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Emotional eating: A treatment‐worthy construct, or artifact of relations between mood and eating behaviors in younger and older women with obesity
Scandinavian Journal of Psychology ( IF 1.8 ) Pub Date : 2020-10-06 , DOI: 10.1111/sjop.12685
James J Annesi 1 , Ping H Johnson 2
Affiliation  

Emotional eating (EE) is considered important for controlling weight, especially in women; however, it might be affected by age. Within a recently proposed model assessing theoretical paths from physical activity to changes in psychological variables and then eating behavior and weight, it was unclear if EE was a construct requiring specific treatment attention or if attending to effects of physical activity‐induced mood changes on eating was sufficient. Women with obesity of >35 years‐of‐age (n = 100) and ≤35 years (n = 44) participated in a behavioral weight loss treatment and were assessed on psychological factors and physical activity and eating behaviors over 6 months. At baseline, the younger group demonstrated significantly higher scores on physical activity and depression, and significantly lower scores on fruit/vegetable intake. Improvements in Tension (i.e., anxiety), Overall Negative Mood, and dimensions of EE from baseline–Month 3 were significantly greater in the younger group. Similar significant improvements in physical activity and the intake of sweets and fruits/vegetables over 6 months were observed in both groups. Incorporating aggregated data, change in physical activity was significantly related to mood improvements. With the exception of EE related to Anger/Frustration, changes in dimensions of EE and Overall EE significantly mediated the prediction of sweets and fruit/vegetable intake by corresponding dimensions of mood and Overall Mood. Age group significantly moderated embedded relationships between changes in Overall EE and EE‐Anxiety and change in fruit/vegetable intake, with the older age group having stronger relations. Findings suggest that EE is a construct requiring distinct attention within behavioral obesity treatments.

中文翻译:

情绪化饮食:适合肥胖的男女老少情绪和饮食行为之间关系的治疗方法或人工制品

情绪饮食(EE)被认为对控制体重很重要,尤其是在女性中;但是,它可能会受到年龄的影响。在最近提出的评估从体育活动到心理变量变化,然后饮食行为和体重的理论路径的模型中,目前尚不清楚EE是否是一种需要特殊治疗的结构,还是要考虑体育活动引起的情绪变化对饮食的影响?充足的。肥胖> 35岁(n  = 100)和≤35岁(n = 44)参加了行为减肥治疗,并在6个月内评估了心理因素,体育锻炼和饮食行为。在基线时,较年轻的组在体育活动和抑郁方面表现出明显较高的分数,而在水果/蔬菜摄入方面表现出明显较低的分数。在较年轻的组中,从基线到第3个月,紧张感(即焦虑),总体负情绪和EE维度的改善明显更大。两组均在6个月内观察到相似的体育活动以及甜食和水果/蔬菜摄入量的显着改善。结合汇总数据,体育锻炼的变化与情绪改善显着相关。除了与愤怒/挫败感相关的EE,EE和总体EE尺寸的变化通过相应的情绪和总体心情尺寸显着介导了对糖果和水果/蔬菜摄入量的预测。年龄组显着缓解了总体EE和EE-焦虑与水果/蔬菜摄入量变化之间的内在联系,而年龄较大的组则具有更强的联系。研究结果表明,EE是一种在行为肥胖症治疗中需要特别注意的结构。
更新日期:2020-10-06
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