Perceived stress and depressive symptoms in undergraduate students: The effect of emotional eating
DOI:
https://doi.org/10.47611/jsr.v10i3.1281Keywords:
Stress, Emotional Eating, post-secondary students, coping, depressive symptomsAbstract
With a rise in the prevalence of depression among undergraduate students, it is important to identify potential antecedents and modifiable factors in illness development. One of the most well studied etiological predictors of depression among youth and among young adults is the experience of real or perceived stress. However, research further suggests that the impact of stress on health outcomes may largely depend on the coping strategies employed. Emotional eating is an emotion-focused coping strategy that may be used to minimize negative affect stemming from perceived stress. The objective of this cross-sectional study was to investigate the moderating role of emotional eating in the relationship between perceived stress and depressive symptoms among undergraduate students. A total of 100 undergraduate students (mean age = 20.2 years, 83% female) completed questionnaires that tapped into perceived stress, emotional eating behaviour, and depressive symptoms. Moderation analyses revealed a significant moderation effect (b = .016, t(91) = 2.728, p = .008). Simple slopes showed that the magnitude of the association between perceived stress and depressive symptoms increased from low (b = .092) to moderate (b = .147) to high (b = .201) emotional eating tendencies. Findings suggest that perceived stress and emotional eating may have a synergist association with depressive symptoms among undergraduate students.
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Almogbel, E., Aladhadh, A. M., Almotyri, B. H., Alhumaid, A. F., & Rasheed, N. (2019). Stress Associated Alterations in Dietary Behaviours of Undergraduate Students of Qassim University, Saudi Arabia. Open access Macedonian journal of medical sciences, 7(13), 2182–2188. https://doi.org/10.3889/oamjms.2019.571
American College Health Association (2019). American College Health. Association-National College Health Assessment II: Reference Group Executive Summary Spring 2019. Silver Spring, MD: American College Health Association.
Ceyhan, A., Ceyhan, E., Kurty, Y. (2009). Investigation of university students’ depression. Eurasian Journal of Educational Research, 36, 75-90.
Chou, P., Chao, Y. Y., Yang, H., Yeh, G., & Lee, T. S. (2011). Relationships between stress, coping and depressive symptoms among overseas university preparatory chinese students: A cross-sectional study. BMC Public Health, 11(1), 352-352. https://doi.org/10.1186/1471-2458-11-352
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396. https://doi.org/10.2307/2136404
Conner, M., Fitter, M., & Fletcher, W. (1999). Stress and snacking: A diary study of daily hassles and between-meal snacking. Psychology & Health, 14(1), 51-63. https://doi.org/10.1080/08870449908407313
Dallman, M. F. (2010). Stress-induced obesity and the emotional nervous system. Trends in Endocrinology & Metabolism, 21(3), 159-165. https://doi.org/10.1016/j.tem.2009.10.004
Dickinson, S., Hancock, D. P., Petocz, P., Ceriello, A., & Brand-Miller, J. (2008). High-glycemic index carbohydrate increases nuclear factor-kappaB activation in mononuclear cells of young, lean healthy subjects. American Journal of Clinical Nutrition, 87(5), 1188–1193. https://doi.org/10.1093/ajcn/87.5.1188
Dyson, R., & Renk, K. (2006). Freshmen adaptation to university life: depressive symptoms, stress, and coping. Journal of Clinical Psychology, 62(10), 1231-1244. https://doi.org/ 10.1002/jclp.20295
Eid, R. S., Gobinath, A. R., & Galea, L. (2019). Sex differences in depression: Insights from clinical and preclinical studies. Progress in neurobiology, 176, 86–102. https://doi.org/10.1016/j.pneurobio.2019.01.006
Feldman, P. J., Cohen, S., Lepore, S. J., Matthews, K. A., Kamarck, T. W., & Marsland, A. L. (1999). Negative emotions and acute physiological responses to stress. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 21(3), 216–226. https://doi.org/10.1007/BF02884836
Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21(3), 219–239. https://doi.org/10.2307/2136617
Gregersen, S., Samocha-Bonet, D., Heilbronn, L. K., Campbell, L. V. (2012). Inflammatory and oxidative stress responses to high-carbohydrate and high-fat meals in healthy humans. Journal of Nutrition and Metabolism, 238056, 8 pages. https://doi.org/10.1155/2012/238056
Hammen C. (2005). Stress and depression. Annual review of clinical psychology, 1, 293–319. https://doi.org/10.1146/annurev.clinpsy.1.102803.143938
Harding, J. L., Backholer, K., Williams, E. D., Peeters, A., Cameron, A. J., Hare, M. J., Shaw, J. E., & Magliano, D. J. (2014). Psychosocial stress is positively associated with body mass index gain over 5 years: evidence from the longitudinal AusDiab study. Obesity, 22(1), 277–286. https://doi.org/10.1002/oby.20423
Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analyses: A regression-based approach. New York, NY: The Guilford Press.
