Van Strien et al. 2016

Research paper

van Strien T, Konttinen H, Homberg JR, Engels RCME, Winkens LHH. Emotional eating as a mediator between depression and weight gain. Appetite. 2016 May 1;100:216-24. doi:10.1016/j.appet.2016.02.034

Why we cite it

Longitudinal study (298 fathers, 294 mothers, 5-year follow-up) using structural equation modeling and the DEBQ to test whether eating styles mediate the relationship between depression and weight gain. The central finding: depression does not directly cause weight gain (overall effect non-significant), but emotional eating serves as the specific mediator — depression → emotional eating → weight gain — and this pathway operates only in women. External eating and restrained eating did not mediate in either sex. The mediation was independent of 5-HTTLPR genotype (serotonin transporter gene), suggesting the pathway is behaviorally rather than genetically driven. Referenced in companion 399.

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