Are overeating and food addiction related to distress tolerance? An examination of residents with obesity from a U.S. metropolitan area
Abstract
Objective Low distress tolerance (DT) is an inability to handle negative emotions. There is strong support for the connection between low DT and substance addiction, which suggests that the former might be related to food addiction (FA). Previous work found that low DT was related to overeating in a college sample. The current study had two primary aims: (1) to determine whether low DT is associated with overeating in a sample of participants with diverse races and incomes, and (2) to investigate the relationships among DT and body mass index (BMI) as well as DT and FA symptoms. DT as a moderator of the association between general overeating and FA was also explored. Methods One hundred and ninety residents of Metropolitan Detroit communities (mean age: 41.71; 45.8% male; 34.7% non-White race; 47.4% with obesity) completed the DT Scale, Dutch Eating Behavior Questionnaire, Three Factor Eating Questionnaire, and Yale FA Scale. BMI was based on measured weight and height. Results After adjusting for covariates, linear regression models found significant negative relationships between DT and emotional eating (P Conclusion These findings suggest interventions targeting low DT should be considered to reduce overeating, which is a precursor and maintenance factor of obesity and FA.
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Low distress tolerance leads individuals to seek relief from emotional pain through risky behaviors such as substance abuse.
“Accordingly, they seek to alleviate their emotional pain by adopting risky behaviors such as substance abuse. This strategy is regarded as an appropriate method, especially for people with low distress tolerance [12, 13].”
From Effectiveness of Mindfulness-based Stress Reduction Intervention in Distress Tolerance and Sensation-seeking in Adolescents With a Drug-addicted Parent (2022) · cites this paper as [13]
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- Authors
- Kozak, A. T., Davis, J., Brown, R., & Grabowski, M.
- Affiliations
- Oakland University (US)
- Corresponding author
- Kozak, Andrea T.
- Venue
- Obesity Research & Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 11
- Issue
- 3
- Pages
- 287-298
- ISSN
- 1871-403X (ISSN-L)
- OpenAlex
- W2537816830
- Cited by
- 37
- References
- 60
- Citations by year
- 2025: 4 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 3 · 2020: 7 · 2019: 4 · 2018: 2 · 2017: 2
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Research & Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- 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
- distress tolerance, food addiction, overeating, obesity, emotional eating, external eating, disinhibition, body mass index, dietary habits, moderation, substance addiction
- MeSH terms
- Food Addiction, Adolescent, Adult, Aged, Emotions, Feeding Behavior, Female, Humans, Hyperphagia, Male, Middle Aged, Obesity, Surveys and Questionnaires, Stress, Psychological, United States, Body Mass Index, Young Adult
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