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
Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391-400. https://doi.org/10.1016/j.jpsychires.2012.11.015
Kandiah, J., Yake, M., Jones, J. and Meyer, M. (2006) Stress Influences Appetite and Comfort Food Preferences in College Women. Nutrition Research, 26, 118-123. https://doi.org/10.1016/j.nutres.2005.11.010
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping Springer Pub. Co
Lee, C. H., & Giuliani, F. (2019). The Role of Inflammation in Depression and Fatigue. Frontiers in immunology, 10, 1696. https://doi.org/10.3389/fimmu.2019.01696
Liu, C., Xie, B., Chou, C., Koprowski, C., Zhou, D., Palmer, P., . . . Anderson Johnson, C. (2007). Perceived stress, depression and food consumption frequency in the college students of china seven cities. Physiology & Behavior, 92(4), 748-754. https://doi.org/10.1016/j.physbeh.2007.05.068
Lovibond, S. H., & Lovibond, P. F. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
Lundman, P., Boquist, S., Samnegard, A., Bennermo, M., Held, C., Ericsson, C-G., Silveira, A., Hamsten, A., Tornvall, P. (2007). A high-fat meal is accompanied by increased plasma interleukin-6 concentrations. Nutrition, Metabolism and Cardiovascular Disease, 17(3), 195-202.
Macht, M. & Simons, G. (2000). Emotions and eating in everyday life. Appetite, 35(1), 65-71. https://doi-org.ezproxy.lib.ryerson.ca/10.1006/appe.2000.0325
Marsland, A. L., Walsh, C., Lockwood, K., & John-Henderson, N. A. (2017). The effects of acute psychological stress on circulating and stimulated inflammatory markers: A systematic review and meta-analysis. Brain, behavior, and immunity, 64, 208–219. https://doi.org/10.1016/j.bbi.2017.01.011
McNamara, S. (2000). Stress in young people: Whats new and what can we do? New York: Continuum.
