Journals / Batı Karadeniz Tıp Dergisi / 2026 / Cilt: 9 Sayı: 2

Relationship Between Emotional Eating and Stress Levels in Pregnant Women and Affecting Factors

Gebelerde Duygusal Yeme ve Stres Düzeyi Arasındaki İlişki ve Etkileyen Faktörler

Rüveyda Yüksel(AYDIN ADNAN MENDERES ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, RUH SAĞLIĞI VE HASTALIKLARI HEMŞİRELİĞİ ANABİLİM DALI)0000-0002-5997-4155
Tuğba Dündar(AYDIN ADNAN MENDERES ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, DOĞUM-KADIN SAĞLIĞI VE HASTALIKLARI HEMŞİRELİĞİ ANABİLİM DALI)0000-0002-6693-0820
Pages
205–213
Publication Date
2025-08-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It can be recommended that women with pregnancy receive stress management training, nutritional counseling, and psychological support, and be encouraged to do physical activity

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Correlations between emotional eating and stress during pregnancy and related factors were examined in the present study.
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Key Findings & Data:Additionally, 43.3% of the women with pregnancy did not change their meal count during this period, while 41.5% ate due to emotions rather than hunger, indicating that eating habits influenced their mental state.
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Conclusion & Impact:It can be recommended that women with pregnancy receive stress management training, nutritional counseling, and psychological support, and be encouraged to do physical activity
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Duygusal yeme · gebe · stres

Abstract

Aim: Correlations between emotional eating and stress during pregnancy and related factors were examined in the present study. Material and Methods: An analytical-cross-sectional study design was employed. Two hundred and eighty-two women with pregnancy in the third trimester visiting a public hospital for follow-up made up the sample. The Emotional Eating Scale, the Tilburg Pregnancy Distress Scale, and a questionnaire form were instruments to collect data. Kruskal-Wallis test, Independent samples t-test, descriptive statistical analyses, one-way ANOVA, and Mann-Whitney U test were the methods of data analysis Results: Among women with pregnancy, one-third experienced their first pregnancy, and most had completed primary school. An important correlation was detected between participants’ emotional eating and education levels. Those who slept six hours or less during pregnancy and those who did not engage in at least thirty minutes of sports three days a week exhibited higher distress levels. Additionally, 43.3% of the women with pregnancy did not change their meal count during this period, while 41.5% ate due to emotions rather than hunger, indicating that eating habits influenced their mental state. All reasons for eating among women with pregnancy were found to impact their emotional eating. A significant positive correlation was observed between the two scales (p=0.007). Conclusion: A difference was detected between the characteristics of the women with pregnancy and stress and emotional eating tendencies. As their distress increased, the level of their emotional eating increased as well. It can be recommended that women with pregnancy receive stress management training, nutritional counseling, and psychological support, and be encouraged to do physical activity

Özet

Amaç: Gebelikte duygusal yeme ve stres arasındaki ilişkiyi ve bu ilişkiyi etkileyen faktörleri ele almaktır. Gereç ve Yöntemler: Bu çalışma analitik-kesitsel tipte bir araştırmadır. Araştırmanın örneklemini kamuya bağlı bir hastanede izlenen 3. trimesterdeki 282 gebe oluşturdu. Araştırmada anket formu, Duygusal Yeme Ölçeği ve Tilburg Gebelikte Distres Ölçeği kullanıldı.Veriler, tanımlayıcı istatistiksel analizler, Bağımsız Örneklem t Testi, Tek Yönlü Varyans Analizi, Kruskal Wallis ve Mann Whitney U Testi’yle değerlendirildi. Bulgular: Gebelerin üçte biri ilk gebeliğini yaşamaktaydı, çoğunlukla ilköğretim düzeyinde eğitime sahiplerdi. Katılımcıların duygusal yeme düzeyleriyle eğitim düzeyi arasında anlamlı farklılık olduğu, gebeliği sırasında 6 saat ve daha az uyuyanlar ile haftada en az 3 gün 30 dk. spor yapmayanların distreslerinin yüksek olduğu görüldü. Gebelerin %43.3’ünün öğün sayısında değişiklik olmadığı, %41.5’inin gebelik sırasında açlık dışında duyguları nedeniyle de yemek yediği, yeme alışkanlıklarının ruhsal durumu üzerinde etkili olduğu belirlendi. Gebelerin tüm yemek yeme sebepleri duygusal yemeleri üzerinde etkiliydi. İki ölçek arasında pozitif yönlü anlamlılık olduğu saptandı (p=0.007). Sonuç: Gebelerin kişisel özellikleriyle stres ve duygusal yeme eğilimleri arasında fark olup, gebelerde distres arttıkça duygusal yeme düzeyi atmaktadır. Gebelere stres yönetimi eğitimleri, beslenme danışmanlığı, psikolojik destek verilmesi ve fiziksel aktivite konusunda teşvik edilmeleri önerilebilir.

