Community Health Journal

Community Health Journal

The Role of Attitude Towards Nutrition, Body Image Concern, Difficulty in Emotional Regulation and Rumination in Predicting Eating Behavior in Overweight Married Women of Isfahan in the summer of 1401

Document Type : Original Article

Authors
M Sadeghkohestani 1
I sajjadian 2
1 M.S. in Clinical Psychology, Department of Clinical Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan,Iran.
2 Associate Professor, Department of Clinical Psychology, Community Health Research Center, Isfahan (Khorasgan) Branch , Islamic Azad University, Isfahan, Iran.
10.22123/chj.2024.399642.2026
Abstract
Introduction: Overweight, the prevalence of which is increasing in societies, is one of the problems that threatens the health of society. The present study was conducted with the aim of the role of attitude towards nutrition, concern about body image, difficulty in emotional regulation and rumination in predicting eating behavior in overweight married women of Isfahan in the summer of 1401.
Material and Methods: The research method was descriptive and correlational. The statistical population included all overweight married women (body mass above 25) who visited nutrition clinics in Isfahan city in the summer of 1401, from which 200 women were selected as available. The research tools included nutrition attitude questionnaire, body image fear questionnaire, difficulty in regulating emotions questionnaire, rumination questionnaire and eating behavior questionnaire. The data were analyzed using correlation methods and multiple regression analysis step-by-step.
Results: The results showed that there is a positive and significant relationship between eating behavior and attitude towards nutrition, concern about body image, difficulty in regulation and rumination (p<0.01), but in the first step concern about body image (β= 0.466, p < 0.001) and in the second step, rumination can predict eating behavior in overweight married women (β = 0.295, p < 0.001).
Conclusion: Therefore, to control eating behavior, it is suggested to pay attention to body image concern and rumination in the development of educational packages.
Keywords
Attitude
Body image
Difficulty in emotional regulation
Rumination
Eating behavior
  1. Shahsavari M., Fathi Ashtiani A., Rasoolzadeh Tabatabae K.. a comparaison between personality traits and eating behavior among women with high and normal body mass index. Yafteh 2017;19(1):8-19.[Persian]
  2. World Health Organization. Regional Office for Europe.(2022). WHO European Regional Obesity Report 2022. World Health Organization. Regional Office for Europe. Available online: https://iris.who.int/handle/10665/353747 (accessed on 13 September 2022). 2022.
  3. 7th Iranian Congress on Obesity Prevention and Treatment by Shahid Beheshti University of Medical Sciences and Health Services, Association of Scientific prevention and treatment of obesity Iran: THE December 2019: Tehran. 2019.
  4. nikkhah f, moghadam tabrizi f, didarlou a, qara aghaji r. health-promoting behaviors in postpartum women with high body mass index in urmia city, iran. nursing and midwifery journal 2023; 21 (4) :299-310. [persian]
  5. Mousavi Diva Razie, Mahmoudian Dastnaee tahere. The relationship between parental bonding and obesity and overweightness. IJNR 2018;12(6): 65-71. [Persian]
  6. Radfar Moloud, Mohammad zadeh Zeinab, Moghadam tabrizi fatemeh, Sheikhi naser. The relationship association between eating behavior with body mass index among femaile adolescents. Journal of urmia nursing and midwifery faculty 2018;15(11):826-834. [Persian]
  7. Mataji Amirrood Maryam, Taghdisi Mohammad Hosein, Shidfar Farzad, Gohari Mahmood Reza. The effect of problem solving education on food behavior self-efficacy in overweight or obese women. JRH 2013;3(3):422-428. [Persian]
  8. Niswah I, Rah JH, Roshita A. The association of body image perception with dietary and physical activity behaviors among adolescents in Indonesia. FNB 2021;42(1):109-21.
  9. Ribeiro-Silva RD, Fiaccone RL, Conceição-Machado ME, Ruiz AS, Barreto ML, Santana ML. Body image dissatisfaction and dietary patterns according to nutritional status in adolescents. Jornal de Pediatria 2018 ;94:155-61.
  10. Golmohammadian Mohsen, Morovati Faramarz, Rashidi Alireza. To predict the concern of body image based on mindfulness, experiential avoidance and metacognition beliefs in highschool students. JEHP 2018;6(2):168-178. [Persian]
  11. Baceviciene M, Jankauskiene R, Balciuniene V. The role of body image, disordered eating and lifestyle on the quality of life in Lithuanian university students. IJERPH 2020;17(5):1593.
  12. Assar Kashani Hoda, Roshan Rasool, Khalaj Alireza, Mohammadi Jamile. An study on the alexithymia and body image in the obese, over-weight and normal waight subjects. Quarterly journal of health psychology 2012;1(2):70-80. [Persian]
