Emotion and Stress Related Eating and Personality Dimensions Predict Food Addiction: Implications for Personalized Weight Management and Primary Prevention

Eva Klanduchova, Lucia Adamovska

Abstract


Background: Food addiction constitutes a novel health concern with potential consequences for both psychological and physical well-being. While the etiology of Food addiction is likely multifactorial, additional factors beyond obesogenic environments need to be explored. Therefore, we sought to examine the relationships between five-factor personality domains, Food addiction and coping styles related to eating (Emotion and stress related eating) starting from the hypothesis that Food addiction may be determined by coping styles related to eating (based on a Transactional Model of Stress and Coping) as well as specific personality traits


Methods and Material: A correlational, quantitative, non-experimental design was employed. A self-report assessment battery was used to evaluate participants’ demographics, Food addiction (the Yale Food Addiction Scale), Emotion and stress related eating (the Eating and Appraisal Due to Emotions and Stress Questionnaire), personality dimensions (the Mini-IPIP) and BMI.


Results: The research sample comprised 114 participants aged 18-72 years (Mage = 42.7 years). The sample was predominantly female (71.9%). Additionally, 26.3% of participants were overweight, and 22.9% were obese. We found a strong relationship between Neuroticism and Emotion and stress related eating (Ability and Resources to Cope), with Neuroticism explaining 35.6% of the variance in impaired Ability and Resources to Cope. Neuroticism and Conscientiousness (inverse) were identified as moderate predictors of Emotion and Stress-Related Eating. These personality domains explain 21.5% of the variance in Emotion and Stress-Related Eating.  Neuroticism and Conscientiousness (inverse) were also significantly related to Food addiction. Neuroticism emerged as a moderate predictor of Food addiction. Moderate relationships were identified between Food addiction, Emotion and Stress-Related Eating and Ability and Resources to Cope.  Emotion and Stress-Related Eating emerged as a strong predictor of Food addiction, accounting for 29.4% of its variance. 


Conclusions: These findings highlight the significance of personality domains (Neuroticism and Conscientiousness) and coping styles related to eating (Ability and Resources to Cope and Emotion and Stress-Related Eating) in understanding risk and protective factors for Food addiction. Such insights can inform the diagnostic process and development of personalized and targeted therapeutic interventions.

Keywords


Clinical Psychology; Coping; Emotional eating; Food addiction; Neuroticism; Personality.

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References


Adams, R. C., Sedgmond, J., Maizey, L., Chambers, C. D., & Lawrence, N. S. (2019). Food Addiction: Implications for the Diagnosis and Treatment of Overeating. Nutrients, 11, 2086. https://doi.org/10.3390/nu11092086

American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision (DSM-IV-TR). Washington DC: American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890423349

Avena, N. M., & Hoebel, B. G. (2003). Amphetamine-sensitized rats show sugar-induced hyperactivity (cross-sensitization) and sugar hyperphagia. Pharmacology, Biochemistry and Behavior, 74(3), 635–639. https://doi.org/10.1016/S0091-3057(02)01050-X

Avena, N. M., Rada, P., & Hoebel, B. G. (2008). Evidence for sugar addiction: behavioral and neurochemical effects of intermittent, excessive sugar intake. Neuroscience & Biobehavioral Reviews, 32(1), 20-39. https://doi.org/10.1016/j.neubiorev.2007.04.019

Avena, N. M., & Gold, M. S. (2011). Variety and hyperpalatability: are they promoting addictive overeating? 123. The American journal of clinical nutrition, 94(2), 367-368. https://doi.org/10.3945/ajcn.111.020164

Brunault, P., Ducluzeau, P. H., Courtois, R., Bourbao-Tournois, C., Delbachian, I., Réveillère, C., & Ballon, N. (2018). Food addiction is associated with higher neuroticism, lower conscientiousness, higher impulsivity, but lower extraversion in obese patient candidates for bariatric surgery. Substance Use & Misuse, 53(11), 1919-1923. https://doi.org/10.1080/10826084.2018.1433212

