ArticleNutrients2025
Early Maladaptive Schemas, Emotion Regulation, Stress, Social Support, and Lifestyle Factors as Predictors of Eating Behaviors and Diet Quality: Evidence from a Large Community Sample.
Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The relationship between social support and health-promoting lifestyles among perimenopausal women: the mediating role of psychological resilience.BMC women's health · 2026Article
- Psychological stress and eating behaviors as interacting influences on patient-reported disease activity in Italian patients with inflammatory bowel disease.Scientific reports · 2025Article
- Addressing Schemas, Modes and Interoceptive Disconnection in Chronic Binge Eating Disorder: A Temperament-Informed Schema Therapy Case Series.Clinical psychology & psychotherapyArticle
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Abstract
backgroundPsychological vulnerabilities, including early maladaptive schemas (EMSs), emotion regulation difficulties, perceived stress, and limited social support, are increasingly recognized as drivers of maladaptive eating and obesity. These findings underscore the need for health education and health promotion strategies that address psychological determinants of eating behavior. However, few studies integrate these psychological mechanisms with dietary and lifestyle indicators in both community and medical populations.
methodsA total of 1500 adults (aged 18-65 years; 53% women) recruited from community and medical settings participated in the study. Data were collected between January 2018 and February 2025 using standardized paper-based questionnaires. Participants completed validated measures of EMSs (YSQ-S3), emotion regulation (DERS), stress (PSS-10), social support (MSPSS), eating-related behaviors (QERB), diet (FFQ-6; Unhealthy Diet Index [UDI]), and physical activity (IPAQ-SF). Anthropometric indices included body mass index (BMI) and waist circumference (WC) as an indicator of central adiposity. Analyses involved multivariate regression, mediation, and moderation models.
resultsEMSs were associated with emotional overeating and higher UDI scores. Difficulties in emotion regulation mediated the EMS-eating relationship (
conclusionsEarly maladaptive schemas and emotion regulation difficulties contribute to unhealthy dietary patterns and central adiposity, with stress and social support acting as contextual moderators. Integrating psychological assessment with validated dietary and lifestyle measures provides a comprehensive framework for obesity prevention and schema-informed interventions. From a lifespan perspective (18-65 years), these findings highlight the need for multidomain strategies targeting cognitive-emotional and behavioral mechanisms of weight regulation.
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