scholarly journals The Psycho-Affective Roots of Obesity: Results from a French Study in the General Population

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2962
Author(s):  
Lena Bourdier ◽  
Melina Fatseas ◽  
Anne-Solène Maria ◽  
Arnaud Carre ◽  
Sylvie Berthoz

The aim of the study was to examine the extent to which obese people differ in their emotionally driven and addictive-like eating behaviors from normal-weight and overweight people. A total of 1142 participants were recruited from a general population, by a web-based cross-sectional survey assessing anxiety/depression (Hospital Anxiety and Depression Scale), emotional eating (Emotional Appetite Questionnaire), food addiction (modified Yale Food Addiction Scale), and intuitive eating (Intuitive Eating Scale-2). The statistical design was based on analyses of (co)variance, correlograms, and mediations. A set of Body Mass Index (BMI) group comparisons showed that obese people reported higher levels of depression and emotional eating and that they experienced more severe and frequent food addiction symptoms than overweight and normal-weight people. Associations between anxiety, depression, food addiction symptoms’ count, and the difficulties to rely on hunger and satiety cues were found across all weight classes, suggesting that addictive-like eating may represent a unique phenotype of problematic eating behavior that is not synonymous with high BMI or obesity. Conversely, the interrelation between anxiety/depression, emotional eating, and the difficulties to rely on hunger and satiety cues was found only among obese participants, and negative emotional eating mediated the association between depression and anxiety and the difficulties to rely on hunger and satiety cues. This study emphasizes the necessity to develop more comprehensive approaches integrating emotional dysregulation and addictive-like eating behaviors to improve weight management and quality of life of obese people.

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3893
Author(s):  
Monika M. Stojek ◽  
Paulina Wardawy ◽  
Charles F. Gillespie ◽  
Jennifer S. Stevens ◽  
Abigail Powers ◽  
...  

Background: Higher subjective social status (SSS) or a person’s perception of their social standing is related to better health outcomes, but few studies examined SSS in relation to obesity. Emotional eating and food addiction have been linked to obesity. Some studies indicated that manipulating SSS may lead to altered food intake, but the relationship between SSS and dysregulated eating, such as emotional eating and food addiction (FA), has not been examined. The goal of this study was to examine the associations between SSS in the community and the larger society, dysregulated eating (emotional eating and FA), and body mass index (BMI) in a majority racial minority sample. Methods: The participants (N = 89; 93% Black, 86% women, and 56% with obesity; 72% income lower than USD 2000), recruited from a publicly funded hospital in Atlanta, GA, completed the MacArthur Scale, Dutch Eating Behaviors Questionnaire, Yale Food Addiction Scale, Beck Depression Inventory, PTSD Symptom Checklist, and demographics questionnaire. Results: Twenty-two percent of the sample met the criteria for FA; those with FA had significantly higher BMI than those without (p = 0.018). In the hierarchical linear regression, the SSS community (but not in society) predicted higher severity of emotional eating (β = 0.26, p = 0.029) and FA (β = 0.30, p = 0.029), and higher BMI (β = 0.28, p = 0.046), independent from depression and PTSD symptoms. Conclusions: The findings indicate that, among Black individuals with predominantly low income in the U.S., perceived role in their community is associated with eating patterns and body mass. Given the small sample size, the results should be interpreted with caution.


2019 ◽  
Vol 184 (7-8) ◽  
pp. e200-e206 ◽  
Author(s):  
Renee E Cole ◽  
Stephanie A Meyer ◽  
Taylor J Newman ◽  
Adam J Kieffer ◽  
Sarah G Wax ◽  
...  

