Emotion perception and theory of mind in obesity: a systematic review on the impact of social cognitive deficits on dysfunctional eating behaviors

Tonelli, Hélio Anderson; Rotenberg, Luísa de Siqueira

doi:10.1016/j.soard.2020.10.016

Cited by 10 publications

(5 citation statements)

References 52 publications

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“…This suggests a tendency to eat HPFs in response to emotional urges. In fact, several systematic reviews and meta-analyses conclude that emotional states significantly impact individual diet choices and can result in the development of disordered eating behaviors and weight problems [ 55 , 56 , 57 , 58 , 59 , 60 , 61 ]. In particular, when individuals are under stress, a preference for highly palatable “snack-type” foods over “meal-type” foods has been observed.…”

Section: Discussionmentioning

confidence: 99%

Measuring Motivations to Eat Palatable Foods: Adaptation and Psychometric Properties of the Italian Version of the Palatable Eating Motives Scale (PEMS-IT)

Pietrabissa,

Castelnuovo,

Semonella

et al. 2024

Healthcare

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Background: Gaining knowledge of the various reasons behind people’s consumption of highly processed foods has the potential to enhance obesity prevention initiatives and open avenues to tailor treatment approaches for obesity and binge eating at a more personalized level. This contribution aimed to test the psychometric properties and factor structure of the Palatable Eating Motives Scale (PEMS-IT) in a community sample of Italian adults. Methods: A confirmatory factor analysis was performed to test the factor structure of the Italian version of the PEMS (PEMS-IT) on a total of 616 respondents. Furthermore, the reliability and convergent validity analysis of the tool were evaluated. Results: The analysis confirmed the four-factor structure of PEMS-IT [(YBχ2 (164) = 537.901; p < 0.001, the CFI = 0.918, RMSEA = 0.072; 90%CI [0.065–0.078]; p(RMSEA < 0.05) < 0.001, and SRMR = 0.080] and satisfactory reliability on its subscales (Cronbach’s α: 0.745–0.917). Positive correlations were also found with food addiction and binge-eating symptoms, compulsive eating behavior, and uncontrolled and emotional eating. Conclusions: The PEMS-IT appears to be an instrument with promising psychometric properties and potential applications in clinical settings. However, it also has some limitations, and future studies could focus on improving the semantic content of the elements to increase the overall utility and precision of the instrument.

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Section: Discussionmentioning

confidence: 99%

Measuring Motivations to Eat Palatable Foods: Adaptation and Psychometric Properties of the Italian Version of the Palatable Eating Motives Scale (PEMS-IT)

Pietrabissa,

Castelnuovo,

Semonella

et al. 2024

Healthcare

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“…Alexithymia, reported in both fibromyalgia [23,36,38,76,87,103,104] and obesity [20,22,[32][33][34][35], may be described not only as a marker of global emotional difficulties [105], but also as a general failure of interoception (i.e., the ability in perceiving and recognizing the internal state of the body [20,[106][107][108]). In other words, because of the presence of alexithymia, individuals might misattribute the origin of their bodily experience [38] and/or showed difficulties in converting own somatic sensations in feelings and cognitions [106]; this difficulty may in turn interfere also with the ability to identify others' emotional states [76,[109][110][111][112][113][114], with effect on the emotional contagion and empathy (as preliminary observed in fibromyalgia [23,115] and obesity [116]). Indeed, it should be considered that the recognition of facial emotions in others automatically activate a representation of a similar psychophysiological state in the observer [117].…”

Section: Alexythimic Traits and Interoceptionmentioning

confidence: 99%

Facial Emotion Recognition in Obesity and in Fibromyalgia: A Systematic Review

Vaioli

Scarpina

2021

NeuroSci

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Facial emotion recognition (FER) is extensively investigated in psychological sciences in healthy individuals and clinical conditions. In this paper, we analyzed those studies in which FER was assessed in the case of obesity or fibromyalgia, in relation to the levels of alexithymia. Crucially, these two conditions frequently co-occur; however, no study has explored FER considering both fibromyalgia and obesity. Studies were identified using the electronic search engine of PubMed. The last research was run on 23 July 2021. Two independent lists were generated for the two clinical conditions. Six records were reviewed about obesity, while three records about fibromyalgia. The evidence relative to FER in obesity was not conclusive, whereas the evidence about an altered FER in fibromyalgia seemed more straightforward. Moreover, the role of alexithymia on FER in these clinical conditions was not extensively investigated. In our discussion, we highlighted those factors that should be carefully addressed in investigating FER in these clinical conditions. Moreover, we underlined methodological criticisms that should be overcome in future research.

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“…Moreover, BED and EDNOS displaying disordered eating with binge eating may evolve into obesity [ 53 ]. There is some evidence that people with obesity exhibit some degree of impairment on instruments assessing emotion recognition and ToM [ 54 ]. Thus, the investigation of affective cognition in patients diagnosed with BED and EDNOS is justified.…”

Section: Introductionmentioning

confidence: 99%

Affective cognition in eating disorders: a systematic review and meta-analysis of the performance on the “Reading the Mind in the Eyes” Test

et al. 2022

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Background The Reading the Mind in the Eyes Test (RMET) is listed in the National Institute of Mental Health’s Research Domain Criteria as a tool apt to measure the understanding of others’ mental states. People diagnosed with anorexia nervosa (AN) showed poorer performances on the RMET than healthy controls. Less data are available concerning other eating disorders. Methods Systematic review of four major databases from inception to July 15, 2021 following the PRISMA guidelines. Meta-analysis of cross-sectional observational studies comparing the scores of the RMET between patients with eating disorders and age- and-gender matched control groups. Results Out of 21 studies, we retrieved 29 independent samples of patients diagnosed with an eating disorder. Patients with active AN (n = 580) showed worse performances on the RMET than controls (n = 1019). Year of publication accounted for 61% of the (substantial: I2 = 81%) heterogeneity in the meta-analysis. Earlier studies were more likely to find worse performances on the RMET of patients with active AN than later studies. Patients with bulimia nervosa (n = 185) performed poorly as compared to controls (n = 249), but the results were not statistically significant on the random-effect model. Obese patients with binge-eating disorder (n = 54) did not differ on the RMET from obese controls (n = 52). Patients with eating disorder not otherwise specified (n = 57) showed minimal differences compared to controls (n = 96). Study quality was good in six studies only. Conclusions Patients with eating disorders do not suffer from an impaired understanding of others’ mental states, except for a still-to-be-identified subgroup of patients with active AN. Level of evidence I, systematic review and meta-analysis.

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Emotion perception and theory of mind in obesity: a systematic review on the impact of social cognitive deficits on dysfunctional eating behaviors

Cited by 10 publications

References 52 publications

Measuring Motivations to Eat Palatable Foods: Adaptation and Psychometric Properties of the Italian Version of the Palatable Eating Motives Scale (PEMS-IT)

Measuring Motivations to Eat Palatable Foods: Adaptation and Psychometric Properties of the Italian Version of the Palatable Eating Motives Scale (PEMS-IT)

Facial Emotion Recognition in Obesity and in Fibromyalgia: A Systematic Review

Affective cognition in eating disorders: a systematic review and meta-analysis of the performance on the “Reading the Mind in the Eyes” Test

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