mediating effect of internet addiction and the moderating effect of physical activity on the relationship between alexithymia and depression Sci Rep. 2024 Apr 29;14(1):9781. google scholar
-
Estevez A, Jauregui P Macıa L, Martın-Perez C. Alexithymia and Emotion Regulation Strategies in Adolescent Gamblers with and Without At-Risk Profiles J Gambl Stud. 2022 Mar 1;38(1):15-29. google scholar
Yıl 2025,
Cilt: 25 Sayı: 3, 163 - 171, 31.10.2025
Asli Devrim Lanpir
,
Özlem Akarsu
,
Hatice Kübra Barcın Güzeldere
,
Kardelen Düzgün
Mahmut Caner Us
Kaynakça
-
Christie D, Viner R. Adolescent development. BMJ. 2005 Feb 3;330(74 86):301-4. google scholar
-
Sisk LM, Gee DG. Stress and adolescence: vulnerability and opportunity during a sensitive developmental window Current Opinion in Psychology. 2022 Apr 1;44:286-92. google scholar
-
Iannattone S, Miscioscia M, Raffagnato A, Gatta M. The Role of Alexithymia in Social Withdrawal during Adolescence: A Case-Control Study. Children. 2021 Feb;8(2):165. google scholar
-
Honkalampi K, Tolmunen T, Hintikka J, Rissanen ML, Kylma J, Laukkanen E. The prevalence of alexithymia and its relationship with the Youth Self-Report problem scales among Finnish adolescents. Comprehensive Psychiatry. 2009 May 1;50(3):263-8. google scholar
-
Westwood H, Kerr-Gaffney J, Stahl D, Tchanturia K. Alexithymia in eating disorders: Systematic review and meta-analyses of studies using the Toronto Alexithymia Scale Journal of Psychosomatic Research. 2017 Aug 1;99:66-81. google scholar
-
Yurtdaş Depboylu G, Fındık BE. Relationships among alexithymia, psychological distress, and disordered eating behaviors in adolescents. Appetite. 2024;200:107536. google scholar
-
Lozano-Blasco R, Latorre-Martınez M, Cortes-Pascual A. Screen addicts: A meta-analysis of internet addiction in adolescence Children and Youth Services Review. 2022 Apr 1;135:106373. google scholar
-
Kirmayer LJ, Raikhel E, Rahimi S. Cultures of the Internet: Identity, community, and mental Health Transcult Psychiatry. 2013;50(2):165-91. google scholar
-
Luo H, Zhao Y, Hong J, Wang H, Zhang X, Tan S. Effect of Alexithymia on Internet Addiction Among College Students: The Mediating Role of Metacognition Beliefs Front Psychol [Internet]. 2022 Jan 10 [cited 2025 Apr 28];12. https:// www.frontiersin.orghttps://www.frontiersin.org/journals/psychology/articles/ 10.3389/fpsyg.2021.788458/full google scholar
-
Sunday OJ, Adesope OO, Maarhuis PL. The effects of smartphone addiction on learning: A meta-analysis. Computers in Human Behavior Reports. 2021 Aug 1;4:100114. google scholar
-
Buctot DB, Kim N, Kim JJ. Factors associated with smartphone addiction prevalence and its predictive capacity for health-related quality of life among Filipino adolescents Children and Youth Services Review. 2020;110:104758. google scholar
-
Islam MR, Mondol AA, Kundu R, et al. Prevalence, associated factors and consequence of problematic smartphone use among adolescents and young adults in Bangladesh: A cross-sectional study. PLOS ONE. 2024 Aug 26;19(8):e0308621. google scholar
-
Sohn SY, Rees P, Wildridge B, Kalk NJ, Carter B. Prevalence of problematic smartphone usage and associated mental health outcomes amongst children and young people: a systematic review, meta-analysis and GRADE of the evidence. BMC Psychiatry 2019;19:356. google scholar
-
Mahapatra A, Sharma P. Association of Internet addiction and alexithymia: A scoping review Addictive Behaviors. 2018;81:175-82. google scholar
-
Jin X, Jiang Q, Xiong W, Zhao W. Effects of use motivations and alexithymia on smartphone addiction: mediating role of insecure attachment. Front Psychol. 2023 Jul 17;14:1227931. google scholar