Abstract Introduction The purpose of this pilot study was to assess the effectiveness of the revised My Body Knows When (MBKW) program to promote intuitive eating behaviors within a sample of a military population through an online or in-person delivery mode. Materials and Methods Fifty-six overweight or obese adults (70% female); military service members (20%), retirees (38%) and family (42%) participated in the 10-week MBKW program at two military installations from 2012 to 2014. Body Mass Index, Intuitive Eating Scale-2 (IES-2; 23-item) and Motivation for Eating scale (MFES; 43-item) were collected at baseline and 10-weeks. Data were stratified by sex. Descriptive data were reported as mean ± standard deviation (SD), frequency, or percentage. A paired t-test was conducted with data at baseline and 10 weeks (α = 0.05, 80% power). Results Participants were predominantly female (70%); mean age of 51 ± 13 years; and BMI of 34.1 ± 5.5 kg/m2. There were no demographic, MFES, or IES-2 baseline differences between groups (in-person vs. online) or location. All subjects were collapsed into one group for a pre-post MBKW implementation assessment due to small sample size despite the original intent to stratify by online and in-person grouping. At 10 weeks, the remaining 26 participants exhibited a significant improvement (mean ± SD) in BMI (−0.4 ± 0.6 kg/m2; p = 0.012), environmental/social eating score (2.7 ± 0.4 points [pts]; −0.5 pt change; p < 0.001), emotional eating score (2.2 ± 0.5 pts; −0.6 pt change; p = 0.001), unconditional permission to eat score (3.4 ± 0.4 pts; +0.3 pt change; p = 0.017), eating for physical rather than emotional eating score (3.7 ± 0.8 pts; +1.0 pt change; p < 0.001), and reliance on hunger and satiety cues score (3.6 ± 0.5 pts; +0.8 pt change; p = 0.001). High attrition rates at the 10-week follow-up assessment precluded accurate assessment of long-term intervention effects. Conclusions The MBKW program was associated with improved intuitive eating behaviors and with less external eating influence on behavior; however, a larger sample is required to assess the effectiveness of MBKW delivery mode. Modest weight loss was attained but testing the efficacy of the MBKW program in a large diverse sample with alternate scenarios may be worthwhile (e.g., primary prevention against weight gain, or during weight maintenance to prevent weight regain).


Author(s):  
A. A. Kibitov ◽  
E. D. Kasyanov ◽  
G. V. Rukavishnikov ◽  
N. A. Chuprova ◽  
A. V. Bobrovsky ◽  
...  

Controlling the epidemic of overweight and obesity is one of the major challenges to modern healthcare. One of the possible causes of overweight and obesity can be food addiction manifesting as overeating and other eating disturbances (ED).We conducted a cross-sectional study to test the association between addiction-related ANKK1/DRD2 gene Taq1A polymorphism (rs1800497) and ED in overweight patients. Overall, 527 outpatients (469 (89,0%) females, 58 (11,0%) males; mean ± SD: BMI — 35,8±7,3 kg/m2; age — 46,7±11,8 years) of European ancestry were included in the study. Eating Disorder Examination — Questionnaire (EDE-Q), Eating Attitudes Test (EAT-26) and Dutch Eating Behavior Questionnaire (DEBQ) were used to assess the ED. We also used Hospital Anxiety and Depression Scale (HADS), Hamilton Rating Scale for Depression (HRDS), Hamilton Anxiety Rating Scale (HARS) and Yale-Brown Obsessive-Compulsive Scale (YBOCS) to assess depressive, anxiety and obsessive-compulsive disturbances respectively. DNA was extracted from blood samples and polymorphism rs1800497 was detected by RT-PCR.According to the dominant genetic model, carriers of minor T allele (“CT+TT” group) in contrast to wild-type allele homozygous patients (“CC” group) were younger (p=0,075) and demonstrated higher scores of EDE-Q (p=0,085) and emotional eating subscale of DEBQ (p=0,063). Moreover, among them the proportion of patients with high ED risk was significantly increased vs. CC group: 1) EAT-26 score: 15,2% vs. 9,0%, OR=1,82 (CI95% (1,054-3,134), p=0,03; 2) EDE-Q score: 46,6% vs. 37,5%, OR=1,45 (CI95% (1,015-2,072), p=0,041. BMI was correlated with emotional eating subscale of DEBQ score in “CT+TT” group only (ρs =0,199, p=0,004). Correlation analysis showed weaker connections between ED and affective disturbances in “CT+TT” group.Our results show that carriers of the addiction-related T allele of ANKK1/DRD2 gene Taq1A polymorphism comprise the at-risk group for eating disturbances in overweight individuals. This may support the role of food addiction in overweight and obesity.


Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1711 ◽  
Author(s):  
Laurence J. Nolan ◽  
Steve M. Jenkins

Irrational beliefs (IB) are believed, in cognitive behavioral therapies, to be a prime cause of psychopathologies including anxiety, depression, problem eating, and alcohol misuse. “Food addiction” (FA), which has been modeled on diagnostic criteria for substance use disorder, and emotional eating (EE) have both been implicated in the rise in overweight and obesity. Both FA and EE are associated with anxiety. Thus, in the present study, the hypothesis that IB is associated with FA and with EE was tested. Furthermore, possible mediation of these relationships by trait anxiety and depression (and EE for IB and FA) was examined. The responses of 239 adult participants to questionnaires measuring FA, IB, EE, depression, trait anxiety, and anthropometrics were recorded. The results revealed that IB was significantly positively correlated with FA and EE (and depression and trait anxiety). Furthermore, only EE mediated the effect of IB on FA and this was not moderated by BMI. Finally, trait anxiety (but not depression) mediated the effect of IB on EE. Exploratory analysis revealed a significant serial mediation such that IB predicted higher FA via elevated trait anxiety and emotional eating in that order. The results of this study suggest that IB may be a source of the anxiety that is associated with EE and FA and suggest that clinicians may find IB a target for treatment of those persons who report experiences of EE and FA. IB may play a role in food misuse that leads to elevated BMI.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1237-1237
Author(s):  
Cindy Tsotsoros ◽  
Natalie Keirns ◽  
Nicholas Koemel ◽  
Bryant Keirns ◽  
Misty Hawkins

Abstract Objectives Inhibitory control measured by the Go/No-Go Task measures automatic inhibition. Difficulty with inhibition can extend into eating behavior, leading to unhealthy patterns such as emotional eating. Individuals who eat emotionally may also be less likely to engage in adaptive patterns of eating, such as intuitive eating (IE). IE is based on internal regulation of eating behaviors rather than eating for non-physiological reasons (e.g., emotions). This study sought to investigate the relationship between inhibitory control, emotional eating, and IE. Methods 108 adults with overweight/obesity enrolled in a weight loss trial participated in the study. The sample was 46 ± 11 years old, 72% female, 76% White, and had a mean BMI of 35.7 ± 5.9 kg/m2. All data were collected at the baseline assessment visit. Emotional eating and IE were measured via self-report with the Emotional Eating Scale (EES) and Intuitive Eating Scale-2 (IES-2), respectively. The EES provides a total score and the IES-2 provides a total score and four subscale scores: Unconditional Permission to Eat (PERM), Eating for Physical Rather than Emotional Reasons (PHYS), Reliance on Hunger and Satiety Cues (REL), and Body-Food Choice Congruence (CON). Inhibitory control was measured via behavioral tests with the Automated Neuropsychological Assessments Metrics-4 (ANAM-4) Go/No-Go subtest. Results A theoretically-driven path analysis model was calculated using AMOS, using the Go/No-Go subtest and EES as determinates of the four IE subscales. Overall, the path model was effective at capturing variability in two (PHYS & REL) of the four outcome variables. Substantial differences were observed in terms of the magnitude of the path coefficients (PERM ß = .04; PHYS ß = –.74) and the amount of variance captured across the IES-2 subscales criterion measure (R2 ranged from .00—.54). The overall fit indices for the model were above threshold: χ2(7) = 2.19, P = .95, χ2/DF = 0.31, CFI = 1.00, TLI = 1.20, and RMSEA = .000 (.000; .011). Conclusions These findings help shed light on how inhibitory control, emotional eating, and IE are associated with one another. Surprisingly, inhibitory control was unrelated to IE. Further, emotional eating may only contribute to certain facets of IE — eating for physical rather than emotional reasons and reliance on hunger and satiety cues. Funding Sources K23DK103941.


