Guerrini Usubini Anna, Ducale Sara, Bondesan Adele, Frigerio Francesca, Tringali Gabriella, Cornacchia Mauro, Nibbio Ferruccio, Castelnuovo Gianluca, Sartorio Alessandro
Experimental Laboratory for Auxo-Endocrinological Research, Istituto Auxologico Italiano, Istituto di Ricovero e Cura a Carattere Scientifico IRCCS, 28824 Piancavallo-Verbania, Italy.
Psychology Research Laboratory, Istituto Auxologico Italiano, Istituto di Ricovero e Cura a Carattere Scientifico IRCCS, 28824 Piancavallo-Verbania, Italy.
J Clin Med. 2025 May 30;14(11):3871. doi: 10.3390/jcm14113871.
Emotional dysregulation has been strongly linked to maladaptive eating behaviors in obesity. Worry and rumination are frequently implicated in emotional dysregulation and may serve as pathways linking emotional regulation difficulties to emotional eating. The current study examines the mediating role of worry and rumination in the relationship between emotional dysregulation and emotional eating among individuals with obesity. : Ninety hospitalized Italian adults were involved in the study with 53 obese males, 37 obese females, mean age ± SD: 50.1 + 10.9 years; mean body mass index: 46.4 ± 9.4 kg/m. To assess worry, rumination, emotion dysregulation, and emotional eating, the participants were asked to fill in, respectively, the following questionnaires: The Penn State Worry Questionnaire; The Ruminative Response Scale; The Anger Rumination Scale; The Difficulties in Emotion Regulation Scale; Emotional Eating subscale of the Dutch Eating Behavior Questionnaire. Three mediation models were tested to examine the relationships between difficulties in emotional regulation as a predictor, worry and rumination as mediators separately, and emotional eating as the dependent variable. : The mediation analyses revealed significant indirect effects across all models, suggesting the presence of mediation effects of worry and rumination in the relationships between emotional dysregulation and emotional eating. : These findings highlight the critical mediating role of worry and rumination that drive the observed relationships between emotional dysregulation and emotional eating. This study contributes to a deeper understanding of the cognitive-emotional mechanisms involved in emotional eating in individuals with obesity. Such results can contribute to developing targeted interventions aimed at improving emotional regulation and reducing maladaptive eating behaviors.
情绪调节障碍与肥胖中的不良饮食行为密切相关。担忧和沉思常与情绪调节障碍有关，可能是将情绪调节困难与情绪化进食联系起来的途径。本研究探讨了担忧和沉思在肥胖个体情绪调节障碍与情绪化进食关系中的中介作用。90名住院的意大利成年人参与了该研究，其中53名肥胖男性，37名肥胖女性，平均年龄±标准差：50.1 + 10.9岁；平均体重指数：46.4 ± 9.4 kg/m²。为了评估担忧、沉思、情绪调节障碍和情绪化进食，参与者分别被要求填写以下问卷：宾夕法尼亚州立大学担忧问卷；沉思反应量表；愤怒沉思量表；情绪调节困难量表；荷兰饮食行为问卷的情绪化进食分量表。测试了三个中介模型，以检验作为预测因素的情绪调节困难、分别作为中介的担忧和沉思以及作为因变量的情绪化进食之间的关系。中介分析揭示了所有模型中均存在显著的间接效应，表明担忧和沉思在情绪调节障碍与情绪化进食的关系中存在中介作用。这些发现凸显了担忧和沉思在驱动情绪调节障碍与情绪化进食之间观察到的关系中的关键中介作用。本研究有助于更深入地理解肥胖个体情绪化进食所涉及的认知 - 情感机制。这些结果有助于制定有针对性的干预措施，旨在改善情绪调节并减少不良饮食行为。
