Cited by 161Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Emotional eating in healthy individuals and patients with an eating disorder: evidence from psychometric, experimental and naturalistic studies

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Reichenberger, Julia, Schnepper, Rebekka, Arend, Ann-Kathrin, Blechert, Jens·2020·Proceedings of the Nutrition Society

Abstract

Emotional eating has traditionally been defined as (over)eating in response to negative emotions. Such overeating can impact general health because of excess energy intake and mental health, due to the risks of developing binge eating. Yet, there is still significant controversy on the validity of the emotional eating concept and several theories compete in explaining its mechanisms. The present paper examines the emotional eating construct by reviewing and integrating recent evidence from psychometric, experimental and naturalistic research. Several psychometric questionnaires are available and some suggest that emotions differ fundamentally in how they affect eating (i.e. overeating, undereating). However, the general validity of such questionnaires in predicting actual food intake in experimental studies is questioned and other eating styles such as restrained eating seem to be better predictors of increased food intake under negative emotions. Also, naturalistic studies, involving the repeated assessment of momentary emotions and eating behaviour in daily life, are split between studies supporting and studies contradicting emotional eating in healthy individuals. Individuals with clinical forms of overeating (i.e. binge eating) consistently show positive relationships between negative emotions and eating in daily life. We will conclude with a summary of the controversies around the emotional eating construct and provide recommendations for future research and treatment development.

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  • Individuals who engage in emotional eating may also be more prone to smoking, as both behaviors are utilized to cope with emotional distress.

    “Literature indicates that individuals who engage in emotional eating may also be more prone to smoking, as both behaviors are utilized to cope with emotional distress [23].”

    From Smoking and its impact on eating behavior: A review (2026) · cites this paper as [23]

    In “Different types of emotions and individual differences” (page unavailable), the paper describes smoking as a possible substitute for stress-related eating, not as a behavior emotional eaters are more prone to engage in. It reports increased food intake among non-smokers under high stress but decreased intake among smokers. The paper does suggest that smoking can be used to cope with stress, but its account runs counter to the claimed association. (LLM, conf=0.84)