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Cite This Article

Yüksel, R., Dündar, T. (2025). Relationship Between Emotional Eating and Stress Levels in Pregnant Women and Affecting Factors. Batı Karadeniz Tıp Dergisi, Cilt: 9 Sayı: 2, 205–213. https://doi.org/10.29058/mjwbs.1621582

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References (42)

  1. Gao M, Hu J, Yang L, Ding N, Wei X, Li L., Liu L, Ma Y, Wen, D. Association of sleepquality during pregnancy with stress and depression: A prospectivebirthcohort study in China. BMC Pregnancy and Childbirth. 2019;19:1-8. https://doi.org/10.1186/ s12884-019-2583-1
  2. Ribeiro MM, Andrade A, Nunes I. (). Physical exercise in pregnancy: Benefits, risks and prescription. Journal of Perinatal Medicine. 2022;50(1):4-17. https://doi.org/10.1515/jpm-2021- 0315
  3. Pascal R, Casas I, Genero M, Nakaki A, Youssef L, Larroya M, Benitez L, Gomez Y, Martinez-Aran A, Morilla I, Oller-Guzmán TM, Martin-Asuero A, Vieta E, CrispiF,Gratacos E, Gomez- Roig MD, Crovetto F. Maternalstress, anxiety, well-being, and sleepquality in pregnantwomenthroughoutgestation. Journal of Clinical Medicine. 2023;12 (23):7333. https://doi.org/10.3390/ jcm12237333
  4. Uğurlu M, Arslan G, Yüksel M. The relationship between pregnancystress and sleepquality with trimester: pregnancystress and sleepquality. Göbeklitepe Sağlık Bilimleri Dergisi. 2023;6 (12):37-48. https://doi.org/10.55433/gsbd.149
  5. Bulguroğlu Hİ, Bulguroğlu M, Özkul Ç, Gündüz AG. (2023). Investigation of the effect of pilates exercises on posturalstability and fear of birth in pregnancy. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2023;7(3):530-40. https://doi. org/10.46237/amusbfd.1253720
  6. Al Hamimi J, Al Shidhani A, Al Mamari M, Al Wahaibi A, Al Awaidy ST. Eatingbehaviors during pregnancy: A cross-sectional study. Healthcare. 2024;12(16):1616. https://doi. org/10.3390/healthcare12161616
  7. Koçak Uyaroğlu A, Ünal E, Karabacak M. Genç kadınlarda duygusal yeme ile depresyon, anksiyete ve stres ilişkisi. Turkish Journal of Family Medicine and Primary Care. 2024;18(1):1-8. https://doi.org/10.21763/tjfmpc.1276022
  8. Gonçalves S, Freitas F, Freitas-Rosa MA., Machado BC. Dysfunctionaleatingbehaviour, psychological well-being and adaptation to pregnancy: A study with women in the third trimester of pregnancy. Journal of Health Psychology. 2015;20(5):535-42. https://doi.org/10.1177/1359105315573432
  9. Faruga-Lewicka W, Staśkiewicz-Bartecka W, Janiszewska P, Grot M, Kardas M. Eatinghabitsrelated to pregnancy, body perception, attractiveness and self-confidence. Healthcare. 2024;12(19):1932. https://doi.org/10.3390/healthcare12191932
  10. Yau YHC, Potenza M N. Stress and eatingbehaviors. MinervaEndocrinologica. 2013;38(3):255-67.
  11. Tan CC, Chow CM. Stress and emotionaleating: The mediating role of eatingdysregulation. Personality and individualdifferences. 2014;66:1-4. https://doi.org/10.1016/j.paid.2014.02.033
  12. Van Strien T. Causes of emotionaleating and matchedtreatment of obesity. Current DiabetesReports. 2018;18(6):1-8. https://doi.org/10.1007/s11892-018-1000-x
  13. Blau LE, Orloff NC, Flammer A, Slatch C, Hormes JM. Foodcravingfrequencymediates the relationship between emotionaleating and excessweightgain in pregnancy. EatingBehaviors. 2018;31:120-24. https://doi.org/10.1016/j.eatbeh.2018.09.004