Colantuoni, C., Schwenker, J., McCarthy, J., Rada, P., Ladenheim, B., Cadet, J. L., Schwartz, G. J., Moran, T. H., & Hoebel, B. G. (2001). Excessive sugar intake alters binding to dopamine and mu-opioid receptors in the brain. Neuroreport, 12(16), 3549–3552. https://doi.org/10.1097/00001756-200111160-00035

Costa, P. T., & McCrae, R. R. (1992). The five-factor model of personality and its relevance to personality disorders. Journal of Personality Disorders, 6(4), 343–359. https://doi.org/10.1521/pedi.1992.6.4.343

Davis, C., Curtis, C., Levitan, R. D., Carter, J. C., Kaplan, A. S., & Kennedy, J. L. (2011). Evidence that ‘food addiction’is a valid phenotype of obesity. Appetite, 57(3), 711-717. https://doi.org/10.1016/j.appet.2011.08.017

Dingemans, A., Martijn, C., Jansen, A. T. M., & van Furth, E. (2009). The effect of suppressing negative emotions on eating behavior in binge eating disorder. Appetite, 52, 51-57. https://doi.org/10.1016/j.appet.2008.08.004

Dingemans, A. E., Spinhoven, P., & Van Furth, E. F. (2007). Predictors and mediators of treatment outcome in patients with binge eating disorder. Behaviour Research And Therapy, 45, 2551–2562. https://doi.org/10.1016/j.brat.2007.06.003

Donnellan, M. B., Oswald, F. L., Baird, B. M., & Lucas, R. E. (2006). The mini-IPIP scales: tiny-yet-effective measures of the Big Five factors of personality. Psychological assessment, 18(2), 192. https://doi.org/10.1037/1040-3590.18.2.192

Drewnowski, A., Krahn, D. D., Demitrack, M. A., Nairn, K., & Gosnell, B. A. (1995). Naloxone, an opiate blocker, reduces the consumption of sweet high-fat foods in obese and lean female binge eaters. The American journal of clinical nutrition, 61(6), 1206–1212. https://doi.org/10.1093/ajcn/61.6.1206

Echeverri-Alvarado, B., Pickett, S., & Gildner, D. (2020). A model of post-traumatic stress symptoms on binge eating through emotion regulation difficulties and emotional eating. Appetite, 150, 104659. https://doi.org/10.1016/j.appet.2020.104659

Elfhag, K., & Morey, L. C. (2008). Personality traits and eating behavior in the obese: poor self-control in emotional and external eating but personality assets in restrained eating. Eating behaviors, 9(3), 285-293. https://doi.org/10.1016/j.eatbeh.2007.10.003

Evers, C., Marijn Stok, F., & de Ridder, D. T. (2010). Feeding your feelings: Emotion regulation strategies and emotional eating. Personality and social psychology bulletin, 36(6), 792-804. https://doi.org/10.1177/0146167210371383

Gearhardt, A. N., Boswell, R. G., & Potenza, M. N. (2014). Neuroimaging of eating disorders, substance used is orders, and addictions: Overlapping and unique systems. In: Brewerton DT, Dennis A Baker, editors. Eating disorders, addictions and substance use disorders: Research, clinical and treatment perspectives. Berlin, Heidelberg: Springer; pp. 71–89. https://doi.org/10.1007/978-3-642-45378-6_4

Gearhardt, A. N., Corbin, W. R., & Brownell, K. D. (2009). Preliminary validation of the Yale food addiction scale. Appetite, 52(2), 430-436. https://doi.org/10.1016/j.appet.2008.12.003

Gearhardt, A. N., Corbin, W. R., & Brownell, K. D. (2016). Development of the Yale Food Addiction Scale Version 2.0. Psychology of Addictive Behaviors, 30(1), 113. https://doi.org/10.1037/adb0000136

Gearhardt, A. N., White, M. A., Masheb, R. M., Morgan, P. T., Crosby, R. D., & Grilo, C. M. (2012). An examination of the food addiction construct in obese patients with binge eating disorder. International Journal of Eating Disorders, 45(5), 657-663. https://doi.org/10.1002/eat.20957

