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Appetite 60 (2013) 187–192

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Appetite
journal homepage: www.elsevier.com/locate/appet

Research report

Perceptions of emotional eating behavior. A qualitative study of college students


Jessica Bennett a, Geoffrey Greene a, Donna Schwartz-Barcott b,⇑
a
Department of Nutrition and Food Sciences, University of Rhode Island, Ranger Hall, Kingston, RI 02881, United States
b
College of Nursing, University of Rhode Island, White Hall, Kingston, RI 02881, United States

a r t i c l e i n f o a b s t r a c t

Article history: Approximately one-third of college students are overweight or obese and the average student gains 5 kg
Received 9 January 2012 during college. Previous research has identified a relationship between emotional eating and weight gain
Received in revised form 29 August 2012 in young adults, but outside the realm of eating disorders, few studies qualitatively capture why individ-
Accepted 20 September 2012
uals cope with emotions by eating. Exploratory qualitative research was conducted, including 3-day food
Available online 6 October 2012
journals and indepth interviews, with proportionate quota sampling of eight male and eight female
undergraduate students to gain an understanding of students’ perceptions of their emotional eating
Keywords:
behaviors. Participants were purposively selected based on their emotional eating scores on the Weight
Qualitative research
Emotional eating
Related Eating Questionnaire from a larger survey assessing student eating behaviors. Participants’
Emotions (n = 16) mean age was 19.6 ± 1.0 years and all self-reported their race to be white. Mean Body Mass Index
Dietary behaviors (BMI) for females and males was 24.1 ± 1.2 kg/m2 and 24.8 ± 1.7 kg/m2, respectively. Findings from the
College population qualitative analyses indicated gender differences and similarities. Females identified stress as the pri-
mary trigger for emotional eating, frequently followed by guilt. Males were primarily triggered by
unpleasant feelings such as boredom or anxiety turning to food as a distraction; however, males were less
likely to experience guilt after an emotional eating episode than females. During emotional eating
episodes, both genders chose what they defined as unhealthful foods. These findings indicate a multidis-
ciplinary intervention focusing on emotion and stress management in addition to dietary behavior
change should be developed to reduce the potential for weight gain associated with emotional eating
in the college-aged population.
Ó 2012 Elsevier Ltd. All rights reserved.

Introduction time, this weight gain can lead to overweight and obesity. Obese
individuals are at greater risk for chronic conditions such as arthri-
One out of every three Americans are obese and two out of tis, cancer, diabetes, heart disease, high cholesterol and hyperten-
every three Americans are overweight (Flegal, Carroll, Ogden, & sion (Malnick & Knobler, 2006).
Curtin, 2010). Data from the National Health and Nutrition Exam- Emotional eating has been defined as eating in response to
ination Survey 2009–2010 indicated that 18.3% of adolescents (12– emotional cues, often as a coping response to negative emotions
19 years of age) were obese and 32.6% in 20–39 year olds (Ogden, (Kandiah, Yake, Jones, & Meyer, 2006; Konttinen, Mannisto,
Carroll, Kit, & Flegal, 2012). The increase in the prevalence of obes- Lahteenkorva, Silventoinen, & Haukkala, 2010; Laitinen, Ek, &
ity appears to be caused by a gradual, but sustained annual in- Sovio, 2002; Macht & Simons, 2000) and is associated with weight
crease in weight. Investigators from the Coronary Artery Risk gain (Blair, Lewis, & Booth, 1990; Geliebter & Aversa, 2003). How-
Development in Young Adults (CARDIA) study found young adults ever, most of this research has focused on individuals with eating
aged 18–30 years at baseline gained an average of 0.69–1.19 kg/ disorders (Fox, 2009; McNamara, Chur-Hansen, & Hay, 2008;
year over 10 years. In men and African–American women, total Skarderud, 2007). Few studies used qualitative research methods
weight gain during the early to midtwenties was larger than during to explore the phenomena in individuals without eating pathology
the thirties (Lewis et al., 2000). In 2009, 20% of college students (Fox, 2009; Macht, Meininger, & Roth, 2005). Due to the variability
were considered overweight and 11% obese (American College in emotions and eating behaviors, different emotions may increase
Health Association, 2009); Zagorsky and Smith found that college or decrease eating. More research is needed to explore why
students gain an average of 5 kg (Zagorsky & Smith, 2011). Over emotions can increase food intake in certain eaters for instance,
but decrease food intake in other groups (Macht, 2008). This
⇑ Corresponding author. exploratory research was conducted to understand the perceptions
E-mail addresses: jessicatbennett@gmail.com (J. Bennett), gwg@uri.edu (G. of emotional eating behaviors in college-aged individuals in
Greene), dsb@uri.edu (D. Schwartz-Barcott). general and whether any differences exist between male and