  14. Çelik AS, Atasever İ. Gebelerde algılanan stres düzeylerinin ve etkileyen faktörlerin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020;23(2):267-76.
  15. Çelik G, Yılmaz E, Nazik F, Unver H. Determination of distress, emotionaleating and internalizedweightbiaslevels of Turkishpregnantwomen. J. Obstet. Gynaecol. (Lahore). 2023;43(1):1- 7. https://doi.org/10.1080/01443615.2022.2153020
  16. Santos B, de Souza CM, Santos RG, Cordeiro ALL. Functionaleffects of aquaticexercise in pregnantwomen: A systematic review. ClinBiomedRes. 2021;41:339-46. https://doi. org/10.22491/2357-9730.106169
  17. Cordeiro AL, Santos BO, Souza CM, Santos RG. Functıonaleffects of aquaticexercise in pregnant: A systematıcrevıew. Clinical and Biomedical Research. 2021;41(4):339-46. https://doi. org/10.22491/2357-9730.106169
  18. Esin N. (2014). Örnekleme. In: Erdoğan S, Nahçıvan N, Esin N, editors.Hemşirelikte araştırma süreç, uygulama ve kritik. 5th ed., Nolbel Tıp Kitabevi; 2014. 167-92.
  19. Agrisdian Z, Probandari A, Pamungkasari E. The Role of emotıonaleatıng a medıator in relatıonshıp between sleepduratıon and qualıtywıthcarbohydrateıntake among pregnantwomen. National Nutrition Journal/Media Gizi Indonesia. 2022;17(2):115-21. https://doi.org/10.20473/mgi.v17i2.115- 121
  20. Fariandini A, Fanani M, Mulyani S. doesemotionaleatingmediate the effect of physicalactivity and sleepduration on fatintake in pregnantwomen? Media Gizi Indonesia. 2022;17(3):273-80. https://doi.org/10.20473/mgi.v17i3.273-280
  21. Garaulet M, Canteras M, Morales E, López-Guimera G, Sánchez-Carracedo D, Corbalán-Tutau MD. Validation of a questionnaire on emotionaleating for use in cases of obesity; the EmotionalEaterQuestionnaire (EEQ). Nutr. Hosp. 2012;27(2):645-51.
  22. Arslantaş H, Dereboy F, Yüksel R, İnalkaç S. Duygusal Yeme Ölçeği›nin Türkçe çevirisinin geçerlik ve güvenirlik çalışması. Turk Psikiyatri Derg. 2019;30(X):1-10.
  23. Pop VJ, Pommer AM, Pop-Purceleanu M, Wijnen HA, Bergink V, Pouwer F. Development of the Tilburgpregnancydistressscale: the TPDS. BMC pregnancy and Childbirth. 2011;11:1-8. https://doi.org/10.1186/1471-2393-11-80
  24. Çapık A, Pasinlioglu T. Validity and reliability study of the TilburgPregnancyDistressScale into Turkish. J. Psychiatr. Ment. Health Nurs. 2015;22:260-69. https://doi.org/10.1037/t45991- 000
  25. Çapık A, Apay SE, Sakar T. Gebelerde distres düzeyinin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2015;18(3):196-203. https://doi.org/10.17049/ahsbd.97570
  26. Tabachnick B, Fidell L. Using Multivariate Statistics. 6th ed., Boston, Pearson Education, 2013.
  27. Albayrak A, Eroğlu A, Kalaycı Ş, Küçüksille E, Ak B, Karaatlı M, Keskin H. SPSS Uygulamalı Çok Değişkenli İstatistik Teknikler. 9th ed., Ankara, Asil Yayıncılık, 2005.
  28. Shriver LH, Eagleton SG, Hosseinzadeh M, Buehler C, Wideman L, Leerkes EM. Associations among eatingbehaviors, foodsecuritystatus, and dietaryintake during pregnancy. Appetite. 2023;191:107062. https://doi.org/10.1016/j.appet. 2023.107062
  29. Flores-Quijano ME, Mota-González C, Rozada G, León-Rico JC, Gómez-López ME, Vega-Sánchez R. A Mexican Spanish adaptation of the DutchEatingBehaviorQuestionnaire: Psychometricproperties and ınfluence of sociodemographic variables in pregnantwomen. Nutrients. 2023;15 (14):3243. https://doi. org/10.3390/nu15143243