Gosnell, B. A., & Levine, A. S. (2009). Reward systems and food intake: role of opioids. International journal of obesity, 33(2), S54-S58. https://doi.org/10.1038/ijo.2009.73

Granero, R., Hilker, I., Agüera, Z., Jiménez-Murcia, S., Sauchelli, S., Islam, M. A., Fagundo, A. B., Sánchez, I., Riesco, N., Dieguez, C., Soriano, J., Salcedo-Sánchez, C., Casanueva, F. F., De la Torre, R., Menchón, J. M., Gearhardt, A. N., & Fernández-Aranda, F. (2014). Food addiction in a Spanish sample of eating disorders: DSM-5 diagnostic subtype differentiation and validation data. European eating disorders review : the journal of the Eating Disorders Association, 22(6), 389–396. https://doi.org/10.1002/erv.2311

Groesz, L. M., McCoy, S., Carl, J., Saslow, L., Stewart, J., Adler, N., Laraia, B., & Epel, E. (2012). What is eating you? Stress and the drive to eat. Appetite, 58(2), 717–721. https://doi.org/10.1016/j.appet.2011.11.028

Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110(1), 86–108. https://doi.org/10.1037/0033-2909.110.1.86

Heaven, P. C., Mulligan, K., Merrilees, R., Woods, T., & Fairooz, Y. (2001). Neuroticism and conscientiousness as predictors of emotional, external, and restrained eating behaviors. International Journal of Eating Disorders, 30(2), 161-166. https://doi.org/10.1002/eat.1068

Iasonidou, E., Constantinou, E., Ferreira, N., & Koushiou, M. (2023). Emotional responding and distress tolerance in women at high vs. low risk for eating disorders in response to physical and cognitive stress. Mediterranean Journal of Clinical Psychology 11(3). https://doi.org/10.13129/2282-1619/mjcp-3796

https://doi.org/10.13129/2282-1619/mjcp-3796

Keller, C., & Siegrist, M. (2015). Does personality influence eating styles and food choices? Direct and indirect effects. Appetite, 84, 128-138. https://doi.org/10.1016/j.appet.2014.10.003

Konttinen, H., Männistö, S., Sarlio-Lähteenkorva, S., Silventoinen, K., & Haukkala, A. (2010). Emotional eating, depressive symptoms and self-reported food consumption. A population-based study. Appetite, 54(3), 473-479. https://doi.org/10.1016/j.appet.2010.01.014

Kringelbach, M. L. (2005). The human orbitofrontal cortex: linking reward to hedonic experience. Nature reviews. Neuroscience, 6(9), 691–702. https://doi.org/10.1038/nrn1747

Leigh, S. J., & Morris, M. J. (2018). The role of reward circuitry and food addiction in the obesity epidemic: An update. Biological psychology, 131, 31–42. https://doi.org/10.1016/j.biopsycho.2016.12.013

Lin, X., & Li, H. (2021). Obesity: Epidemiology, Pathophysiology, and Therapeutics. Frontiers in Endocrinology, 12, 706978. https://doi.org/10.3389/fendo.2021.706978

Manzoni, G. M., Rossi, A., Pietrabissa, G., Mannarini, S., Fabbricatore, M., Imperatori, C., Innamorati, M., Gearhardt, A. N., & Castelnuovo, G. (2021). Structural validity, measurement invariance, reliability and diagnostic accuracy of the Italian version of the Yale Food Addiction Scale 2.0 in patients with severe obesity and the general population. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26, 345-366. https://doi.org/10.1007/s40519-020-00858-y

Minhas, M., Murphy, C. M., Balodis, I. M., Samokhvalov, A. V., & MacKillop, J. (2021). Food addiction in a large community sample of Canadian adults: prevalence and relationship with obesity, body composition, quality of life and impulsivity. Addiction (Abingdon, England), 116(10), 2870–2879. https://doi.org/10.1111/add.15446

