Department of Management

The mediation effect of emotional eating between depression and body mass index in the two European countries Denmark and Spain

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The mediation effect of emotional eating between depression and body mass index in the two European countries Denmark and Spain. / van Strien, Tatjana ; Winkens, Laura ; Toft, Madeleine Broman; Pedersen, Susanne; Brouwer, Ingeborg ; Visser, Marjolein ; Lähteenmäki, Liisa.

In: Appetite, Vol. 105, 2016, p. 500-508.

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van Strien, Tatjana ; Winkens, Laura ; Toft, Madeleine Broman ; Pedersen, Susanne ; Brouwer, Ingeborg ; Visser, Marjolein ; Lähteenmäki, Liisa. / The mediation effect of emotional eating between depression and body mass index in the two European countries Denmark and Spain. In: Appetite. 2016 ; Vol. 105. pp. 500-508.

Bibtex

@article{407ce058031148498e221453c4d8ebfc,
title = "The mediation effect of emotional eating between depression and body mass index in the two European countries Denmark and Spain",
abstract = "In two European countries with a different prevalence of depression, namely Denmark (high) and Spain (low), we assessed whether the mediation effect of emotional eating between depression and Body Mass Index (BMI) as found in earlier studies can be replicated and whether this mediation effect is contingent on 1) change in appetite and 2) gender. Mediation and moderated mediation was assessed with Hayes{\textquoteright} PROCESS macro in SPSS. Emotional eating (DEBQ: Dutch Eating Behavior Questionnaire), depressive symptoms (CES-D: Center for Epidemiologic Studies Depression Scale), change in appetite, weight and height were self-reported. In both countries, emotional eating acted as a mediator between depression and BMI (Denmark: B = 0.03 (SE = 0.01), 95% CI, [0.03, 0.05]; Spain: B = 0.03 (SE = 0.01), 95% CI, [0.02, 0.04]). In Denmark this mediation effect was stronger for participants with increased appetite and for females than for participants with decreases/no change in appetite and for males (more appetite: B = 0.08, (SE = 0.03), [0.03, 0.15]; decreased appetite/no change in appetite: B = 0.03 (SE = 0.01), [0.02, 0.04]); females: B = 0.05 (SE = 0.01), [0.03, 0.07]; males: B = 0.01 (SE = 0.01), [0.004, 0.04]. This supports depression with atypical features as an underlying mechanism in the mediation effect of emotional eating. In Spain there was no support for depression with atypical features as underlying mechanism because the mediation effect was neither moderated by change in appetite nor by gender. Instead, post-hoc analyses suggested {\textquoteleft}stress of unemployment{\textquoteright} as possible explanatory factor of the mediation effect, with stronger mediation effects for unemployed than for employed people (unemployed: B = 0.05 (SE = 0.01), [0.03, 0.07]; employed B = 0.02 (SE = 0.01), [0.01, 0.04]). The mediating effect of emotional eating between depressive symptoms and body mass index in both countries suggests that obesity interventions should take emotional eating into account.",
keywords = "Depressive symptoms, BMI, Emotional eating, Depression with atypical features, Unemployment, Mediator",
author = "{van Strien}, Tatjana and Laura Winkens and Toft, {Madeleine Broman} and Susanne Pedersen and Ingeborg Brouwer and Marjolein Visser and Liisa L{\"a}hteenm{\"a}ki",
year = "2016",
doi = "10.1016/j.appet.2016.06.025",
language = "English",
volume = "105",
pages = "500--508",
journal = "Appetite",
issn = "0195-6663",
publisher = "Elsevier BV",

}

RIS

TY - JOUR

T1 - The mediation effect of emotional eating between depression and body mass index in the two European countries Denmark and Spain