0195-6663/$ - see front matter Ó 2012 Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.appet.2012.09.023
188 J. Bennett et al. / Appetite 60 (2013) 187–192

Table 1
Content and theoretical background of interview protocol.

Questions Activities Theories and conceptual approaches


What are you favorite foods? Why? Do you have any stories Probe individual to mention feelings with these Stress/emotions affect food choices
associated with these foods? Is there any particular way you stories, which allows for transition into topic of (Kandiah et al., 2006; Konttinen et al.,
express these emotions? emotions 2010)
Do you ever feel happy? Sad? Angry? Fear? Love? Surprise? List emotions and frequency Emotional patterns (Macht & Simons,
2000)
Do these emotions affect your eating behavior? Describe and provide instances where this occurs Emotionally instrumental eating (Macht
& Simons, 2000)
Do positive emotions affect your eating behaviors differently than Contrast positive and negative emotions and Model of emotional eating (Macht, 2008)
negative emotions? varying degrees of impact each emotion exhibits
In qualifying for this study, you scored high on an emotional eating Discuss whether participant considers himself/ Weight related eating questionnaire
instrument, what do you think this means? herself to be an emotional eater emotional eating Subscale (Schembre
et al., 2009)

female students, as a basis of future intervention development (1) What range of emotions do young adults perceive them-
aimed at modifying emotional eating and decreasing weight gain selves experiencing in their daily lives?
in susceptible individuals. a. Are there any differences between male and female young
adults?
Methods (2) Do young adults perceive any of these emotions as influenc-
ing their eating patterns?
The University of Rhode Island Institutional Review Board re- a. Are there any differences between male and female young
viewed and approved this study. Participants gave informed, writ- adults?
ten consent before interviews. (3) What kind of relationship might exist between emotions and
eating patterns?
Sampling a. Are there similarities and differences between how males
and female eating patterns are influenced by emotions?
Undergraduates (ages 18–24) from The University of Rhode Is- (4) Do young adults feel that the WREQ instrument correctly
land were recruited during the fall 2010 and spring 2011 semesters identified them as emotional eaters?
in introductory classes via an online survey conducted to assess a. Are there any differences between how male and female
cognitive influences on eating behaviors including items assessing young adults identify themselves as emotional eaters?
emotional eating (socio-demographic data and anthropometrics
were also collected).
In the survey, emotional eating was assessed using the WREQ Data collection
(Schembre, Greene, & Melanson, 2009). The WREQ contains an
emotional eating construct assessed by five items using an an- Prospective participants received email notification inviting
chored Likert response scale ranging from one (low) to five (high). them to participate in the current study. Over 45 emails were sent
The emotional eating construct was defined as eating in response to recruit potential participants. If they agreed to participate, stu-
to negative emotions, e.g., ‘‘I tend to eat when I am disappointed dents documented their meals in conjunction with their mood
or feel let down.’’ Individuals who indicated willingness to partic- using a food journal for 3 days prior to the interview. Participants
ipate in future nutrition research were eligible for the current brought their journals to their interview.
study. Proportional quota sampling was used to randomly select All interviews were conducted by the author on a one-on-one
eight males and eight females with a WREQ emotional eating score basis in a private setting in a nutrition laboratory on the university
greater than the mean plus one standard deviation for his/her gen- campus. While the participant was reading and signing the consent
der. Individuals scoring at or above this criterion (males P12; fe- form, the interviewer reviewed the journal to understand the par-
males P16) were classified as emotional eaters. Determination of ticipant’s eating behaviors and patterns. When asked about the
sample size was based upon previous qualitative studies investi- food journal, all participants stated they completed the journal to
gating emotions and eating behavior where samples of 10–13 sub- the best of their ability. From this brief review, additional open-
jects provided categories suggested by data (Fox, 2009; McNamara ended questions for the interview, specific for each participant,
et al., 2008; Skarderud, 2007). were written down for inclusion in the interview in addition to
Potential participants were excluded for: an emotional eating semi-structured questions. The intent of the food journal exercise
construct less than the criterion; previous diagnosis with an eating was to raise participant awareness of eating behavior in relation-
disorder by a professional; BMI less than 21 or greater than 30; ship to their emotions. With the goal of achieving substantive di-
nutrition majors; pregnancy; lactation; smoking or taking medica- rect responses during the interview, it was believed additional
tions affecting appetite. These exclusion criteria preserved internal reflective time prior to the interview through the food journal
validity of participants as emotional eaters within the realm of the exercise would be beneficial for the participant.
non-clinical ‘‘normal eating’’ population as defined in this study. Each interview lasted approximately 30 min, was tape-recorded
Sixteen undergraduate students selected due to high emotional and subsequently transcribed. Within a week of each interview
eating scores on the Weight Related Eating Questionnaire (Schem- transcription, a one-page summary of the discussion was prepared
bre et al., 2009) emotional eating subscale kept a 3-day food log and the participant returned a second time for a summary review.
prior to indepth interviews on their emotional eating behaviors. All participants approved the content summary and provided no
Table 1 includes the interview guide and theoretical background additional changes/comments. Participants were compensated se-
of questions. The guide was developed to answer the following re- ven dollars after the interview and eight dollars after the summary
search questions: review.
J. Bennett et al. / Appetite 60 (2013) 187–192 189

