An examination of emotional eating behavior in individuals with a severe mental disorder

Published:October 13, 2020DOI:https://doi.org/10.1016/j.apnu.2020.10.002

      Highlights

      • Individuals with severe mental disorder exhibit elevated emotional eating behaviors.
      • In individuals with severe mental disorder, emotional eating behavior is correlated with being middle-aged and being female.
      • In individuals with severe mental disorder, emotional eating behavior is correlated with night eating behavior.

      Abstract

      Emotional eating behavior is commonly accompanied by negative emotions in individuals with a severe mental disorder in community. This descriptive study has aimed to identify emotional eating behavior and the factors acting on emotional eating behavior and to investigate the relationship of uncontrolled eating and cognitive restriction scores with emotional eating behavior in individuals with a severe mental disorder followed up in community mental health centers (CMHC). The study included 130 patients with a severe mental disorder. The Emotional Eater Questionnaire (EEQ) and the Three-Factor Eating Questionnaire (TFEQ-R21) were used for data collection. The chi-square significance test and correlation analyses were used for determining the correlation of emotional eating behavior scores across independent variables. The prevalence of emotional eating behavior was 49.22% among individuals with a severe mental disorder. The mean EEQ score of the individuals was 11.74 ± 7.42. Emotional eating behavior was observed in 56.7% of individuals at ages from 35 to 49 years, in 62.5% of women, in 58.6% of individuals with a history of dieting, and in 61.2% of individuals with night eating behavior. This study has shown that emotional eating behavior can occur in individuals with a severe mental disorder independent of the diagnosis, use of antipsychotic medications, body mass index (BMI), physical exercise, and eating behavior. It was observed that emotional eating behavior was correlated with being middle-aged, being female, and night eating behavior.

      Keywords

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      References

      1. Adam, T. C., & Epel, E. S. (2007). Stress, eating and the reward system. Physiology &Behavior, 91(4), 449–458. doi:10.1016/j.physbeh.2007.04.011.

        • Aguiar-Bloemer A.C.
        • Agliussi R.G.
        • Pinho T.M.P.
        • Furtado E.F.
        • Diez-Garcia R.W.
        Eating behavior of schizophrenic patients.
        Revista de Nutrição. 2018; 31: 13-24https://doi.org/10.1901/jeab.1962.5-343
        • Akın A.
        • Yıldız B.
        • Özçelik B.
        The validity and reliability of Turkish version of the emotional eater scale. [article in Turkish].
        Journal of International Social Research. 2016; 9: 776-781
        • Altheimer G.
        • Urry H.L.
        Do emotions cause eating? The role of previous experiences and social context in emotional eating.
        Current Directions in Psychological Science. 2019; 28: 234-240https://doi.org/10.1177/0963721419837685
        • American Psychiatric Association
        Diagnostic and Statistical Manual of Mental Disorders (DSM–5).
        Hekimler Yayın Birliği, 2014: 63-91 (Translated version in Turkish. Translated by E. Köroğlu)
        • Araiza A.M.
        • Lobel M.
        Stress and eating: Definitions, findings, explanations, and implications.
        Social and Personality Psychology Compass. 2018; 12e12378https://doi.org/10.1111/spc3.12378
        • Bennett J.
        • Greene G.
        • Schwartz-Barcott D.
        Perceptions of emotional eating behavior. A qualitative study of college students.
        Appetite. 2013; 60: 187-192https://doi.org/10.1016/j.appet.2012.09.023
        • Best C
        • Shepherd E
        Accurate measurement of weight and height 1: Weighing patients.
        Nurs. Times. 2020; 116: 50-52
        • Bourdier L.
        • Morvan Y.
        • Kotbagi G.
        • Kern L.
        • Romo L.
        • Berthoz S.
        Examination of emotion-induced changes in eating: A latent profile analysis of the Emotional Appetite Questionnaire.
        Appetite. 2018; 123: 72-81https://doi.org/10.1016/j.appet.2017.11.108
        • Davison K.M.
        The relationships among psychiatric medications, eating behaviors, and weight.
        Eating behaviors. 2013; 14: 187-191https://doi.org/10.1016/j.eatbeh.2013.01.001
        • Dipasquale S.
        • Pariante C.M.
        • Dazzan P.
        • Aguglia E.
        • McGuire P.
        • Mondelli V.
        The dietary pattern of patients with schizophrenia: A systematic review.
        Journal of psychiatric research. 2013; 47: 197-207https://doi.org/10.1016/j.jpsychires.2012.10.005
        • Elman I.
        • Borsook D.
        • Lukas S.E.
        Food intake and reward mechanisms in patients with schizophrenia: Implications for metabolic disturbances and treatment with second-generation antipsychotic agents.
        Neuropsychopharmacology. 2006; 31: 2091-2120https://doi.org/10.1038/sj.npp.1301051
      2. Fawzi, M. H., & Fawzi, M. M. (2012). Disordered eating attitudes in Egyptian antipsychotic naive patients with schizophrenia. Comprehensive psychiatry, 53(3), 259–268. doi: doi:10.1016/j.comppsych.2011.04.064.

