Causes of Emotional Eating and Matched Treatment of Obesity

van Strien, Tatjana

doi:10.1007/s11892-018-1000-x

Cited by 501Eating Disorders and BehaviorsNutrition, Health and Food BehaviorObesity, Physical Activity, Diet

Causes of Emotional Eating and Matched Treatment of Obesity

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van Strien, Tatjana·2018·Current Diabetes Reports

DOI 10.1007/s11892-018-1000-xPMC PMC5918520

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Abstract

PURPOSE OF THE REVIEW: Eating in response to negative emotions (EE) may be an explanatory factor of the weight regain of many dieters. This narrative review presents evidence on possible causes of EE and the association of EE with depression and obesity and discusses implications of these findings for the treatment of obesity. RECENT FINDINGS: Possible causes of EE are high dietary restraint, poor interoceptive awareness, alexithymia, emotion dysregulation and a reversed hypothalamic pituitary adrenal (HPA) stress axis. EE may be the outcome of inadequate parenting or depressive feelings in interaction with genetic susceptibility. There is also robust evidence that EE is a mediator between depression and obesity. The association of EE with depression and poor emotion regulation skills suggests that the treatment of obese people with high EE should not focus on calorie-restricted diets but on emotion regulation skills. The DEBQ (Dutch Eating Behavior Questionnaire) enables such a matched treatment of obesity.

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Emotion-based eating is associated with emotion dysregulation, poor emotion regulation skills, low distress tolerance, dietary restraint, loss of control of eating, poor awareness of hunger/fullness signals, body image dissatisfaction, internalized shame, and low self-compassion.
“In addition to depression, emotion-based eating is associated with many other factors, including emotion dysregulation, poor emotion regulation skills, low distress tolerance, dietary restraint, loss of control of eating, poor awareness of hunger/fullness signals, body image dissatisfaction, internalized shame, and low self-compassion (24–29).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [27]
The Introduction’s “Mechanisms of Emotional Eating” section links emotional eating to poor interoceptive awareness, poor emotion regulation strategies, and dietary restraint; the Abstract also names emotion dysregulation. The paper does not establish the claimed associations with body image dissatisfaction, internalized shame, or low self-compassion. It mentions distress tolerance as a treatment component, not as an associated factor, and does not clearly establish the claimed association with loss of control of eating. (LLM, conf=0.87)
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Untitled work
van Strien (1986) · doi:10.1002/1098-108x(198602)5:2

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[10]Herman CP Polivy J Stunkard AJ Restrained eating Obesity 1980 Philadelphia W.B. Saunders 208 225
[89]COTAN. Beoordeling Nederlandse Vragenlijst voor Eetgedrag, NVE, 2013 [Review Dutch Eating Behaviour Questionnaire (DEBQ, 2013)]. Retrieved from http://www.cotandocumentatie.nl/test_details.php?id=848.

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Authors: van Strien, T.
Venue: Current Diabetes Reports
Publisher: Springer Science and Business Media LLC
Published: 2018-04-25
Volume: 18
Issue: 6
Pages: 35-35
ISSN: 1534-4827 (ISSN-L)
1539-0829
DOI: 10.1007/s11892-018-1000-x
PMC: PMC5918520
OpenAlex: W2800460860
Cited by: 501
References: 98
Citations by year: 2026: 60 · 2025: 81 · 2024: 61 · 2023: 73 · 2022: 76 · 2021: 73 · 2020: 53 · 2019: 21 · 2018: 2 · 2016: 1
FWCI: 6.31
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (tdm)
Locations: Current Diabetes Reports (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, other-oa)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
VU Research Portal (publishedVersion, other-oa)
Radboud Repository (Radboud University) (submittedVersion)
Radboud Repository (Radboud University) (submittedVersion, other-oa)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders: Radboud University
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: emotional eating, obesity, depression, weight regain, dietary restraint, interoceptive awareness, alexithymia, emotional dysregulation, hypothalamic-pituitary-adrenal axis, parenting, genetic susceptibility, emotion regulation, obesity treatment
MeSH terms: Depression, Eating, Emotions, Feeding Behavior, Humans, Obesity, Surveys and Questionnaires

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