Prior to the first interview, two pilot interviews were conducted In the food journals, a small number of emotions were listed
with two women who were non-clinical emotional eaters during within each individual participant’s journal and across the entire
September 2010 to check the feasibility of the food journal and sample. These included stressed, happy, and bored.
the usefulness of the questions in obtaining targeted, thoughtful Females perceived themselves as experiencing two main emo-
responses. tions in their daily lives, stress and happiness:
‘‘Stressed out a lot. I feel like I’m stressed out a lot and tired
Data analysis because I spend four days on campus . . . I’m here all day.’’ (BW)
‘‘I would say I’m a very happy person most of the time, besides
The analysis included several steps, beginning with the tran- when I get stressed, but that’s mostly during school.’’ (NE)
scriptions to an indepth analysis of data from each participant in
relation to the research questions and finally cross participant Males perceived themselves as experiencing stress, happiness,
comparative analysis. depression and anxiety:
First, each interview was read several times to check for the
‘‘Stress. Moving away from home and not having your parents
accuracy and completeness of the transcription and to gain famil-
on your back all the time, you think it would be easier. For
iarity with the text. Second, each participant’s log and interview
me, it’s the opposite. They’re on my back more now that I’m
were reread to identify the range of emotions experienced by the
here . . . it makes me stressed more.’’ (FJ)
participant during the 3-day log and in daily life in general (re-
‘‘I normally suffer from anxiety a lot . . . I’m always feeling anx-
search question one). Third, the participant’s interview was reread
ious because I don’t have much time.’’ (GS)
to examine to what extent, if any, the participant saw these emo-
tions as influencing their eating patterns, and if so how (research
questions two and three). Steps two and three were then repeated Negative emotions and eating behavior
to compare and contrast the range of emotions experienced, the
students’ perceptions of a link between their emotions and their The participants focused primarily on the negative emotions as
eating behaviors and the nature of that link. Step four was to ask influencing their eating behavior. Females commented that stress
whether students identified themselves as emotional eaters in or- most frequently affected their eating.
der to further validate the WREQ. These steps were completed by
‘‘When I get stressed, I tend to eat more because I’m the type of
highlighting quotes and grouping them into possible themes. These
person that likes to eat when I’m stressed.’’ (NE)
themes (e.g. eating when stressed) were identified across all par-
ticipants and then analyzed by gender, allowing the development ‘‘When I’m upset I know that I eat more. If I’m mad about some-
of beginning hypotheses. thing, I’ll just turn to chocolate.’’ (RM)