AU - van Strien, Tatjana

AU - Winkens, Laura

AU - Toft, Madeleine Broman

AU - Pedersen, Susanne

AU - Brouwer, Ingeborg

AU - Visser, Marjolein

AU - Lähteenmäki, Liisa

PY - 2016

Y1 - 2016

N2 - In two European countries with a different prevalence of depression, namely Denmark (high) and Spain (low), we assessed whether the mediation effect of emotional eating between depression and Body Mass Index (BMI) as found in earlier studies can be replicated and whether this mediation effect is contingent on 1) change in appetite and 2) gender. Mediation and moderated mediation was assessed with Hayes’ PROCESS macro in SPSS. Emotional eating (DEBQ: Dutch Eating Behavior Questionnaire), depressive symptoms (CES-D: Center for Epidemiologic Studies Depression Scale), change in appetite, weight and height were self-reported. In both countries, emotional eating acted as a mediator between depression and BMI (Denmark: B = 0.03 (SE = 0.01), 95% CI, [0.03, 0.05]; Spain: B = 0.03 (SE = 0.01), 95% CI, [0.02, 0.04]). In Denmark this mediation effect was stronger for participants with increased appetite and for females than for participants with decreases/no change in appetite and for males (more appetite: B = 0.08, (SE = 0.03), [0.03, 0.15]; decreased appetite/no change in appetite: B = 0.03 (SE = 0.01), [0.02, 0.04]); females: B = 0.05 (SE = 0.01), [0.03, 0.07]; males: B = 0.01 (SE = 0.01), [0.004, 0.04]. This supports depression with atypical features as an underlying mechanism in the mediation effect of emotional eating. In Spain there was no support for depression with atypical features as underlying mechanism because the mediation effect was neither moderated by change in appetite nor by gender. Instead, post-hoc analyses suggested ‘stress of unemployment’ as possible explanatory factor of the mediation effect, with stronger mediation effects for unemployed than for employed people (unemployed: B = 0.05 (SE = 0.01), [0.03, 0.07]; employed B = 0.02 (SE = 0.01), [0.01, 0.04]). The mediating effect of emotional eating between depressive symptoms and body mass index in both countries suggests that obesity interventions should take emotional eating into account.

AB - In two European countries with a different prevalence of depression, namely Denmark (high) and Spain (low), we assessed whether the mediation effect of emotional eating between depression and Body Mass Index (BMI) as found in earlier studies can be replicated and whether this mediation effect is contingent on 1) change in appetite and 2) gender. Mediation and moderated mediation was assessed with Hayes’ PROCESS macro in SPSS. Emotional eating (DEBQ: Dutch Eating Behavior Questionnaire), depressive symptoms (CES-D: Center for Epidemiologic Studies Depression Scale), change in appetite, weight and height were self-reported. In both countries, emotional eating acted as a mediator between depression and BMI (Denmark: B = 0.03 (SE = 0.01), 95% CI, [0.03, 0.05]; Spain: B = 0.03 (SE = 0.01), 95% CI, [0.02, 0.04]). In Denmark this mediation effect was stronger for participants with increased appetite and for females than for participants with decreases/no change in appetite and for males (more appetite: B = 0.08, (SE = 0.03), [0.03, 0.15]; decreased appetite/no change in appetite: B = 0.03 (SE = 0.01), [0.02, 0.04]); females: B = 0.05 (SE = 0.01), [0.03, 0.07]; males: B = 0.01 (SE = 0.01), [0.004, 0.04]. This supports depression with atypical features as an underlying mechanism in the mediation effect of emotional eating. In Spain there was no support for depression with atypical features as underlying mechanism because the mediation effect was neither moderated by change in appetite nor by gender. Instead, post-hoc analyses suggested ‘stress of unemployment’ as possible explanatory factor of the mediation effect, with stronger mediation effects for unemployed than for employed people (unemployed: B = 0.05 (SE = 0.01), [0.03, 0.07]; employed B = 0.02 (SE = 0.01), [0.01, 0.04]). The mediating effect of emotional eating between depressive symptoms and body mass index in both countries suggests that obesity interventions should take emotional eating into account.

KW - Depressive symptoms

KW - BMI

KW - Emotional eating

KW - Depression with atypical features

KW - Unemployment

KW - Mediator

U2 - 10.1016/j.appet.2016.06.025

DO - 10.1016/j.appet.2016.06.025

M3 - Journal article

C2 - 27329926

VL - 105

SP - 500

EP - 508

JO - Appetite

JF - Appetite

SN - 0195-6663

ER -