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  1. [2]Tuthill A, Slawik H, O'rahilly S (2006) Psychiatric co-morbidities in patients attending specialist obesity services in the UK. J Assoc Physicians 99, 317– 325. 16613993
  2. [4]Renner B, Sproesser G, Strohbach S (2012) Why we eat what we eat. The eating motivation survey (TEMS). Appetite 59, 117– 128. 22521515
  3. [5]Cleobury L & Tapper K (2014) Reasons for eating ‘unhealthy’ snacks in overweight and obese males and females. J Hum Nutr Diet 27, 333– 341. 24134077
  4. [6]Verhoeven AAC, Adriaanse MA, de Vet E (2015) It's my party and I eat if I want to. Reasons for unhealthy snacking. Appetite 84, 20– 27. 25261101
  5. [7]Stroebe W, Van Koningsbruggen GM, Papies EK (2013) Why most dieters fail but some succeed: a goal conflict model of eating behavior. Psychol Rev 120, 110– 138. 23230892
  6. [8]Vögele C, Lutz A & Gibson EL (2018) Mood, emotions and eating disorders In The Oxford Handbook of Eating Disorders, 2nd ed, pp. 155– 186 [ W Stewart Agras and A Robinson editors] New York, NY: Oxford University Press.
  7. [9]Appelhans BM (2009) Neurobehavioral inhibition of reward-driven feeding: implications for dieting and obesity. Obesity 17, 640– 647. 19165160
  8. [10]O'Connor DB, Jones F, Conner M (2008) Effects of daily hassles and eating style on eating behavior. Health Psychol 27, Suppl. 1, S20– S31. 18248102
  9. [11]Berthoud H-R (2007) Interactions between the ‘cognitive’ and ‘metabolic’ brain in the control of food intake. Physiol Behav 91, 486– 498. 17307205
  10. [12]Alpers GW & Tuschen-Caffier B (2001) Negative feelings and the desire to eat in bulimia nervosa. Eat Behav 2, 339– 352. 15001027
  11. [14]Bruch H (1955) Role of the emotions in hunger and appetite. Ann NY Acad Sci 63, 68– 75. 13249316
  12. [16]Herman CP & Polivy J (1980) Restrained eating In Obesity, pp. 208– 225 [ AJ Stunkard, editor]. Philadelphia: Saunders.
  13. [17]Booth DA (1994) The psychology of nutrition. London: Taylor & Francis.
  14. [18]Macht M & Simons G (2011) Emotional eating In Emotion Regulation and Well-Being, pp. 281– 295 [ I Nyklícek, A Vingerhoets and M Zeelenberg, editors]. New York: Springer.
  15. [19]Bose M, Oliván B & Laferrère B (2009) Stress and obesity: the role of the hypothalamic-pituitary-adrenal axis in metabolic disease. Curr Opin Endocrinol Diabetes Obes 16, 340– 346. 19584720 PMC2858344
  16. [20]Gibson EL (2012) The psychobiology of comfort eating: implications for neuropharmacological interventions. Behav Pharmacol 23, 442– 460. 22854304
  17. [22]Cardi V, Leppanen J & Treasure J (2015) The effects of negative and positive mood induction on eating behaviour: a meta-analysis of laboratory studies in the healthy population and eating and weight disorders. Neurosci Biobehav Rev 57, 299– 309. 26299807
  18. [23]Evers C, Dingemans A, Junghans AF (2018) Feeling bad or feeling good, does emotion affect your consumption of food? A meta-analysis of the experimental evidence. Neurosci Biobehav Rev 92, 195– 208. 29860103
  19. [24]Bongers P, Jansen A, Houben K (2013) Happy eating: the single target implicit association test predicts overeating after positive emotions. Eat Behav 14, 348– 355. 23910779
  20. [25]Zenk SN, Horoi I, McDonald A (2014) Ecological momentary assessment of environmental and personal factors and snack food intake in African American women. Appetite 83, 333– 341. 25239402 PMC4376474
  21. [26]Herman CP (2015) The social facilitation of eating. A review. Appetite 86, 61– 73. 25265153
  22. [28]Meule A, Reichenberger J & Blechert J (2018) Smoking, stress eating, and body weight: the moderating role of perceived stress. Subst Use Misuse 53, 2152– 2156. 29671684
  23. [29]Svaldi J, Werle D, Naumann E (2019) Prospective associations of negative mood and emotion regulation in the occurrence of binge eating in binge eating disorder. J Psychiatr Res 115, 61– 68. 31121393
  24. [31]Stunkard AJ & Messick S (1985) The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 29, 71– 83. 3981480
  25. [32]Arnow B, Kenardy J & Agras WS (1995) The emotional eating scale: the development of a measure to assess coping with negative affect by eating. Int J Eating Disord 18, 79– 90. 7670446