More specifically, they described levels of stress. For example,


Results one participant described how a moderate amount of stress led
to increased eating.
Participants ‘‘I just got out of work and it was Saturday night. I was stressed
and my roommate got me upset . . . I ate chocolate chip cookies,
Eight males and eight females were interviewed. The mean age ice cream, and then later on in the night I ate cookie dough ice
of the 16 participants was 19.6 ± 1.0 years. Four first year students, cream and [more] cookies and [candy] bars.’’ (PB)
seven second year students, three third year students and two Another participant described how difficult levels of stress
fourth year students were interviewed. All participants self- affected her eating.
reported their race to be White. The average BMI for females was
‘‘If I’m sad, I’ll want to eat . . . a lot, but then in other situations I
24.1 ± 1.2 kg/m2 with a range of 22.7 kg/m2 to 25.7 kg/m2. Three
don’t want to eat. It really depends on what it is and what level
females had BMIs greater than 25. The mean BMI for males was
of stress.’’ (AP)
24.8 ± 1.7 kg/m2 with a range of 22.8 kg/m2 to 27.7 kg/m2. Four
males had BMIs greater than 25 kg/m2. The mean emotional eating Although less frequent, males also commented on how stress
subscale score was 15.5 ± 2.1 for males (range of 13–20) and and relationships may reduce eating.
19.8 ± 2.5 for females (range of 17–25). The mean score for non-
‘‘When I’m stressed, I probably won’t eat anything during the
participants was 8.3 ± 4.3 for males and 10.6 ± 5.4 for females.
day. I get hungry at 12 a.m. . . . and then realize I’m starving so
The qualitative findings are presented below, first in relation to
I order something.’’ (FJ)
the range of emotions experienced and the negative emotions
‘‘If I break up with someone I’m not going to eat a whole tub of
associated with eating. This is followed by a discussion of partici-
ice cream. If anything when I get really depressed, I stop eat-
pant eating patterns during and after periods of emotional eating
ing.’’ (MM)
and how these had developed over time, especially since becoming
a college student. Lastly, the level of concern participants ex- The role of family relationships affecting food intake was also
pressed about their emotional eating patterns and any efforts they discussed by one female:
had tried to reduce these are discussed. Quotations are used to
illustrate the findings. All the initials cited are pseudonyms. ‘‘When I’m angry, I don’t really like to eat. My mom was offering
me food and I just kept saying no. When I’m angry, I think I kind
of just deny food.’’ (CK)
Perceived emotions in daily life

When told they had been identified as emotional eaters, all Periods of emotional eating
eight females and six males agreed that this identification was cor-
rect. The remaining two males disagreed, but they scored lower on Females discussed the concept of using food as a distraction
the emotional eating subscale (both scored 15) compared to other mechanism during periods of emotional arousal. During these peri-
males. Only one male (score of 13) scored lower than the two ods, they eat without abandon in opposition to their normal eating
males who did not identify themselves as emotional eaters. patterns where consciousness of intake is observed.
190 J. Bennett et al. / Appetite 60 (2013) 187–192

