Emotion and overeating behavior: effects of alexithymia and emotional regulation on overweight and obesity

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ORIGINAL ARTICLE

Emotion and overeating behavior: effects of alexithymia and emotional regulation on overweight and obesity Maria Casagrande1   · Ilaria Boncompagni2 · Giuseppe Forte2 · Angela Guarino2 · Francesca Favieri2 Received: 23 February 2019 / Accepted: 9 August 2019 © Springer Nature Switzerland AG 2019

Abstract Purpose  Obesity and overweight are significant risk factors for many serious diseases. Several studies have investigated the relationship between emotional regulation and overweight or obesity in people with eating disorders. Although a few studies have explored alexithymia in individuals with severe obesity without eating disorders, no attention has been paid to individuals with overweight and preclinical form of obesity. This study aims to assess whether overweight and obesity are related to emotional dysregulation and alexithymia. Methods  The study involved 111 undergraduate students who had not been diagnosed with an eating disorder. The sample was divided into two groups according to their body mass index (BMI): normal weight (N = 55) and overweight (N = 56). All of them completed the Toronto Alexithymia Scale (TAS-20), the Emotional Regulation Questionnaire (ERQ), and the Eating Disorder Inventory-2 (EDI-2). Results  Results showed higher levels of alexithymia, and specifically higher difficulty in identifying feelings and an externally oriented thought, in participants with overweight. Multiple correlation analysis highlighted the positive relations between some EDI-2 subscales and both alexithymia and emotional regulation scores. Linear regressions revealed a significant relationship between body BMI and both alexithymia and emotional regulation strategies. Conclusions  The condition of overweight/obesity seems to be associated with higher emotional dysregulation compared to normal weight condition. It is essential to study this relationship because it could represent a risk factor for the worsening of problems related to overeating and excessive body weight. These findings suggest that an integrated approach aimed at considering the promotion of emotional regulation could contribute to the effectiveness of a program designed to reduce overweight and obesity. Level of evidence  Level III: case-control analytic study. Keywords  Obesity · Overweight · Overeating · Emotional regulation · Alexithymia

Introduction Overweight and obesity, identified as an excess of body fat, are significant risk factors for several chronic diseases, such as type 2 diabetes, cardiovascular disorders, hypertension, This article is part of topical collection on Personality and eating and weight disorders. * Maria Casagrande [email protected] 1



Dipartimento di Psicologia Dinamica e Clinica, Università di Roma “Sapienza”, Via degli Apuli, 1, 00185 Rome, Italy



Dipartimento di Psicologia, Università di Roma “Sapienza”, Via dei Marsi, 78, 00185 Rome, Italy

2

and some forms of cancer [1]. Therefore, these conditions represent a significant public health problem [1]. Obesity is a heterogeneous syn