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Article

The Psycho-Affective Roots of Obesity: Results from a French Study in the General Population

1
Addictology Department, University Hospital of Bordeaux, 33000 Bordeaux, France
2
CNRS, EPHE, INCIA, UMR 5287, Université de Bordeaux, F-33000 Bordeaux, France
3
Private Practice, Stimulus Consulting Ltd., Coastal Road, Cascavelle 90203, Mauritius
4
UVSQ, CESP, INSERM, Université Paris-Sud and Université Paris Descartes, 75014 Paris, France
5
LIP/PC2S, Grenoble Alpes University and Savoie Mont Blanc University, F-38000 Grenoble, France
6
Department of Psychiatry for Adolescents and Young Adults, Institut Mutualiste Montsouris, 75014 Paris, France
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(10), 2962; https://doi.org/10.3390/nu12102962
Received: 31 August 2020 / Revised: 20 September 2020 / Accepted: 24 September 2020 / Published: 28 September 2020
The aim of the study was to examine the extent to which obese people differ in their emotionally driven and addictive-like eating behaviors from normal-weight and overweight people. A total of 1142 participants were recruited from a general population, by a web-based cross-sectional survey assessing anxiety/depression (Hospital Anxiety and Depression Scale), emotional eating (Emotional Appetite Questionnaire), food addiction (modified Yale Food Addiction Scale), and intuitive eating (Intuitive Eating Scale-2). The statistical design was based on analyses of (co)variance, correlograms, and mediations. A set of Body Mass Index (BMI) group comparisons showed that obese people reported higher levels of depression and emotional eating and that they experienced more severe and frequent food addiction symptoms than overweight and normal-weight people. Associations between anxiety, depression, food addiction symptoms’ count, and the difficulties to rely on hunger and satiety cues were found across all weight classes, suggesting that addictive-like eating may represent a unique phenotype of problematic eating behavior that is not synonymous with high BMI or obesity. Conversely, the interrelation between anxiety/depression, emotional eating, and the difficulties to rely on hunger and satiety cues was found only among obese participants, and negative emotional eating mediated the association between depression and anxiety and the difficulties to rely on hunger and satiety cues. This study emphasizes the necessity to develop more comprehensive approaches integrating emotional dysregulation and addictive-like eating behaviors to improve weight management and quality of life of obese people. View Full-Text
Keywords: obesity; food addiction; emotional eating; intuitive eating; depression; anxiety obesity; food addiction; emotional eating; intuitive eating; depression; anxiety
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MDPI and ACS Style

Bourdier, L.; Fatseas, M.; Maria, A.-S.; Carre, A.; Berthoz, S. The Psycho-Affective Roots of Obesity: Results from a French Study in the General Population. Nutrients 2020, 12, 2962. https://doi.org/10.3390/nu12102962

AMA Style

Bourdier L, Fatseas M, Maria A-S, Carre A, Berthoz S. The Psycho-Affective Roots of Obesity: Results from a French Study in the General Population. Nutrients. 2020; 12(10):2962. https://doi.org/10.3390/nu12102962

Chicago/Turabian Style

Bourdier, Lena, Melina Fatseas, Anne-Solène Maria, Arnaud Carre, and Sylvie Berthoz. 2020. "The Psycho-Affective Roots of Obesity: Results from a French Study in the General Population" Nutrients 12, no. 10: 2962. https://doi.org/10.3390/nu12102962

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