  26. [33]Masheb RM & Grilo CM (2006) Emotional overeating and its associations with eating disorder psychopathology among overweight patients with binge eating disorder. Int J Eating Disord 39, 141– 146. 16231349
  27. [34]Geliebter A & Aversa A (2003) Emotional eating in overweight, normal weight, and underweight individuals. Eat Behav 3, 341– 347. 15000995
  28. [36]Bongers P & Jansen A (2016) Emotional eating is not what you think it is and emotional eating scales do not measure what you think they measure. Front Psychol 7, 1– 11. 28008323 PMC5143883
  29. [37]Meule A, Reichenberger J & Blechert J (2018) Development and preliminary validation of the Salzburg emotional eating scale. Front Psychol 9, 88. 29467700 PMC5807910
  30. [38]Meule A, Richard A, Schnepper R (2019) Emotion regulation and emotional eating in anorexia nervosa and bulimia nervosa. Eat Disord [Epublication ahead of print version]. 31345125
  31. [39]Adriaanse MA, de Ridder DTD & Evers C (2011) Emotional eating: eating when emotional or emotional about eating? Psychol Health 26, 23– 39. 20204980
  32. [40]Evers C, de Ridder DT & Adriaanse MA (2009) Assessing yourself as an emotional eater: mission impossible? Health Psychol 28, 717– 725. 19916640
  33. [41]Adriaanse MA, Prinsen S, de Witt Huberts JC (2016) ‘I ate too much so I must have been sad’: emotions as a confabulated reason for overeating. Appetite 103, 318– 323. 27129633
  34. [43]Bongers P, de Graaff A & Jansen A (2016) ‘Emotional’ does not even start to cover it: generalization of overeating in emotional eaters. Appetite 96, 611– 616. 26559754
  35. [44]Gorin A & Stone A (2001) Recall biases and cognitive errors in retrospective self-reports: a call for momentary assessment In Handbook of Health Psychology, pp. 405– 413 [ AS Baum, TA Revenson and JE Singer, editors]. New York, NY: Psychology Press.
  36. [45]Braden A, Emley E, Watford T (2020) Self-reported emotional eating is not related to greater food intake: results from two laboratory studies. Psychol Health 35, 500– 517. 31455099
  37. [46]Mason TB, Pacanowski CR, Lavender JM (2019) Evaluating the ecological validity of the Dutch eating behavior questionnaire among obese adults using ecological momentary assessment. Assessment 26, 907– 914. 28703009 PMC6353687
  38. [47]Allen AP, Kennedy PJ, Dockray S (2017) The Trier social stress test: principles and practice. Neurobiol Stress 6, 113– 126. 28229114 PMC5314443
  39. [48]Robinson E, Haynes A, Hardman CA (2017) The bogus taste test: validity as a measure of laboratory food intake. Appetite 116, 223– 231. 28476629 PMC5504774
  40. [49]Van Strien T, Herman CP, Anschutz DJ (2012) Moderation of distress-induced eating by emotional eating scores. Appetite 58, 277– 284. 22037008
  41. [50]Blechert J, Goltsche JE, Herbert BM (2014) Eat your troubles away: electrocortical and experiential correlates of food image processing are related to emotional eating style and emotional state. Biol Psychol 96, 94– 101. 24361542
  42. [51]Hilbert A, Vögele C, Tuschen-Caffier B (2011) Psychophysiological responses to idiosyncratic stress in bulimia nervosa and binge eating disorder. Physiol Behav 104, 770– 777. 21839762
  43. [52]Robinson E, Hardman CA, Halford JCG (2015) Eating under observation: a systematic review and meta-analysis of the effect that heightened awareness of observation has on laboratory measured energy intake. Am J Clin Nutr 102, 324– 337. 26178730
  44. [54]Smyth J, Wonderlich S, Crosby R (2001) The use of ecological momentary assessment approaches in eating disorder research. Int J Eat Disord 30, 83– 95. 11439412
  45. [55]Engel SG, Crosby RD, Thomas G (2016) Ecological momentary assessment in eating disorder and obesity research: a review of the recent literature. Curr Psychiatry Rep 18, 1– 9. 26893235
  46. [56]Schembre SM, Liao Y, O'Connor SG (2018) Mobile ecological momentary diet assessment methods for behavioral research: systematic review. JMIR Mhealth Uhealth 6, e11170. 30459148 PMC6280032
  47. [58]Richard A, Meule A, Reichenberger J (2017) Food cravings in everyday life: an EMA study on snack-related thoughts, cravings, and consumption. Appetite 113, 215– 223. 28249745
  48. [59]Kikuchi H, Yoshiuchi K, Inada S (2015) Development of an ecological momentary assessment scale for appetite. Biopsychosoc Med 9 [Epublication 15 January 2015]. PMC4302437 25614760