        • Frayn M.
        • Knäuper B.
        Emotional eating and weight in adults: A review.
        Current Psychology. 2018; 37: 924-933https://doi.org/10.1007/s12144-017-9577-9
        • Ganley R.M.
        Emotion and eating in obesity: A review of the literature.
        International Journal of Eating Disorders. 1989; 8: 343-361https://doi.org/10.1002/1098-108X
        • Garaulet M.
        • Canteras M.
        • Morales E.
        • López-Guimerà G.
        • Sánchez-Carracedo D.
        • Corbalán-Tutau M.D.
        Validation of a questionnaire on emotional eating for use in cases of obesity; the Emotional Eater Questionnaire (EEQ).
        Nutriciónhospitalaria. 2012; 27: 645-651https://doi.org/10.1590/S0212-16112012000200043
        • Geliebter A.
        • Aversa A.
        Emotional eating in overweight, normal weight, and underweight individuals.
        Eating behaviors. 2003; 3: 341-347https://doi.org/10.1016/s1471-0153 (02) 00.100-9
        • Gianini L.M.
        • White M.A.
        • Masheb R.M.
        Eating pathology, emotion regulation, and emotional overeating in obese adults with Binge Eating Disorder.
        Eating Behaviors. 2013; 14: 309-313
        • Järvelä-Reijonen E.
        • Karhunen L.
        • Sairanen E.
        • Rantala S.
        • Laitinen J.
        • Puttonen S.
        • Föhr T.
        High perceived stress is associated with unfavorable eating behavior in overweight and obese Finns of working age.
        Appetite. 2016; 103: 249-258https://doi.org/10.1016/j.appet.2016.04.023
        • Karakuş S.Ş.
        • Yıldırım H.
        • Büyüköztürk Ş.
        Üç faktörlü yeme ölçeğinin Türk kültürüne uyarlanması: Geçerlik ve güvenirlik çalışması.
        TAF Preventive Medicine Bulletin. 2016; 15: 229-237https://doi.org/10.5455/pmb.1-1446540396
        • Khazaal Y.
        • Frésard E.
        • Borgeat F.
        • Zullino D.
        Binge eating symptomatology in overweight and obese patients with schizophrenia: A case control study.
        Annals of General Psychiatry. 2006; 5: 15https://doi.org/10.1186/1744-859X-5-15
      3. Khazaal, Y., Fresard, E., Rabia, S., Chatton, A., Rothen, S., Pomini, V., &Zullino, D. (2007). Cognitive behavioural therapy for weight gain associated with antipsychotic drugs. Schizophrenia Research, 91(1–3), 169–177. doi: doi:10.1016/j.schres.2006.12.025.

