Examining Maladaptive Eating Behaviors and Psychological Difficulties Among Women with Compulsive Eating and Obesity: a Latent Profile Analysis

Overview

Journal J Eat Disord

Publisher Biomed Central

Date 2025 Feb 19

PMID 39972394

Authors

Charlie Maltais-Levesque

Maxime Legendre

Catherine Begin

Affiliations

Soon will be listed here.

Abstract

Background: Maladaptive eating behaviors are central to weight gain and are influenced by various psychological determinants associated with obesity. While some studies have established profiles based on different maladaptive eating behaviors using medical samples of individuals with obesity, no studies have focused on all patients with overweight or obesity seeking psychological help for compulsive eating. The objective was to identify eating behaviors profiles using maladaptive eating behaviors (disinhibition, susceptibility to hunger, and restraint) among women patients with compulsive eating and overweight or obesity, and to compare those profiles with each other on socio-demographic, clinical, psychological, and eating-related variables.

Methods: One hundred and eighty-eight women patients with overweight or obesity (BMI ≥ 25 kg/m) completed online questionnaires and participated in an eating disorders diagnosis interview. Profiles were created using latent profile analysis and compared with a MANOVA with Tukey adjusted post-hoc comparisons and a chi-square analysis.

Results: Three profiles emerged from the latent profile analysis. The Highly disinhibited profile includes women with high scores for disinhibition and susceptibility to hunger and a low score of restraint. The Moderate sensitivity to eating cues profile includes women with moderate scores of disinhibition, susceptibility to hunger, and restraint. The Perceived control over food profile includes women with the highest restraint score and the lowest levels of disinhibition and susceptibility to hunger. Group comparisons showed significant differences between profiles. The Highly disinhibited profile included women with higher levels of depressive symptoms and impulsivity as well as lower scores of self-directedness and cooperation. This profile also showed the highest level of binge eating, food craving, and food addiction symptoms. The Moderate sensitivity to eating cues profile showed more body esteem and greater cooperation. The Perceived control over food profile had less impulsivity and depressive symptoms as well as a higher level of self-directedness.

Conclusion: These results highlighted mechanisms that seem to prevail in different profiles of patients with compulsive eating which offer intervention targets that should be prioritized when offering psychotherapeutic treatment.

References

Jimenez-Murcia S, Aguera Z, Paslakis G, Munguia L, Granero R, Sanchez-Gonzalez J . Food Addiction in Eating Disorders and Obesity: Analysis of Clusters and Implications for Treatment. Nutrients. 2019; 11(11). PMC: 6893652. DOI: 10.3390/nu11112633. View

Ravichandran S, Bhatt R, Pandit B, Osadchiy V, Alaverdyan A, Vora P . Alterations in reward network functional connectivity are associated with increased food addiction in obese individuals. Sci Rep. 2021; 11(1):3386. PMC: 7873272. DOI: 10.1038/s41598-021-83116-0. View

Billieux J, Rochat L, Ceschi G, Carre A, Offerlin-Meyer I, Defeldre A . Validation of a short French version of the UPPS-P Impulsive Behavior Scale. Compr Psychiatry. 2011; 53(5):609-15. DOI: 10.1016/j.comppsych.2011.09.001. View

Gearhardt A, Corbin W, Brownell K . Development of the Yale Food Addiction Scale Version 2.0. Psychol Addict Behav. 2016; 30(1):113-21. DOI: 10.1037/adb0000136. View

Wiss D, Brewerton T . Incorporating food addiction into disordered eating: the disordered eating food addiction nutrition guide (DEFANG). Eat Weight Disord. 2016; 22(1):49-59. PMC: 5334442. DOI: 10.1007/s40519-016-0344-y. View