-
Szepietowska M, Nowak B, Dşbrowska A, Skinderowicz K, Wilczynski B, Krajewski PK, et al. Alexithymia in adolescents in Poland: an important issue in the holistic approach to patient care Postepy Dermatol Alergol. 2023 Feb;40(1):54-8. Mendia J, Zumeta LN, Cusi O, Pascual A, Alonso-Arbiol I, Dıaz V et al. Gender differences in alexithymia: insights from an updated meta-analysis. Personality and Individual Differences. 2024 Sep 1;227:112710. google scholar
-
Varchetta M, Tagliaferri G, Mari E, Quaglieri A, Cricenti C, Giannini AM, et al. Exploring Gender Differences in Internet Addiction and Psychological Factors: A Study in a Spanish Sample Brain Sci. 2024 Oct 19;14(10):1037. google scholar
-
Jââskelâinen A, Nevanperâ N, Remes J, Rahkonen F, Jârvelin MR, Laitinen J. Stress-related eating, obesity and associated behavioral traits in adolescents: a prospective population-based cohort study. BMC Public Health. 2014 Apr 7;14:321. google scholar
-
Nguyen-Rodriguez ST, Unger ,Jennifer B., and Spruijt-Metz D. Psychological Determinants of Emotional Eating in Adolescence Eating Disorders. 2009 Apr 28;17(3):211-24. google scholar
-
Shank LM, Tanofsky-Kraff M, Kelly NR, Jaramillo M, Rubin SG, Altman DR, et al. The association between alexithymia and eating behavior in children and adolescents. Appetite. 2019;142:104381. google scholar
-
Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure J Psychosom Res. 1994 Jan;38(1):23-32. google scholar
-
Güleç H, Kose S, Yazici M, Çıtak S, Evren C, Borckardt J et al. The Turkish Version of the 20-Item Toronto Alexithymia Scale (TAS-20): Reliability, Validity, and Factorial Structure Bulletin of Clinical Psychopharmacology. 2009;19:214-20. google scholar
-
Bolat N, Yavuz M, Eliacik K, Zorlu A, Evren C, Kose S. Psychometric properties of the 20-Item Toronto Alexithymia Scale in a Turkish adolescent sample AP. 2017 Aug 1;18(4):362-8. google scholar
-
Tanofsky-Kraff M, Theim KR, Yanovski SZ, Bassett AM, Burns NP, Ranzenhofer LM, et al. Validation of the Emotional Eating Scale Adapted for Use in Children and Adolescents Int J Eat Disord. 2007 Apr;40(3):232-40. google scholar
-
Bektas M, Bektas I, Selekoğlu Y, Kudubes AA, Altan SS, Ayar D. Psychometric properties of the Turkish version of the Emotional Eating Scale for children and adolescents. Eat Behav. 2016 Aug;22:217-21. google scholar
-
YOUNG KS. Internet Addiction: The Emergence of a New Clinical Disorder. CyberPsychology & Behavior. 1998;1(3):237-44. google scholar
-
KUTLU M, SAVCI M, Demir Y, Aysan F. Young İnternet Bağımlılığı Testi Kısa Formunun Türkçe uyarlaması: Üniversite öğrencileri ve ergenlerde geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Dergisi. 2016 Feb 1;17:69-76. google scholar
-
Kwon M, Kim DJ, Cho H, Yang S. The Smartphone Addiction Scale: Development and Validation of a Short Version for Adolescents PLoS One. 2013;8(12):e83558. google scholar
-
Şata M, Karip F. Akıllı Telefon Bağımlılığı Ölçeği-Kısa Versiyonunun Ergenler İçin Türk Kültürüne Uyarlanması. CUE. 2018;6(4):426-40. google scholar
-
Neyzi O, Bundak R, Gökçay G, Günöz H, Furman A, Darendeliler F et al. Reference Values for Weight, Height, Head Circumference, and Body Mass Index in Turkish Children J Clin Res Pediatr Endocrinol. 2015;7(4):280-93. google scholar
-
CHILD METRICS [Internet]. [cited 2025 Jul 8]. Available from: https://www. ceddcozum.com/References google scholar
-
