Family members caring for palliative care patients often experience intense emotional and psychological stress, which may lead to maladaptive coping behaviours such as emotional eating. This study aimed to examine the mediating role of psychological well-being in the relationship between meaning in life, search for meaning, and emotional eating among family caregivers.
Method
Data were collected from 234 participants between September and December 2023. Descriptive statistics, Pearson correlation, hierarchical regression, and Hayes’ PROCESS Macro (Model 4) were used for analysis. Variables included age, gender, duration of caregiving, cohabitation status, meaning in life, search for meaning, and psychological well-being.
Results
The mean emotional eating score of participants was 90.33 ± 34.79. Age, female gender, duration of caregiving, cohabitation status, meaning in life, search for meaning, and psychological well-being explained 77.6% of the variance in emotional eating behaviour. Psychological well-being significantly mediated the relationship between meaning in life and emotional eating. Both presence of meaning and search for meaning reduced emotional eating indirectly through enhanced psychological well-being.
Conclusion
Regular assessment of caregivers’ emotional state and the implementation of meaning-oriented interventions that enhance psychological well-being are recommended to support healthier coping strategies. Strengthening psychological resilience and fostering meaning in life may serve as protective pathways against emotional eating in family caregivers during the palliative care process.
BaumeisterRFVohsKDDeWallCNZhangL. How emotion shapes behavior: Feedback, anticipation, and reflection, rather than direct causation. Pers Soc Psychol Rev. 2007;11(2):167‐203. doi:10.1177/1088868307301033
2.
ŠimićGTkalčićMVukićV, et al.Understanding emotions: Origins and roles of the Amygdala. Biomolecules. 2021;11(6):823. doi:10.3390/biom11060823
3.
DakanalisAMentzelouMPapadopoulouSK, et al.The association of emotional eating with overweight/obesity, depression, anxiety/stress, and dietary patterns: A review of the current clinical evidence. Nutrients. 2023;15(5):1173. doi:10.3390/nu15051173
4.
HillDConnerMClancyF, et al.Stress and eating behaviours in healthy adults: A systematic review and meta-analysis. Health Psychol Rev. 2022;16(2):280‐304. doi:10.1080/17437199.2021.1923406
5.
ElkinNKalabaşS. The relationship between emotional eating behavior awareness and body image of women in Turkey during the COVID-19 pandemic period. Cyprus Turkish Journal of Psychiatry & Psychology. 2023;5(4):339‐343. doi:10.35365/ctjpp.23.4.06
6.
MuhaJSchumacherACampisiSCKorczakDJ. Depression and emotional eating in children and adolescents: A systematic review and meta-analysis. Appetite. 2024;200(1):107511. doi:10.1016/j.appet.2024.107511
7.
ChewHSJLauSTLauY. Weight-loss interventions for improving emotional eating among adults with high body mass index: A systematic review with meta-analysis and meta-regression. Eur Eat Disord Rev. 2022;30(4):304‐327. doi:10.1002/erv.2906
8.
LingJZahryNR. Relationships among perceived stress, emotional eating, and dietary intake in college students: Eating self-regulation as a mediator. Appetite. 2021;163(1):105215. doi:10.1016/j.appet.2021.105215
9.
HeathertonTFBaumeisterRF. Binge eating as escape from self-awareness. Psychol Bull. 1991;110(1):86‐108. doi:10.1037/0033-2909.110.1.86
10.
ReichenbergerJSchnepperRArendAKBlechertJ. Emotional eating in healthy individuals and patients with an eating disorder: Evidence from psychometric, experimental and naturalistic studies. Proc Nutr Soc. 2020;79(3):290‐299. doi:10.1017/S0029665120007004
11.
PearlinLIMullanJTSempleSJSkaffMM. Caregiving and the stress process: An overview of concepts and their measures. Gerontologist. 1990;30(5):583‐594. doi:10.1093/geront/30.5.583
12.
WangJChenHYangL, et al.Effectiveness of the stress process model-based program in dementia caregiving (DeCare-SPM) for family caregivers: A study protocol for a randomized controlled trial. J Multidiscip Healthc. 2023;16:3507‐3519. doi:10.2147/JMDH.S438342
13.
PakHSüsenYDenizci NazligülMGriffithsM.The mediating effects of fear of COVID-19 and depression on the association between intolerance of uncertainty and emotional eating during the COVID-19 pandemic in Turkey. Int J Ment Health Addict. 2022;20(3):1882‐1896. doi:10.1007/s11469-021-00489-z.
14.