        • Konttinen H.
        • Van Strien T.
        • Männistö S.
        • Jousilahti P.
        • Haukkala A.
        Depression, emotional eating and long-term weight changes: A population-based prospective study.
        International Journal of Behavioral Nutrition and Physical Activity. 2019; 16: 28https://doi.org/10.1186/s12966-019-0791-8
        • Kouidrat Y.
        • Amad A.
        • Lalau J.D.
        • Loas G.
        Eating disorders in schizophrenia: Implications for research and management.
        Schizophrenia Research and Treatment. 2014; : 1-7https://doi.org/10.1155/2014/791573
        • Kouidrat Y.
        • Amad A.
        • Stubbs B.
        • Louhou R.
        • Renard N.
        • Diouf M.
        • Loas G.
        Disordered eating behaviors as a potential obesogenic factor in schizophrenia.
        Psychiatry Research. 2018; 269: 450-454https://doi.org/10.1016/j.psychres.2018.08.083
        • Küçük L.
        • Kaya H.
        • Çömez T.
        • Kaçar S.
        • Kutlu Y.
        • Zülfikar H.
        Eating behaviors and related factors in psychiatric patients.
        Archives of Psychiatric Nursing. 2018; 32: 194-199https://doi.org/10.1016/j.apnu.2017.10.015
        • Küçükerdönmez Ö.
        • Urhan M.
        • Altın M.
        • Hacıraifoğlu Ö.
        • Yıldız B.
        Assessment of the relationship between food addiction and nutritional status in schizophrenic patients.
        Nutritional Neuroscience. 2017; : 1-9https://doi.org/10.1080/1028415X.2017.1392429
        • Kurpad S.S.
        • George S.A.
        • Srinivasan K.
        Binge eating and other eating behaviors among patients on treatment for psychoses in India.
        Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2010; 15: e136-e143https://doi.org/10.1007/bf03325293
        • Lazarevich I.
        • Camacho M.E.I.
        • del Consuelo Velázquez-Alva M.
        • Zepeda M.Z.
        Relationship among obesity, depression, and emotional eating in young adults.
        Appetite. 2016; 107: 639-644https://doi.org/10.1016/j.appet.2016.09.011
        • Lundgren J.D.
        • Rempfer M.V.
        • Brown C.E.
        • Goetz J.
        • Hamera E.
        The prevalence of night eating syndrome and binge eating disorder among overweight and obese individuals with serious mental illness.
        Psychiatry Research. 2010; 175: 233-236https://doi.org/10.1016/j.psychres.2008.10.027
        • Martin K.
        • Woo J.
        • Timmins V.
        • Collins J.
        • Islam A.
        • Newton D.
        • Goldstein B.I.
        Binge eating and emotional eating behaviors among adolescents and young adults with bipolar disorder.
        Journal of Affective Disorders. 2016; 195: 88-95https://doi.org/10.1016/j.jad.2016.02.030
        • Meule A.
        • Allison K.C.
        • Platte P.
        A German version of the Night Eating Questionnaire (NEQ): Psychometric properties and correlates in a student sample.
        Eating Behaviors. 2014; 15: 523-527https://doi.org/10.1016/j.eatbeh.2014.07.002
        • Meule A.
        • Allison K.C.
        • Platte P.
        Emotional eating moderates the relationship of night eating with binge eating and body mass.
        European Eating Disorders Review. 2014; 22: 147-151https://doi.org/10.1002/erv.2272
        • Meule A.
        • Reichenberger J.
        • Blechert J.
        Smoking, stress eating, and body weight: The moderating role of perceived stress.
        Substance Use & Misuse. 2018; 80: 138-140https://doi.org/10.1080/10826084.2018.1461223
        • Richardson A.S.
        • Arsenault J.E.
        • Cates S.C.
        • Muth M.K.
        Perceived stress, unhealthy eating behaviors, and severe obesity in low-income women.
        Nutrition Journal. 2015; 14: 122-132https://doi.org/10.1186/s12937-015-0110-4
        • Sengül C.
        • Erdal M.E.
        • Aydin N.
        • Sengül C.B.
        • Barlas Ö.
        • Aynacioglu S.
        • Herken H.
        Sizofreni hastalarinda olanzapine bagli kilo alimiyla IRS-1 Gly972Arg (insulin reseptör substrati) gen polimorfizmi arasindaki iliski/The relation between IRS-1 Gly972Arg (insulin receptor substrate) gene polymorphism and olanzapine induced weight gain.
        Anadolu PsikiyatriDergisi. 2010; 11: 18-22
        • Sentissi O.
        • Viala A.
        • Bourdel M.C.
        • Kaminski F.
        • Bellisle F.
        • Olié J.P.
        • Poirier F.
        Impact of antipsychotic treatments on the motivation to eat: Preliminary results in 153 schizophrenic patients.
        Int. Clin. Psychopharmacol. 2009; 24: 257-264https://doi.org/10.1097/YIC.0b013e32832b6bf6
        • Serin A.
        • Yeliz G.
        • Şanlıer P.
        Emotional eating, the factors that affect food intake, and basic approaches to nursing care of patients with eating disorders.
        Journal of Psychiatric Nursing. 2018; 9: 135-146https://doi.org/10.14744/phd.2018.23600
        • Sevinçer G.M.
        • Konuk N.
        Emosyonelyeme.
        Journal of Mood Disorders. 2013; 3: 171-178https://doi.org/10.5455/jmood.20130926052526
        • Songur E.
        • Karslıoğlu E.H.
        • Soygür H.
        Ulusoy Kaymak, S., Özalp, E., & Şahin Cankurtaran, E. Şizofreni ve şizoaffektif bozuklukta metabolik sendrom.
        Klinik Psikiyatri. 2012; 15: 80-91
        • Tan C.C.
        • Chow C.M.
        Stress and emotional eating: The mediating role of eating dysregulation.
        Personality and Individual Differences. 2014; 66: 1-4https://doi.org/10.1016/j.paid.2014.02.033
      4. Van Strien, T. (2018). Causes of emotional eating and matched treatment of obesity. Current Diabetes Reports, 18(6), 35. doi: doi:10.1007/s11892–018-1000-x.

        • Yum S.Y.
        • Caracci G.
        • Hwang M.Y.
        Schizophrenia and eating disorders.
        Psychiatric Clinics. 2009; 32: 809-819https://doi.org/10.1016/j.psc.2009.09.004