The mediating effects of eating disorder, food addiction, and insomnia in the association between psychological distress and being overweight among Iranian adolescents

Lin, C.-Y., Cheung, P., Imani, V., Griffiths, M.D. ORCID: 0000-0001-8880-6524 and Pakpour, A.H., 2020. The mediating effects of eating disorder, food addiction, and insomnia in the association between psychological distress and being overweight among Iranian adolescents. Nutrients, 12 (5): 1371.

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Abstract

With obesity and excess weight remaining a serious concern worldwide, investigating the mechanisms underlying this is of great importance. Psychological distress is a possible trigger contributing to excess weight for adolescents. Moreover, the association between psychological distress and excess weight may be mediated by eating disorder, food addiction, and insomnia. The present study utilized parallel mediation analysis to assess the aforementioned associations and possible mediation effects among Iranian adolescents. Through stratified and clustered sampling, adolescents (N = 861; mean ± SD age = 15.9 ± 3.2; 372 males) participated and were followed for a one-year period. Excess weight (standardized body mass index, z-BMI); psychological distress (Depression, Anxiety, and Stress Scale-21); eating disorder attitudes (Eating Attitude Test-26); food addiction (Yale Food Addiction Scale for Children); and insomnia (Insomnia Severity Index) were assessed. Eating disorder attitudes, food addiction, and insomnia were significant mediators in the association of psychological distress and z-BMI. Additionally, psychological distress had direct effects on z-BMI. Given that eating disorder attitudes, food addiction, and insomnia showed mediated effects in the temporal association of psychological distress and excess weight, healthcare providers are encouraged to design programs on improving these three mediators to help adolescents overcome excess weight problems.

Item Type: Journal article
Publication Title: Nutrients
Creators: Lin, C.-Y., Cheung, P., Imani, V., Griffiths, M.D. and Pakpour, A.H.
Publisher: MDPI-AG
Date: 2020
Volume: 12
Number: 5
Identifiers:
NumberType
10.3390/nu12051371DOI
1324500Other
Rights: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Divisions: Schools > School of Social Sciences
Record created by: Linda Sullivan
Date Added: 12 May 2020 08:16
Last Modified: 12 May 2020 08:16
URI: http://irep.ntu.ac.uk/id/eprint/39814

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