‘‘I don’t really think about what I’m consuming at all. Whereas ‘‘Throughout my high school I’ve always had good breakfasts
most of the other times during the day [I do] . . . I really worry and meals throughout the day, but then in college I transferred
about what I am eating.’’ (CK) here, I’ve noticed I’ll have more snacks just because I’m in a
dorm. My mom isn’t cooking something.’’ (CB)
Using food as a distraction from schoolwork was also discussed.
The remaining participants believed they always ate emotion-
‘‘In the library, I was bored so I had a chocolate bar because I
ally or couldn’t remember when the behavior started.
was just sitting there studying and thought I don’t want to be
doing this right now so I’m going to eat a chocolate bar.’’ (EM)
Concerns about and efforts at reducing emotional eating
Males discussed emotional eating as a distraction to escape
unpleasant feelings. In response to the question of whether their emotional eating
bothered them, only one female (quoted below) and two males ex-
‘‘One of the bad things I do is have candy in my room like choc-
pressed concern:
olates. When I’m feeling unhappy sometimes I’ll go into the
candy thinking this will make me feel good.’’ (DL) ‘‘Yeah, it really is something I’m trying to work on. I’m trying to
resist it, but sometimes I just can’t. So it is something I’m trying
to work on because I don’t think it’s healthy to overeat like
Post-emotional eating
that.’’ (CK)
To determine if emotional eating maintained or improved The remaining 13 participants were not bothered by their emo-
mood, participants were asked how they felt after eating emotion- tional eating. One male in particular cited the summer as a time
ally. Some females commented on the overwhelming feeling of when eating returned to normal because exams would be finished
guilt afterwards: and school out of session:
‘‘I tend to get more stressed out because I feel bad after eating. ‘‘I feel once everything is done in two weeks and done, it will
After I eat a lot of food I do get stressed out more, but I still just return to normal during the summer.’’ (FJ)
have those cravings.’’ (CK)
‘‘We’ll say why did we even eat that? We didn’t need that. No Interestingly, all participants reported that only negative emo-
one wants to eat bad food, we just do anyway.’’ (JN) tions adversely affected their eating and when happy they ate
normally.
Males described post-emotional eating effects from the stand-
The majority of solutions cited by males and females to reduce
point of overconsumption of portion sizes with less feelings of guilt.
emotional eating included non-food activities such as watching
‘‘I realized I just ate ice cream and I wasn’t hungry anymore and television, reading, talking with friends, exercise and use of the
was like whoa, that’s a lot.’’ (HN) computer. If a participant consumed a healthful food to satisfy
‘‘I’m like ok, that’s enough of those cookies, I’m going to chill out the urge to eat emotionally, the post-eating guilt was not as in-
now.’’ (CB) tense. When asked what other methods would help cope with
‘‘It’s a sense of stress at the end of that day, when I think about emotional eating, participants cited general coping strategies such
what I’ve eaten all day.’’ (GS) as eliminating boredom and reducing stress. They were unable to
provide examples of how to manage these emotions as they were
One male stated that feelings of sadness often encourage tem-
more focused on immediate and temporary relief from the emotion
porary relief and then post-guilt. After having eating a calzone at
provided by eating unhealthful food.
1 a.m., participant claimed he was:
‘‘Tired, hungry, I was anxious. I think I had an exam the next Discussion
day. I was up and couldn’t sleep. I was nervous. Then after-
wards, you feel relieved a little bit in a weird way. I don’t know The present study explored emotional eating and compared
how to describe it. It’s not fulfilling, but you eat it and you don’t how male and female college students perceived their emotions
feel good about yourself, you feel guilty.’’ (GS) and eating behaviors influenced by these emotions. An unstruc-
tured interview guide was used to better understand the driving
factors behind emotional eating and potentially validate the WREQ
Development of emotional eating
emotional eating construct. The college environment may be par-
ticularly obesogenic in terms of availability of all-you-can eat caf-
Participants were asked when they first noticed their emotional
eterias, easy access to foods high in solid fats and added sugars
eating and how it developed over time since becoming college stu-
with limited access to nutrient dense foods, evening snacking,
dents. Seven females and five males cited that emotional eating
and school/social demands that reduce perceived time available
developed in high school and then intensified in college or devel-
for physical activity (Byrd-Bredbenner et al., 2012; Greaney, Less,
oped in college. Females cited both stress and increased access to
White, et al., 2009; Nelson & Story, 2009; Vella-Zarb & Elgar,
food as enablers to emotional eating:
2009). Greene and colleagues found that college students scoring
‘‘Mostly in the past three years. Junior, senior [high school] and high on an emotional eating assessment had higher BMIs than stu-
going into college because it was the most stressful times prob- dents with lower emotional eating scores. Therefore, understand-
ably. So I noticed that I started eating more. I feel like when I ing the meaning of emotional eating may be particularly
was younger . . . I wasn’t so worried about what I was eating. I important in preventing weight gain during college that may lead
didn’t stress it as much.’’ (CK) to adult obesity (Greene et al., 2011).
‘‘Since college I think because I have the access to food more.’’ (NE)
Range of emotions perceived by young adults
Males were more likely to mention parents and the role they
played in maintaining healthy eating behaviors:
Both females and males frequently cited happiness and stress as
‘‘My parents made food before and I could just tell them to the two most commonly experienced emotions. As college
make it, but now I have to make it.’’ (TC) students, it is logical that the main source of stress cited by the
J. Bennett et al. / Appetite 60 (2013) 187–192 191