2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Nural Alim ◽  
Kerim Gokustun ◽  
Gozde Caliskan ◽  
Zehra Besler

Objective: We aimed to evaluate the relationship between food addiction and uncontrolled eating, cognitive restraint, and emotional eating. Methods: We carried out this study with 1168 students (758 girls and 410 boys) studying at 7 different high schools in Ankara, Turkey. We used 3 measures. The first measure part assessed the participants’ demographic characteristics. We used 2 other validated measures, the Yale Food Addiction Scale and the Three-Factor Eating Questionnaire, to assess disordered eating behaviors. Results: No statistically significant difference was found between girls (12.9%) and boys (12%) in terms of food addiction (p = .67). We found that uncontrolled eating (p < .001), cognitive restraint (p = .007), and emotional eating (p < .001) scores were higher in individuals with food addiction (60.50±22.37; 38.39±24.41 and 57.42±28.49 respectively) than those without food addiction (40.17±24.74; 32.36±25.4 and 31.11±29.46 respectively). Furthermore, these eating behaviors increased the risk of food addiction in adolescents [Uncontrolled eating: OR: 1.02 (1.01-1.03); Cognitive Restraint: OR: 1.01 (1.00-1.02); Emotional Eating: OR: 1.016(1.009-1.024)]. Conclusions: Disordered eating behaviors can be seen more frequently among adolescents with food addiction compared to those without. In addition, these eating behaviors can increase the risk of food addiction relatively.


Author(s):  
Pasquale Anselmi ◽  
Michelangelo Vianello ◽  
Egidio Robusto

Two studies investigated the different contribution of positive and negative associations to the size of the Implicit Association Test (IAT) effect. A Many-Facet Rasch Measurement analysis was applied for the purpose. Across different IATs (Race and Weight) and different groups of respondents (White, Normal weight, and Obese people) we observed that positive words increase the IAT effect whereas negative words tend to decrease it. Results suggest that the IAT is influenced by a positive associations primacy effect. As a consequence, we argue that researchers should be careful when interpreting IAT effects as a measure of implicit prejudice.


2006 ◽  
Author(s):  
J. K. Larsen ◽  
T. Van Strien ◽  
R. Eisinga ◽  
R. C. M. E. Engels

2018 ◽  
Vol 9 (2) ◽  
pp. 63
Author(s):  
Anil Kumar Roy ◽  
Nilesh Maruti Gujar ◽  
Arif Ali ◽  
Utpal Borah

Background: Studies have shown that caregivers of the persons with the neurological illness have high levels of psychological distress, depression and caregiver’s burden. The aim of the study was to find out anxiety, depression and caregiver’s burden among the caregivers of persons with neurological illness (PWNI). Method: Thirty caregivers of PWNI attending the Centre of Rehabilitation Sciences, LGB Regional Institute of Mental Health, Tezpur, Assam were selected using purposive sampling technique for the present study. Socio-demographic and clinical data sheet, Zarit Burden Interview Scale and The Hospital Anxiety and Depression Scale were used. Results: The results shown that in Hospital Anxiety and Depression Scale, 26.6% of the caregivers' scores were in the abnormal range in the domain of depression. While in the domain of anxiety, 16.6% scored in the abnormal range. In Zarit Burden of Scale, 13.3% of the caregivers were having little or no burden, 26.6% of the caregivers were having mild to moderate level of burden, 20% were having moderate to severe burden and 30% were having a severe burden of care. Care burden has significant positive correlation with depression (r= .124, p≤ 0.01 and anxiety (r= .124, p≤ 0.05). Conclusion: Caregivers of PWNI have been found to be at higher risk of mental health problems and care burden. The importance of addressing the burden of caregivers involved in the care of PWNI need to be taken into consideration while providing treatment and rehabilitation of PWNI.     Keywords: Anxiety, depression, burden, neurological illness


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