Monroe, S. M., Anderson, S. F., & Harkness, K. L. (2019). Life stress and major depression: The mysteries of recurrences. Psychological Review, 126(6), 791-816. https://doi.org/10.1037/rev0000157
O'Connor, D. B., Jones, F., Conner, M., McMillan, B., & Ferguson, E. (2008). Effects of daily hassles and eating style on eating behavior. Health psychology: official journal of the Division of Health Psychology, American Psychological Association, 27(1S), S20–S31. https://doi.org/10.1037/0278-6133.27.1.S20
O'Hara, R. E., Armeli, S., Boynton, M. H., & Tennen, H. (2014). Emotional stress-reactivity and positive affect among college students: the role of depression history. Emotion, 14(1), 193–202. https://doi.org/10.1037/a0034217
Oliver, G., & Wardle, J. (1999). Perceived Effects of Stress on Food Choice. Physiology & Behaviour, 66(3), 511-515. https://doi.org/10.1016/S0031-9384(98)00322-9
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
Osimo, E., Baxter, L., Lewis, G., Jones, P., & Khandaker, G. (2019). Prevalence of low-grade inflammation in depression: A systematic review and meta-analysis of CRP levels. Psychological Medicine, 49(12), 1958-1970. https://doi.org/10.1017/S0033291719001454
Osman, A., Wong, J. L., Bagge, C. L., Freedenthal, S., Gutierrez, P. M., & Lozano, G. (2012). The Depression Anxiety Stress Scales-21 (DASS-21): further examination of dimensions, scale reliability, and correlates. Journal of clinical psychology, 68(12), 1322–1338. https://doi.org/10.1002/jclp.21908
Polivy, J., Herman, C. P., & McFarlane, T. (1994). Effects of anxiety on eating: Does palatability moderate distress-induced overeating in dieters? Journal of Abnormal Psychology, 103(3), 505-510. https://doi.org/10.1037//0021-843X.103.3.505
Rutledge, T., & Linden, W. (1998). To eat or not to eat: Affective and physiological mechanisms in the Stress–Eating relationship. Journal of Behavioral Medicine, 21(3), 221-240. https://doi.org/10.1023/A:101878401577
Skinner, E. A., & Wellborn, J. G. (1994). Coping during childhood and adolescence: A motivational perspective. Life-Span Development and Behavior, 12, 91-133.
Spellman, N. (2007). Enrollment and Retention Barriers Adult Students Encounter. The Community College Enterprise, 13, 63-79.
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
Tomiyama, A. J., Dallman, M. F., & Epel, E. S. (2011). Comfort food is comforting to those most stressed: Evidence of the chronic stress response network in high stress women. Psychoneuroendocrinology, 36(10), 1513-1519. https://doi.org/10.1016/j.psyneuen.2011.04.005
Valkanova, V., Ebmeier, K. P., & Allan, C. L. (2013). CRP, IL-6 and depression: a systematic review and meta-analysis of longitudinal studies. Journal of affective disorders, 150(3), 736–744. https://doi.org/10.1016/j.jad.2013.06.004
van Strien, T., Konttinen, H., Homberg, J. R., Engels, R. C., & Winkens, L. H. (2016). Emotional eating as a mediator between depression and weight gain. Appetite, 100, 216–224. https://doi.org/10.1016/j.appet.2016.02.034
Wallis, D. J., & Hetherington, M. M. (2004). Stress and eating: the effects of ego-threat and cognitive demand on food intake in restrained and emotional eaters. Appetite, 43(1), 39–46. https://doi.org/10.1016/j.appet.2004.02.001
Weinberger, A. H., Gbedemah, M., Martinez, A. M., Nash, D., Galea, S., & Goodwin, R. D. (2018). Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups. Psychological medicine, 48(8), 1308–1315. https://doi.org/10.1017/S0033291717002781
Xu, X., Bao, H., Strait, K., Spertus, J. A., Lichtman, J. H., D'Onofrio, G., Spatz, E., Bucholz, E. M., Geda, M., Lorenze, N. P., Bueno, H., Beltrame, J. F., & Krumholz, H. M. (2015). Sex differences in perceived stress and early recovery in young and middle-aged patients with acute myocardial infarction. Circulation, 131(7), 614–623. https://doi.org/10.1161/CIRCULATIONAHA.114.012826
Yang, L., Zhao, Y., Wang, Y., Liu, L., Zhang, X., Li, B., & Cui, R. (2015). The Effects of Psychological Stress on Depression. Current neuropharmacology, 13(4), 494–504. https://doi.org/10.2174/1570159x1304150831150507
Zagorsky, J. L., & Smith, P. K. (2011). The freshman 15: A critical time for obesity intervention or media myth. Social Science Quarterly, 92(5), 1389-1407. https://doi.org/10.1111/j.1540-6237.2011.00823.x
Zellner, D. A., Loaiza, S., Gonzalez, Z., Pita, J., Morales, J., Pecora, D., & Wolf, A. (2006). Food selection changes under stress. Physiology & Behavior, 87(4), 789-793. https://doi.org/10.1016/j.physbeh.2006.01.014
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