  30. Felder JN, Laraia B, Coleman-Phox K, Bush N, Suresh M, Thomas M, Adler N, Epel E, Prather AA. Poor sleepquality, psychologicaldistress, and the bufferingeffect of mindfulness training during pregnancy. BehavioralSleep Medicine. 2018;16(6):611-24. https://doi.org/10.1080/15402002.2016.12 66488
  31. Bacaro V, Benz F, Pappaccogli A, De Bartolo P, Johann AF, Palagini L, Lombardo C, Feige B, Riemann D, Baglioni C. Interventions for sleep problems during pregnancy: A systematic review. Sleep Medicine Reviews. 2020;50:101234. https://doi. org/10.1016/j.smrv.2019.101234
  32. Silvestri R, Aricò I. Sleepdisorders in pregnancy. Sleep Science. 2019;12(3):232. https://doi.org/10.5935/1984-0063.20190098
  33. Gregg VH, Ferguson JE. Exercise in pregnancy. Clinics in Sports Medicine. 2017;36 (4):741-752. https://doi.org/10.1016/j. csm.2017.05.005
  34. Davenport MH, McCurdy AP, Mottola MF, Skow RJ, Meah VL, Poitras VJ., Gray C, Garcia AJ, Sobierajski F, Riske L, James M, Kathol A, Nuspl M, Marchand AA, Nagpal TS, Slater LG, Weeks A, Barakat R, Mottola MF. Impact of prenatal exercise on both prenatal and postnatal anxiety and depressivesymptoms: A systematic review and meta-analysis. British journal Of Sports Medicine. 2018;52(21):1376-85. https://doi. org/10.1136/bjsports-2018-099697
  35. Traylor CS, Johnson JD, Kimmel MC, Manuck TA. Effects of psychologicalstress on adverse pregnancyoutcomes and nonpharmacologicapproaches for reduction: An expert review. American Journal of Obstetrics&Gynecology MFM. 2020;2(4):100229. https://doi.org/10.1016/j.ajogmf. 2020.100229
  36. Artal R. Exercise and pregnancy. In: Clinical Maternal- Fetal Medicine. 1st ed., CRC Press; 2021. https://doi. org/10.1201/9781003222590-38
  37. Sánchez-Polán M, Franco E, Silva-José C, Gil-Ares J, Pérez-Tejero J, Barakat R, Refoyo I. Exercise during pregnancy and prenatal depression: A systematic review and meta- analysis. Frontiers in Physiology. 2021;12:640024. https:// doi.org/10.3389/fphys.2021.640024
  38. Marconcin P, Peralta M, Gouveia ER, Ferrari G, Carraca E, Ihle A, Marques A. Effects of exercise during pregnancy on postpartumdepression: A systematic review of meta-analyses. Biology. 2021;10(12):1331. https://doi.org/10.3390/biology10121331
  39. Erkılıç İ, Özenoğlu A. (2022). Gebelikte Yeme Tutumu ve Yeme Davranışı Bozuklukları. In: Önay Derin D, editors. Sağlık Bilimleri Alanında Uluslararası Araştırmalar VII. 1st ed., Konya, Eğitim Yayınevi, 89-113.
  40. Sarı S. Hamilelik döneminde yeme bozukluğu ile anksiyete ve depresyon arasındaki ilişki (Yayımlanmamış Yüksek Lisans Tezi), İstanbul, İstanbul Gelişim Üniversitesi, 2022, 1- 157. (Erişim Tarihi:16.01.2025, Adres: https://acikerisim.gelisim. edu.tr/xmlui/handle/11363/3924).
  41. Zhang J, Zhang Y, Huo S, Ma Y, Ke Y, Huang Z. Emotionaleating and its association with pregnancyweightgain and postpartumdepression: A prospectivecohort study. Journal of AffectiveDisorders. 2020;278:366-72.
  42. Carandang RR, Epel E, Radin R, Lewis JB, Ickovics JR, Cunningham SD. Perceivedstress and depressivesymptoms are associated with emotionaleating but not nutritionalıntake during pregnancy: A prospectivecohort study. Journal of Midwifery&- Women’s Health. 2024;69(1):64-70. https://doi.org/10.1111/ jmwh.13537