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Causes of Emotional Eating and Matched Treatment of Obesity
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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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“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]
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Metadata
- Authors
- van Strien, T.
- Venue
- Current Diabetes Reports
- Published
- 2018-04-25
- Volume
- 18
- Issue
- 6
- Pages
- 35-35
- ISSN
- 1534-4827 (ISSN-L)
- 1539-0829
- 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
- FWCI
- 6.31
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- 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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