Monteleone, P., Piscitelli, F., Scognamiglio, P., Monteleone, A. M., Canestrelli, B., Di Marzo, V., & Maj, M. (2012). Hedonic eating is associated with increased peripheral levels of ghrelin and the endocannabinoid 2-arachidonoyl-glycerol in healthy humans: a pilot study. The Journal of Clinical Endocrinology & Metabolism, 97(6). https://doi.org/10.1210/jc.2011-3018

Murphy, C. M., Stojek, M. K., & MacKillop, J. (2014). Interrelationships among impulsive personality traits, food addiction, and Body Mass Index. Appetite, 73, 45–50. https://doi.org/10.1016/j.appet.2013.10.008

Nogueiras, R., Romero-Picó, A., Vazquez, M. J., Novelle, M. G., López, M., & Diéguez, C. (2012). The opioid system and food intake: homeostatic and hedonic mechanisms. Obesity facts, 5(2), 196–207. https://doi.org/10.1159/000338163

Nolan, L. J., & Jenkins, S. M. (2019). Food addiction is associated with irrational beliefs via trait anxiety and emotional eating. Nutrients, 11(8), 1711. https://doi.org/10.3390/nu11081711

Oliveira, J., Colombarolli, M. S., & Cordás, T. A. (2021). Prevalence and correlates of food addiction: Systematic review of studies with the YFAS 2.0. Obesity Research & Clinical Practice, 15(3), 191-204. https://doi.org/10.1016/j.orcp.2021.03.014

Oliver, G., Wardle, J., & Gibson, E. L. (2000). Stress and food choice: a laboratory study. Psychosomatic medicine, 62(6), 853–865. https://doi.org/10.1097/00006842-200011000-00016

O'Malley, P. M., & Johnston, L. D. (2002). Epidemiology of alcohol and other drug use among American college students. Journal of studies on alcohol. Supplement, (14), 23–39. https://doi.org/10.15288/jsas.2002.s14.23

Ozier, A. D., Kendrick, O. W., Knol, L. L., Leeper, J. D., Perko, M., & Burnham, J. (2007). The eating and appraisal due to emotions and stress (EADES) questionnaire: development and validation. Journal of the American Dietetic Association, 107(4), 619-628. https://doi.org/10.1016/j.jada.2007.01.004

Praxedes, D. R., Silva-Júnior, A. E., Macena, M. L., Gearhardt, A. N., & Bueno, N. B. (2023). Prevalence of food addiction among patients undergoing metabolic/bariatric surgery: A systematic review and meta-analysis. Obesity reviews : an official journal of the International Association for the Study of Obesity, 24(2), e13529. https://doi.org/10.1111/obr.13529

Praxedes, D. R. S., Silva-Júnior, A. E., Macena, M. L., Oliveira, A. D., Cardoso, K. S., Nunes, L. O., Monteiro, M. B., Melo, I. S. V., Gearhardt, A. N., & Bueno, N. B. (2022). Prevalence of food addiction determined by the Yale Food Addiction Scale and associated factors: A systematic review with meta-analysis. European eating disorders review: the journal of the Eating Disorders Association, 30(2), 85–95. https://doi.org/10.1002/erv.2878

Randolph, T. G. (1956). The descriptive features of food addiction. Addictive eating and drinking. Quarterly journal of studies on alcohol, 17(2), 198-224. https://doi.org/10.15288/qjsa.1956.17.198

Spoor, S. T., Bekker, M. H., Van Strien, T., & van Heck, G. L. (2007). Relations between negative affect, coping, and emotional eating. Appetite, 48(3), 368-376. https://doi.org/10.1016/j.appet.2006.10.005

Stice, E., Yokum, S., Bohon, C., Marti, N., & Smolen, A. (2010). Reward circuitry responsivity to food predicts future increases in body mass: moderating effects of DRD2 and DRD4. Neuroimage, 50(4), 1618-1625. https://doi.org/10.1016/j.neuroimage.2010.01.081