  13. Kachooei M., Hasani J., Amrollahi nia M. Comparison of impulsivity and difficulties in emotion regulation among overweight women with and without binge eating disorder. IJEM 2015;17(5):391-401. [Persian]
  14. Khedmati N. The relationship between rumination and difficulty of emotion regulation with self-harm behaviors in students. RRJ 2020;8(11):19-26. [Persian]
  15. Barnhart WR, Braden AL, Price E. Emotion regulation difficulties interact with negative, not positive, emotional eating to strengthen relationships with disordered eating: An exploratory study. Appetite 2021;158:105038. [Persian]
  16. Smith KE, Mason TB, Lavender JM. Rumination and eating disorder psychopathology: A meta-analysis. Clinical Psychology Review 2018;61: 9-23.
  17. Kornacka M, Czepczor-Bernat K, Napieralski P, Brytek-Matera A. Rumination, mood, and maladaptive eating behaviors in overweight and healthy populations. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. EWD 2021;26:273-85.
  18. Zamani Sani SH, Soleimani M, Fathirezaie Z. The comparison of Physical Competencies (Self-report and Objective) and Nutritional Attitude among Active and Inactive Women. Sports Psychology 2022;15(2):1-14 [Persian]
  19. Pourghassem Gargari B, Hamed Behzad M, Seied Sajadi N, Kooshavar D, Karami S. Relation of Body Mass Index to Eating Attitude in Tabrizian High School Girls, Medical Journal of Tabriz University of Medical Science 2010; 32(3):24-29 [Persian]
  20. Hatamian Peyman, Vafapoor Hosna. The prediction of unhealthy eating behaviors and attitudes based on the emotion dyregulation and ineffective reactions in girls students aged 14 to 20. HMED 2020;11(1):15-25. [Persian]
  21. Khodapanah Mojdeh, Sohrabi Faramarz, Ahadi Hassan, Taghiloo Sadegh. Mediating role of cognitive emotion regulation in the relationship between brain-behavioral systems and eating behaviors in individuals with overweight and obesity. JRPH 2018;11(4 ):52-67[Persian].
  22. Kazemi Rezaei Seyed Ali, Khoshsorour Sahar, Nouri Robabeh. The Discriminative Role of Metacognitive Beliefs, Difficulty in Emotion Regulation, and Codependency in Obese Women. AMUJ 2019;22(4 ):86-97. [Persian]
  23. Ahmadi, Mardani L.. Structural relationships of dysfunctional thoughts and rumination with symptoms of eating disorder by mediating of avoidance performance. JTBCP 2019;14(53):47-56. [Persian]
  24. Naumann E, Tuschen-Caffier B, Voderholzer U, Schäfer J, Svaldi J. Effects of emotional acceptance and rumination on media-induced body dissatisfaction in anorexia and bulimia nervosa. Journal of Psychiatry Research 2016; 82:119-25.
  25. Giles D. Advanced research methods in psychology. (1st ed.) London: routledge; 2013: 53- 72.
  26. Gall , MD., Borg ,WR., Gall, JP. Educational Research an Introduction. translated by Ahmad Reza Nasr. 2nd Tehran: Shaidbeheshti Universit and samt ; 2022: 360-410.
  27. Tabachnick, B., & Fidell, L. Using multivariate statistics .5nd New York. NY: Allyn and Bacon. 2007: 497-516.
  28. Mosa Bondak, M. B., Nahavandi, P., abolmaleki, S., Monshadi, S. Determination of Psychometric Properties of Nutrition Attitude Questionnaire among Athletes' Adolescents. JMBS 2019; 2(3): 241-254.
  29. Littleton HL, Axsom D, Pury CL. Development of the body image concern inventory. Behavioral Research and Therapy 2005;43(2):229-41.
  30. Hashemi asl, khayatan The relationship between sexual performance, emotional empathy and fear of body image with trust in the non-faithfulness of the spouse in shift work women of Isfahan city hospital. Master's thesis of Islamic Azad University, Khorasgan branch 2018. [Persian]
  31. Fallahi V, Narimani M, Atadokht A. Psychometric Properties of the Difficulties in Emotion Regulation Scale Brief Form (Ders-16): in Group of Iranian Adolescents. JSSU 2021;29(5):3721-35[Persian]
  32. Luminet, O. Assessment and measurement of rumination. In C. Papageorgiou and A. Wells (Eds.), Rumination: Nature, theory, and treatment of negative thinking in depression. Chichester: Wiley.2004.
  33. Bagherinezhad, M., Salehi Fadardi, J., Tabatabayi, S. M. The relationship between rumination and depression in a sample of Iranian student. Research in Clinical Psychology and Counseling 2010;11(1):21-38[Persian]
  34. Salehi Fadardi Javad, Maddah Shoorcheh Raheleh, Nemati Mohsen. A comparison of motivational structure and eating behaviors between overweight and obese and normal weight women. MUMS 2011;13(2 (50)):170-181. [Persian]
  35. Scaglia O. Homelessness and helplessness: correlating learned helplessness, locus of control, and perceived social support with chronic homelessness. Capella University; 2008.
Community Health Journal
Volume 18, Issue 1
Summer 2024
Pages 58-68