BMI-for-age (5-19 years) [Internet]. [cited 2025 Apr 28]. https://www.who.int/ tools/growth-reference-data-for-5to19-years/indicators/bmi-for-age google scholar
-
Muzi S, Di Trani M, Renzi A, Pace CS. Can alexithymia be assessed through an interview in adolescents? The Toronto Structured Interview for Alexithymia: Reliability, concurrent validity, discriminant validity, and relationships with emotional-behavioral symptoms Front Psychiatry [Internet]. 2023 Jan 18 [cited 2025 Apr 28];13. https://www.frontiersin.orghttps://www.frontiersin.org/ journals/psychiatry/articles/10.3389/fpsyt.2022.1055946/full google scholar
-
Kekkonen V, Kraav SL, Hintikka J, Kivimâki P, Kaarre O, Tolmunen T. The stability of alexithymia is low from adolescence to young adulthood, and the consistency of alexithymia is associated with symptoms of depression and dissociation. Journal of Psychosomatic Research. 2021 Nov 1;150:110629. google scholar
-
Joukamaa M, Taanila A, Miettunen J, Karvonen JT, Koskinen M, Veijola J. Epidemiology of alexithymia among adolescents J Psychosom Res. 2007 Oct;63(4):373-6. google scholar
-
Mnif D, Hadjkacem I, Sellami R. Alexithymia in adolescents treated for psychiatric disorders: A study of the relationship with Alexithymia in parents and with the parental link European Psychiatry. 2023 Mar;66(S1):S719-S719. google scholar
-
Erdem E, Efe YS, Özbey H. A predictor of emotional eating in adolescents: social anxiety. Archives of Psychiatric Nursing. 2023 Apr 1;43:71-5. google scholar
-
Toklu Baloglu H, Caferoglu Akin Z. A cross-sectional descriptive analysis of technology addiction in adolescents: associations with food addiction, emotional eating, and body weight status Journal of Health, Population and Nutrition. 2024 Nov 15;43(1):187. google scholar
-
Yilmaz Kafali H, Uçaktürk SA, Mengen E, Akpinar S, Erguven Demirtas M, Uneri OS. Emotion dysregulation and pediatric obesity: investigating the role of Internet addiction and eating behaviors on this relationship in an adolescent sample Eat Weight Disord. 2021 Aug 1;26(6):1767-79. google scholar
-
Domoff SE, Sutherland EQ, Yokum S, Gearhardt AN. Adolescents’ Addictive Phone Use: Associations with Eating Behaviors and Adiposity. International Journal of Environmental Research and Public Health. 2020;17(8):2861. google scholar
-
Sezer Efe Y, Döner S, Erdem E, Elmalı F. The Effect of Technology Addiction on Eating Behaviors and Physical Activity of Adolescents Int J meant Health Addiction [Internet]. 2023 Nov 27 [cited 2025 Apr 28]; Available from: https:// doi.org/10.1007/s11469-023-01205-9 google scholar
-
Türkkan T, Bülbül K, Yilmaz HÖ, Meriç ÇS. The relationship between internet and smartphone addiction and body mass index: The mediating role of eating behaviors Discov Public Health. 2025 Apr 15;22(1):165. google scholar
-
Onur EE, K. Muslu G, Manav G. Examining the relationship between subjective wellbeing and emotional eating in adolescents in Turkey Journal of Child and Adolescent Psychiatric Nursing. 2022;35(3):257-66. google scholar
-
Günaydın M, Kumcağız H. Investigation of eating behavior in adolescents in terms of family functionality Journal of Psychiatric Nursing. 2020;11(3):212-9. google scholar
-
Liu Y, Duan L, Shen Q, Ma Y, Chen Y, Xu L et al. The mediating effect of internet addiction and the moderating effect of physical activity on the relationship between alexithymia and depression Sci Rep. 2024 Apr 29;14(1):9781. google scholar
-
Estevez A, Jauregui P Macıa L, Martın-Perez C. Alexithymia and Emotion Regulation Strategies in Adolescent Gamblers with and Without At-Risk Profiles J Gambl Stud. 2022 Mar 1;38(1):15-29. google scholar