The behavioral pathway model to overweight and obesity: coping strategies, eating behaviors and body mass index
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Obese and overweight people deal with more daily problems and stressful situations than normal-weight individuals, for example, discrimination and bias. The aims of the present study were twofold: to identify differences between overweight and normal-weight people in coping strategies and eating behaviors, and to examine the relationship between coping strategies, eating behaviors and BMI.
Sample of the present study consisted of 473 participants, 76.7% women (mean age = 32.7; SD = 11.4). Participants completed an ad hoc sociodemographic data questionnaire, the Coping Strategies Inventory, and the Dutch Eating Behavior Questionnaire. Welch’s t test and X2 comparison analysis were used to identify differences in coping strategies and eating behaviors, according two BMI groups, normal weight and overweight. To analyze the relationship between coping strategies, eating behaviors and BMI, a structural equation modeling was conducted.
Overweight participants score significantly higher in passive coping strategies such as self-criticism, wishful thinking and social withdrawal, and unhealthy eating behaviors such as emotional eating and restrained eating. Structural equation modeling included these variables, coping strategies are more likely to conduct to unhealthy eating behaviors and these are more likely to promote and maintain a high BMI. The model showed an adequate data fit.
This research proposes a relationship between the variables analyzed. It has been proved that passive coping strategies predict a high BMI via unhealthy eating behaviors, especially emotional eating. These results are promising to improve the current prevention obesity programs and weight control treatments.
Level of evidence
Level III, case–control analytic study.
KeywordsObesity Overweight Coping strategies Eating behaviors Structural equation modeling
This study is part of the project PSI2013-45292-R funded by the Spanish Ministry of Economy and Competitiveness.
Compliance with ethical standard
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 1.World Health Organization (2017) Obesity and overweight (Prevalence). Retrieved from http://www.who.int/mediacentre/factsheets/fs311/es/. Accessed 17 Oct 2017
- 11.Rand K, Vallis M, Aston M, Price S, Piccinini-Vallis H, Rehman L, Kirk SF (2017) It is not the diet; it is the mental part we need help with. A multilevel analysis of psychological, emotional, and social well-being in obesity. Int J Qual Stud Health Well-being 12(1):1–15. https://doi.org/10.1080/17482631.2017.1306421 Google Scholar
- 12.Manzoni GM, Cesa GL, Bacchetta M, Castelnuovo G, Conti S, Gaggioli A, Mantovani F, Molinari E, Cárdenas-López G, Riva G (2016) Virtual reality enhanced cognitive-behavioral therapy for morbid obesity: a randomized controlled study with 1 year follow-up. Cyberpsychol Behav Soc Netw 19(2):134–140. https://doi.org/10.1089/cyber.2015.0208 Google Scholar
- 15.Spahlholz J, Pabst A, Riedel-Heller SG, Luck-Sikorski C (2016) Coping with perceived weight discrimination: testing a theoretical model for examining the relationship between perceived weight discrimination and depressive symptoms in a representative sample of individuals with obesity. Int J Obes 40:1915–1921. https://doi.org/10.1038/ijo.2016.164 Google Scholar
- 20.Palmeira L, Pinto J, Cunha M, Carvalho S (2017) Finding the link between internalized weight-stigma and binge eating behaviors in Portuguese adult women with overweight and obesity: the mediator role of self-criticism and self-reassurance. Eat Behav 26:50–54. https://doi.org/10.1016/j.eatbeh.2017.01.006 Google Scholar
- 21.Boggiano MM, Wenger LE, Burgess E, Tatum MM, Sylvester MD, Morgan PR, Morse KE (2015) Eating tasty food to cope, enhance reward, socialize or conform: what other psychological characteristics describe each of these motives? J Health Psychol 22(6):280–289. https://doi.org/10.1177/1359105315600240 Google Scholar
- 22.Van Strien T, Frijters J, Bergers G, Defares P (1986) The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional and external eating behaviors. Eat Behav 5(2):295–315. https://doi.org/10.1002/1098-108X(198602)5:2%3c295:AID-EAT2260050209%3e3.0.CO;2-T Google Scholar
- 27.Cano F, Rodríguez L, García J (2007) Adaptación Española del Inventario de Estrategias de Afrontamiento. Actas Esp Psiquiatri 35(1):29–39Google Scholar
- 30.Ledesma R, Macbeth G, Cortada de Kohan N (2008) Tamaño del efecto: Revisión teórica y aplicaciones con el sistema estadístico vista. Rev Latinoam Psicol 40(3):425–439. Retrieved from: http://www.scielo.org.co/pdf/rlps/v40n3/v40n3a03.pdf. Accessed 21 Feb 2019
- 31.Cohen J (1988) Statistical power analysis for behavioral sciences. Lawrence Erlbaum Associates Publishers, HillsdaleGoogle Scholar
- 35.Baños R, Cebolla A, Moragrega I, Van Strien T, Fernández-Aranda F, Agüera Z, de la Torre R, Casanueva F, Fernández-Real J, Fernández-García j, Frübhbeck G, Gómez-Ambrosi J, Jiménez-Murcia S, Rodríguez R, Tinahones F, Botella C (2014) Relationship between eating styles and temperament in anorexia nervosa, healthy control and morbid obesity female sample. Appetite 76:76–83. https://doi.org/10.1016/j.appet.2014.01.012 Google Scholar
- 38.Brownell KD (2004) The LEARN program for weight management. American Health Publishing Company, DallasGoogle Scholar
- 39.Lora-Cortaz T, Saucedo-Molina J (2006) Conductas alimentarias de riesgo e imagen corporal en una muestra de mujeres adultas de la Ciudad de México. Salud Ment 29(3):60–67. Retrieved from: http://www.redalyc.org/articulo.oa?id=58232908. Accessed 21 Feb 2019
- 40.Cooper Z, Fairburn CG, Hawker DM (2004) Cognitive-behavioral therapy treatment of obesity: a clinician’s guide. The Guilford Press, New YorkGoogle Scholar