Sultson, H., Kukk, K., & Akkermann, K. (2017). Positive and negative emotional eating have different associations with overeating and binge eating: Construction and validation of the Positive-Negative Emotional Eating Scale. Appetite, 116, 423-430. https://doi.org/10.1016/j.appet.2017.05.035

Talbot, L. S., Maguen, S., Epel, E. S., Metzler, T. J., & Neylan, T. C. (2013). Posttraumatic stress disorder is associated with emotional eating. Journal of Traumatic Stress, 26(4), 521-525. https://doi.org/10.1002/jts.21824

Tang, C. S. K., Gan, Y., Ko, J., Kwon, J. H., Wu, A., Yan, E., & Yogo, M. (2021). The associations among emotional factors, personality traits, and addiction‐like eating: A study on university students in six Asian countries/regions. International Journal of Eating Disorders, 54(2). https://doi.org/10.1002/eat.23298

Telch, C. F., & Agras, W. S. (1994). Obesity, binge eating and psychopathology: Are they related? International Journal of Eating Disorders, 15(1), 53–61. https://doi.org/10.1002/1098-108X(199401)15:1<53::AID-EAT2260150107>3.0.CO;2-0

VanderBroek-Stice, L., Stojek, M. K., Beach, S. R. H., vanDellen, M. R., & MacKillop, J. (2017). Multidimensional assessment of impulsivity in relation to obesity and food addiction. Appetite, 112, 59–68. https://doi.org/10.1016/j.appet.2017.01.009

Volkow, N. D., Fowler, J. S., Wang, G. J., & Goldstein, R. Z. (2002). Role of dopamine, the frontal cortex and memory circuits in drug addiction: insight from imaging studies. Neurobiology of learning and memory, 78(3), 610–624. https://doi.org/10.1006/nlme.2002.4099

Volkow, N. D., Wang, G. J., Fowler, J. S., & Telang, F. (2008). Overlapping neuronal circuits in addiction and obesity: evidence of systems pathology. Philosophical Transactions of the Royal Society B: Biological Sciences, 363(1507), 3191-3200. https://doi.org/10.1098/rstb.2008.0107

Volkow, N. D., Wang, G. J., Fowler, J. S., Tomasi, D., & Baler, R. (2012). Food and drug reward: overlapping circuits in human obesity and addiction. Brain imaging in behavioral neuroscience, 1-24. http://dx.doi.org/10.1007/7854_2011_169

Volkow, N. D., Wang, G. J., Ma, Y., Fowler, J. S., Wong, C., Ding, Y. S., Hitzemann, R., Swanson, J. M., & Kalivas, P. (2005). Activation of orbital and medial prefrontal cortex by methylphenidate in cocaine-addicted subjects but not in controls: relevance to addiction. The Journal of neuroscience : the official journal of the Society for Neuroscience, 25(15), 3932–3939. https://doi.org/10.1523/JNEUROSCI.0433-05.2005

Volkow, N. D., Wang, G. J., Maynard, L., Jayne, M., Fowler, J. S., Zhu, W., Logan, J., Gatley, J., Ding, Y.-S., Wond, C., & Pappas, N. (2003). Brain dopamine is associated with eating behaviors in humans. International Journal of Eating Disorders, 33(2), 136-142. https://doi.org/10.1002/eat.10118

Wideman, C. H., Nadzam, G. R., & Murphy, H. M. (2005). Implications of an animal model of sugar addiction, withdrawal and relapse for human health. Nutritional neuroscience, 8(5-6), 269–276. https://doi.org/10.1080/10284150500485221

Yekaninejad, M. S., Badrooj, N., Vosoughi, F., Lin, C. Y., Potenza, M. N., & Pakpour, A. H. (2021). Prevalence of food addiction in children and adolescents: A systematic review and meta-analysis. Obesity reviews : an official journal of the International Association for the Study of Obesity, 22(6), e13183. https://doi.org/10.1111/obr.13183




DOI: https://doi.org/10.13129/2282-1619/mjcp-4328

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