McMaster C, Paxton S, Maguire S, Hill A, Braet C, Seidler A . The need for future research into the assessment and monitoring of eating disorder risk in the context of obesity treatment. Int J Eat Disord. 2023; 56(5):914-924. PMC: 10946556. DOI: 10.1002/eat.23898. View

da Luz F, Hay P, Touyz S, Sainsbury A . Obesity with Comorbid Eating Disorders: Associated Health Risks and Treatment Approaches. Nutrients. 2018; 10(7). PMC: 6073367. DOI: 10.3390/nu10070829. View

Claes L, Vandereycken W, Vandeputte A, Braet C . Personality subtypes in female pre-bariatric obese patients: do they differ in eating disorder symptoms, psychological complaints and coping behaviour?. Eur Eat Disord Rev. 2012; 21(1):72-7. DOI: 10.1002/erv.2188. View

Berlin K, Williams N, Parra G . An introduction to latent variable mixture modeling (part 1): overview and cross-sectional latent class and latent profile analyses. J Pediatr Psychol. 2013; 39(2):174-87. DOI: 10.1093/jpepsy/jst084. View

10.

Mili N, Paschou S, Goulis D, Dimopoulos M, Lambrinoudaki I, Psaltopoulou T . Obesity, metabolic syndrome, and cancer: pathophysiological and therapeutic associations. Endocrine. 2021; 74(3):478-497. DOI: 10.1007/s12020-021-02884-x. View

11.

Steer R, Cavalieri T, Leonard D, Beck A . Use of the Beck Depression Inventory for Primary Care to screen for major depression disorders. Gen Hosp Psychiatry. 1999; 21(2):106-11. DOI: 10.1016/s0163-8343(98)00070-x. View

12.

Stunkard A, Messick S . The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985; 29(1):71-83. DOI: 10.1016/0022-3999(85)90010-8. View

13.

Bryant E, Rehman J, Pepper L, Walters E . Obesity and Eating Disturbance: the Role of TFEQ Restraint and Disinhibition. Curr Obes Rep. 2019; 8(4):363-372. PMC: 6910890. DOI: 10.1007/s13679-019-00365-x. View

14.

Mason T, Dolgon-Krutolow A, Smith K . A Systematic Review of Moderators of the Association between Dietary Restraint and Binge Eating. Obesities. 2024; 4(2):132-144. PMC: 11619762. DOI: 10.3390/obesities4020013. View

15.

Ernst B, Wilms B, Thurnheer M, Schultes B . Eating behaviour in treatment-seeking obese subjects - Influence of sex and BMI classes. Appetite. 2015; 95:96-100. DOI: 10.1016/j.appet.2015.06.019. View

16.

Mendelson B, MENDELSON M, White D . Body-esteem scale for adolescents and adults. J Pers Assess. 2001; 76(1):90-106. DOI: 10.1207/S15327752JPA7601_6. View

17.

Cragun D, DeBate R, Ata R, Thompson J . Psychometric properties of the Body Esteem Scale for Adolescents and Adults in an early adolescent sample. Eat Weight Disord. 2013; 18(3):275-82. DOI: 10.1007/s40519-013-0031-1. View

18.

Heerman W, Jackson N, Hargreaves M, Mulvaney S, Schlundt D, Wallston K . Clusters of Healthy and Unhealthy Eating Behaviors Are Associated With Body Mass Index Among Adults. J Nutr Educ Behav. 2017; 49(5):415-421.e1. PMC: 5747265. DOI: 10.1016/j.jneb.2017.02.001. View

19.

Cepeda-Benito A, Gleaves D, Fernandez M, Vila J, Williams T, Reynoso J . The development and validation of Spanish versions of the State and Trait Food Cravings Questionnaires. Behav Res Ther. 2000; 38(11):1125-38. DOI: 10.1016/s0005-7967(99)00141-2. View

20.

Vainik U, Garcia-Garcia I, Dagher A . Uncontrolled eating: a unifying heritable trait linked with obesity, overeating, personality and the brain. Eur J Neurosci. 2019; 50(3):2430-2445. DOI: 10.1111/ejn.14352. View