Cited by 196Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Abuse and Trauma

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The mediating role of emotion dysregulation and depression on the relationship between childhood trauma exposure and emotional eating

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Michopoulos, Vasiliki, Powers, Abigail, Moore, Carla, Villarreal, Stephanie, Ressler, Kerry J., Bradley, Bekh·2015·Appetite

DOI 10.1016/j.appet.2015.03.036PMC PMC4459910

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Abstract

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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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
ORCID: Michopoulos, Vasiliki
Powers, Abigail
Ressler, Kerry J.
Bradley, Bekh
Venue: Appetite
Publisher: Elsevier BV
Published: 2015-08
Volume: 91
Pages: 129-136
ISSN: 0195-6663 (ISSN-L)
DOI: 10.1016/j.appet.2015.03.036
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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The mediating role of emotion dysregulation and depression on the relationship between childhood trauma exposure and emotional eating

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