Lopes CortesMAndrade LouzadoJGalvão OliveiraM, et al. Unhealthy food and psychological stress: The association between ultra-processed food consumption and perceived stress in working-class young adults. Int J Environ Res Public Health. 2021;18(8):3863. doi:10.3390/ijerph18083863
15.
Demirbaş-ÇelikNİşmen GazioğluE. Meaning in life questionnaire high school form: Turkish validity and reliability. [in Turkish]. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi [Mehmet Akif Ersoy University Journal of Education Faculty. 2015;1(33):42‐60. doi:10.21764/efd.88480
16.
TelefBB.Psychological Well-Being Scale (PWB): Adaptation to Turkish, Validity and Reliability Study. 11th Psychological Counseling and Guidance Congress, 2011 3–5 October, Selçuk-İzmir, Turkey.
17.
TelefBB. The adaptation of psychological well-being into Turkish: A validity and reliability study [in Turkish]. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi [Hacettepe University Journal of Education]. 2013;28(3):374‐384.
18.
SerdarCCCihanMYücelDSerdarMA. Sample size, power and effect size revisited: Simplified and practical approaches in pre-clinical, clinical and laboratory studies. Biochem Med (Zagreb). 2021;31(1):010502. doi:10.11613/BM.2021.010502
19.
BilgenSŞ. Development, validity and reliability study of Turkish Emotional Eating Scale. Master's thesis, 2018, Üsküdar University Institute of Social Sciences.
20.
DemirbaşN. Meaning in life and ego-resiliency. Master’s thesis, Hacettepe University; 2010.
21.
StegerMFFrazierPOishiSKalerM. The meaning in life questionnaire: Assessing the presence of and search for meaning in life. J Couns Psychol2006;53(1):80‐93. doi:10.1037/0022-0167.53.1.80
22.
DienerEWirtzDTovW, et al.New well-being measures: Short scales to assess flourishing and positive and negative feelings. Soc Indic Res2010;97(2):143‐156. doi:10.1007/s11205-009-9493-y
23.
LjubičićMMatek SarićMKlarinI, et al.Emotions and food consumption: Emotional eating behavior in a European population. Foods. 2023;12(4):872. doi:10.3390/foods12040872.
24.
HawashMMAlHazmiAHEl-SayedMM, et al.Emotional eating behaviors in later life: Identifying key factors for healthy aging. Geriatr Nurs. 2024;55(1):152‐160. doi:10.1016/j.gerinurse.2023.11.012
25.
Carpio-AriasTVSolís ManzanoAMSandovalV, et al.Relationship between perceived stress and emotional eating. A cross sectional study. Clin Nutr ESPEN. 2022;49(3):314‐318. doi:10.1016/j.clnesp.2022.03.030
26.
KonttinenHvan StrienTMännistöSJousilahtiPHaukkalaA. Depression, emotional eating and long-term weight changes: A population-based prospective study. Int J Behav Nutr Phys Act. 2019;16(1):28. doi:10.1186/s12966-019-0791-8
Elran BarakRShuvalKLiQ, et al.Emotional eating in adults: The role of sociodemographics, lifestyle behaviors, and self-regulation-findings from a U.S. National Study Int J Environ Res Public Health. 2021;18(4):1744. doi:10.3390/ijerph18041744
29.
ChangRSCeritHHyeT, et al.Stress-induced alterations in HPA-axis reactivity and mesolimbic reward activation in individuals with emotional eating. Appetite. 2022;168(1):105707. doi:10.1016/j.appet.2021.105707
30.
SatoAFDarlingKERuzickaEB, et al.A biobehavioral examination of emotional eating in adolescents: Evaluating the role of acute cortisol stress reactivity in the context of a multi-method assessment of eating in response to stress. Appetite. 2023;184(1):106486. doi:10.1016/j.appet.2023.106486
31.
UzunUBaşarSSaritaşA. Spiritual needs of family caregivers in palliative care. BMC Palliat Care. 2024;23(1):256. doi:10.1186/s12904-024-01589-y
32.
XuYLiuYKangY, et al.Experiences of family caregivers of patients with end-of-life cancer during the transition from hospital to home palliative care: A qualitative study. BMC Palliat Care. 2024;23(1):230. doi:10.1186/s12904-024-01559-4
33.
Amado-TineoJOscanoa-EspinozaTLoli-PonceRDelgado-GuayMO. Experiences of caregivers of patients with noncancer diseases readmitted to an emergency department at the end of life. BMC Palliat Care. 2024;23(1):265. doi:10.1186/s12904-024-01596-z
34.
van StrienT. Causes of emotional eating and matched treatment of obesity. Curr Diab Rep. 2018;18(6):35. doi:10.1007/s11892-018-1000-x
