The mediating role of emotion dysregulation and depression on the relationship between childhood trauma exposure and emotional eating
Open accessAbstract
Exposure to childhood adversity is implicated in the etiology of adverse health outcomes, including depression, posttraumatic stress disorder (PTSD), and obesity. The relationship between childhood trauma and obesity may be related to the association of childhood trauma and risk for emotional eating. One pathway between trauma exposure, psychopathology, and emotional eating may be through emotion dysregulation and depression. The current study was undertaken to characterize demographic, environmental, and psychological risk factors for emotional eating in a primarily African American, low socioeconomic status (SES), inner-city population (N = 1110). Emotional eating was measured using the Dutch Eating Behavioral Questionnaire and the Emotional Dysregulation Scale was used to assess emotion regulation. The Beck Depression Inventory and the modified PTSD Symptom Scale were used to assess depression and PTSD, respectively. Higher levels of emotional eating were associated with body mass index, income, childhood and adulthood trauma exposure, depressive and PTSD symptoms, negative affect and emotion dysregulation. Childhood emotional abuse was the most associated with emotional eating in adulthood. Hierarchical linear regression and mediation analyses indicated that the association between childhood trauma exposure (and emotional abuse specifically) and emotional eating was fully mediated by depression symptoms and emotion dysregulation, with emotional dysregulation contributing more to the mediation effect. Together these findings support a model in which obesity and related adverse health outcomes in stress- and trauma-exposed populations may be directly related to self-regulatory coping strategies accompanying emotion dysregulation. Our data suggest that emotion dysregulation is a viable therapeutic target for emotional eating in at-risk populations.
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ELS/CT has been repeatedly found to be independently associated with enhanced risk for emotional eating as a self-regulatory coping strategy.
“enhanced risk for emotional eating as a self-regulatory coping strategy (293)”
From Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation (2019) · cites this paper as [293]
The Results (page unavailable) report that childhood trauma predicted emotional eating when environmental risk factors were entered into the regression model. But the association was no longer significant after psychopathological factors were added, and the mediation analyses found full mediation by depressive symptoms and emotion dysregulation. The paper therefore supports an association and a self-regulatory interpretation, but not an independent association after those factors are considered. (LLM, conf=0.88)
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- Authors
- Michopoulos, V., Powers, A., Moore, C., Villarreal, S., Ressler, K. J., & Bradley, B.
- Affiliations
- Emory University (US)
- Emory National Primate Research Center (US)
- University of Georgia (US)
- Corresponding author
- Michopoulos, Vasiliki
- Venue
- Appetite
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 91
- Pages
- 129-136
- ISSN
- 0195-6663 (ISSN-L)
- PMC
- PMC4459910
- OpenAlex
- W2047980508
- Semantic Scholar
- 4bd90456d98005656d79e9b28a4246532d65d96e
- Cited by
- 196
- References
- 47
- Citations by year
- 2026: 18 · 2025: 16 · 2024: 17 · 2023: 19 · 2022: 19 · 2021: 26 · 2020: 17 · 2019: 19 · 2018: 15 · 2017: 19 · 2016: 9 · 2015: 2
- FWCI
- 18.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Appetite (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- BB (HD071982)
- KJR (MH071537)
- AP (F32-MH102890)
- NIH National Centers for Research Resources (M01RR00039)
- Emory University General Clinical Research Center at Grady Hospital
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- emotional eating, childhood trauma, emotional dysregulation, depression, childhood emotional abuse, post-traumatic stress disorder, obesity, mediation, negative affect, African American adults, low socioeconomic status, inner-city population, body mass index
- MeSH terms
- Emotional Adjustment, Adult Survivors of Child Adverse Events, Adjustment Disorders, Adolescent, Adult, Aged, Feeding and Eating Disorders, Cross-Sectional Studies, Depression, Female, Georgia, Hospitals, Public, Hospitals, Urban, Humans, Hyperphagia, Male, Middle Aged, Models, Psychological, Psychiatric Status Rating Scales, Risk Factors, Stress Disorders, Post-Traumatic, Young Adult
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