  49. [60]Thomas JG, Doshi S, Crosby RD (2011) Ecological momentary assessment of obesogenic eating behavior: combining person-specific and environmental predictors. Obesity 19, 1574– 1579. 21273995
  50. [61]Burd C, Mitchell JE, Crosby RD (2009) An assessment of daily food intake in participants with anorexia nervosa in the natural environment. Int J Eating Disord 42, 371– 374. PMC3584709 19040266
  51. [62]Goldschmidt AB, Engel SG, Wonderlich SA (2012) Momentary affect surrounding loss of control and overeating in obese adults with and without binge eating disorder. Obesity (Silver Spring, Md) 20, 1206– 1211. 21938073 PMC3816927
  52. [63]Smith KE, Mason TB, Schaefer LM (2020) Examining intra-individual variability in food-related inhibitory control and negative affect as predictors of binge eating using ecological momentary assessment. J Psychiatr Res 120, 137– 143. 31677551 PMC6901112
  53. [64]Haedt-Matt AA, Keel PK, Racine SE (2014) Do emotional eating urges regulate affect? Concurrent and prospective associations and implications for risk models of binge eating. Int J Eating Disord 47, 874– 877. PMC4099307 24431328
  54. [65]Mason TB, Heron KE, Braitman AL (2016) A daily diary study of perceived social isolation, dietary restraint, and negative affect in binge eating. Appetite 97, 94– 100. 26631253
  55. [66]Keating L, Mills JS & Rawana JS (2019) Momentary predictors of binge eating: an attachment perspective. Eat Behav 32, 44– 52. 30594107
  56. [67]Rodgers RF, Fuller-Tyszkiewicz M, Holmes M (2018) When does behavior follow intent? Relationships between trait level dietary restraint and daily eating behaviors. Appetite 120, Suppl. C, 449– 455. 28970185
  57. [68]Ashurst J, van Woerden I, Dunton G (2018) The association among emotions and food choices in first-year college students using mobile-ecological momentary assessments. BMC Public Health 18, 573. 29716572 PMC5930522
  58. [69]Reichenberger J, Kuppens P, Liedlgruber M (2018) No haste, more taste: an EMA study of the effects of stress, negative and positive emotions on eating behavior. Biol Psychol 131, 54– 62. 27654506
  59. [70]Schultchen D, Reichenberger J, Mittl T (2019) Bidirectional relationship of stress and affect with physical activity and healthy eating. Brit J Health Psych 24, 315– 333. PMC6767465 30672069
  60. [71]Heron KE, Scott SB, Sliwinski MJ (2014) Eating behaviors and negative affect in college women's everyday lives. Int J Eating Disord 47, 853– 859. PMC4223006 24797029
  61. [72]Wouters S, Jacobs N, Duif M (2018) Affect and between-meal snacking in daily life: the moderating role of gender and age. Psychol Health 33, 555– 572. 28934860
  62. [73]Haedt-Matt AA & Keel PK (2011) Revisiting the affect regulation model of binge eating: a meta-analysis of studies using ecological momentary assessment. Psychol Bull 137, 660– 681. 21574678 PMC3100657
  63. [74]Ambwani S, Roche MJ, Minnick AM (2015) Negative affect, interpersonal perception, and binge eating behavior: an experience sampling study. Int J Eating Disord 48, 715– 726. 25946681
  64. [75]Engel SG, Wonderlich SA, Crosby RD (2013) The role of affect in the maintenance of anorexia nervosa: evidence from a naturalistic assessment of momentary behaviors and emotion. J Abnorm Psychol 122, 709– 719. 24016011 PMC3997111
  65. [76]Goldschmidt AB, Wonderlich SA, Crosby RD (2014) Ecological momentary assessment of stressful events and negative affect in bulimia nervosa. J Consult Clin Psychol 82, 30– 39. 24219182 PMC3966065
  66. [77]Lavender JM, Utzinger LM, Cao L (2016) Reciprocal associations between negative affect, binge eating, and purging in the natural environment in women with bulimia nervosa. J Abnorm Psychol 125, 381– 386. 26692122 PMC4821806
  67. [78]Munsch S, Meyer AH, Quartier V (2012) Binge eating in binge eating disorder: a breakdown of emotion regulatory process? Psychiatry Res 195, 118– 124. 21849214
  68. [79]Smith KE, Mason TB, Crosby RD (2018) State and trait positive and negative affectivity in relation to restraint intention and binge eating among adults with obesity. Appetite 120, 327– 334. 28943474 PMC5969992
  69. [80]Stevenson BL, Dvorak RD, Wonderlich SA (2018) Emotions before and after loss of control eating. Eat Disord 26, 505– 522. 29565734