participants was school-related (Greaney et al., 2009). In particular, may be greater than those of third or fourth year students. The ef-
studying for exams, completing schoolwork and time management fects of social pressures may decrease over time.
were all cited as sources of stress. These results confirm previous
research about the transition to college (Rosen, Compas, & Tacy,
Limitations
1993). Furthermore, a majority of participants were either first or
second year students, which could create challenges in identity
There are several limitations to this study. Given that partici-
and role formation (Arnett, 2000). Stress has been described as
pants were between 18 and 24 years old and white from a single
an intrapersonal barrier to maintaining a healthy weight in college
northeastern university, this study is not generalizable across dif-
students (Greaney et al., 2009); results of this study confirm this
ferent age groups, ethnicities, socio-economic statuses and geo-
barrier for emotional eaters. Seven participants had BMIs greater
graphic regions. The food journal meal documentation also
than 25 and were classified as overweight. Given that individuals
interfered with the generalizability of the study as asking the same
between 18 and 29 as well as emotional eaters are at risk for
questions of a population through spontaneous interviews without
weight gain (Blair et al., 1990; Lewis et al., 2000; Mokdad et al.,
prior meditation could have resulted in different responses. The
1999), these emotional eaters are at risk for future weight gain
instrument used to assess emotional eating, the WREQ, evaluates
and becoming obese.
negative emotional affect. If positive emotions were included as
part of the instrument, results could have been different than those
Emotions as influencing eating patterns
obtained. It is interesting, however that participants felt they could
eat normally when happy.
Stress affected both female and male eating behavior, but in an
Use of the online survey as the only method of recruitment cre-
opposite manner. Females increased their consumption when
ated several limitations. Male participants in the survey scored an
stressed about school while males were more apt to decrease con-
average WREQ emotional eating construct of 8.1 ± 4.1 out of a pos-
sumption. For one female, she was cognizant of how she automat-
sible score of 25 indicating a relatively low level of emotional eat-
ically turned to chocolate for comfort. This may suggest, as past
ing and only those individuals who agreed to participate in other
studies have, that a decrease in healthful foods and an increase
research studies could be contacted. Recruitment was conducted
in unhealthful foods (i.e. chocolate) during times of emotional
in classes that predominantly enroll first and second year students.
eating from stress (Kandiah et al., 2006; Laitinen et al., 2002).
Therefore, the sample may have been more diverse if classes with
Under more severe cases of stress females discussed the
high enrollment of upper class students were used for recruitment.
distaste for food more so than males. The suppression of appetite
from intense emotions has been studied and confirmed previously
(Herman & Polivy, 1984; Macht, 2008). The loss of a loved one or Conclusion
sickness of a close friend or family member decreased appetite
and subsequent intake. The transition to college is a stressful period for both males and
females. Participants were educated about nutritious foods, but
Relationships between emotions and eating patterns emotional eating resulted in the consumption of unhealthful foods
with high caloric densities. How emotions are managed during
To investigate whether emotional eating improved mood, par- these formative years is critical for developing sustainable health-
ticipants responded to the question of how they felt after eating. ful eating behaviors. Coping with stress through eating was identi-
The sense of guilt amongst males and females was present. For fe- fied as a significant barrier towards healthy eating across genders.
males, eating with other females alleviated a negative mood, but At the same time, boredom was also cited as an emotional eating
then resulted in feelings of guilt afterwards. enabler. This could be the result of undeveloped time management
Only three participants were bothered by emotional eating and skills. As one progresses from young adulthood to adulthood,
wanted to change their behavior. Solutions cited to reduce emo- greater responsibilities and thus more stress could be expected
tional eating mostly concerned traditional techniques such as dis- to occur. Therefore, a multidisciplinary intervention focusing on
tracting himself or herself by watching TV or going on the time and stress management skills for college students should be
computer. These alternative activities can be viewed as non-food developed for those susceptible to emotional eating.
related attempts to cope with the emotional issue on hand, but
do not solve the underlying source of the emotion: stress manage-
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