  70. [81]Becker D, Jostmann NB & Holland RW (2018) Does approach bias modification really work in the eating domain? A commentary on Kakoschke et al. (2017). Addict Behav 77, 293. 28237541
  71. [82]Berg KC, Crosby RD, Cao L (2015) Negative affect prior to and following overeating-only, loss of control eating-only, and binge eating episodes in obese adults. Int J Eat Disord 48, 641– 653. 25808854 PMC4543439
  72. [83]Berg KC, Crosby RD, Cao L (2013) Facets of negative affect prior to and following binge-only, purge-only, and binge/purge events in women with bulimia nervosa. J Abnorm Psychol 122, 111– 118. 22985015 PMC3646562
  73. [86]Wilhelm FH & Grossman P (2010) Emotions beyond the laboratory: theoretical fundaments, study design, and analytic strategies for advanced ambulatory assessment. Biol Psychol 84, 552– 569. 20132861
  74. [87]Koolagudi SG & Rao KS (2012) Emotion recognition from speech: a review. Int J Speech Technol 15, 99– 117.
  75. [88]Lieffers JR & Hanning RM (2012) Dietary assessment and self-monitoring: with nutrition applications for mobile devices. Can J Diet Pract Res 73, e253– e260. 22958633
  76. [89]Illner A, Freisling H, Boeing H (2012) Review and evaluation of innovative technologies for measuring diet in nutritional epidemiology. Int J Epidemiol 41, 1187– 1203. 22933652
  77. [90]Blechert J, Liedlgruber M, Lender A (2017) Unobtrusive electromyography-based eating detection in daily life: a new tool to address underreporting? Appetite 118, 168– 173. 28797702
  78. [91]Dong Y, Hoover A, Scisco J (2012) A new method for measuring meal intake in humans via automated wrist motion tracking. Appl Psychophysiol Biofeedback 37, 205– 215. 22488204 PMC4487660
  79. [92]Thomaz E, Essa I & Abowd GD (2015) A practical approach for recognizing eating moments with wrist-mounted inertial sensing. Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing, pp 1029– 1040. Osaka, Japan: ACM. PMC5839104 29520397
  80. [94]Meule A, Reichenberger J & Blechert J (2018) Development and preliminary validation of the Salzburg stress eating scale. Appetite 120, 442– 448. 28986162
  81. [95]Smith KE, Mason TB, Crosby RD (2019) A multimodal, naturalistic investigation of relationships between behavioral impulsivity, affect, and binge eating. Appetite 136, 50– 57. 30664909 PMC6430666
  82. [96]Wonderlich JA, Breithaupt L, Thompson JC (2018) The impact of neural responses to food cues following stress on trajectories of negative and positive affect and binge eating in daily life. J Psychiatr Res 102, 14– 22. 29558632
  83. [97]Cardi V, Leppanen J, Leslie M (2019) The use of a positive mood induction video-clip to target eating behaviour in people with bulimia nervosa or binge eating disorder: an experimental study. Appetite 133, 400– 404. 30529607
  84. [98]Sproesser G, Schupp HT & Renner B (2014) The bright side of stress-induced eating: eating more when stressed but less when pleased. Psychol Sci 25, 58– 65. 24166853
  85. [99]Juarascio AS, Parker MN, Lagacey MA (2018) Just-in-time adaptive interventions: a novel approach for enhancing skill utilization and acquisition in cognitive behavioral therapy for eating disorders. Int J Eating Disord 51, 826– 830. PMC6492029 30051495

Cited by

Sorted by citations

Authors
Reichenberger, J., Schnepper, R., Arend, A.-K., & Blechert, J.
Affiliations
University of Salzburg (AT)
Corresponding author
Reichenberger, Julia
Venue
Proceedings of the Nutrition Society
Published
2020-05-13
Volume
79
Issue
3
Pages
290-299
ISSN
  • 0029-6651 (ISSN-L)
  • 1475-2719
OpenAlex
W3025913633
Cited by
161
References
9
Citations by year
2026: 37 · 2025: 35 · 2024: 28 · 2023: 27 · 2022: 22 · 2021: 7 · 2020: 4
FWCI
1.17
Type
journal article
Language
en
Open access
Locations
  • Proceedings of The Nutrition Society (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, cc-by)
Funders
European Commission (639445, HORIZON2020, ERC-StG-2014)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
emotional eating, binge eating, eating disorders, negative emotions, dietary intake, dietary restraint, eating styles, construct validity, overeating, undereating
MeSH terms
Bulimia, Emotions, Feeding Behavior, Female, Humans, Hyperphagia, Male, Psychometrics, Bulimia Nervosa

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