Exploring the Intuitive Eating Scale-2 and Dyadic Associations Between Mental Health and Relational Dynamics in a Sample of Married Male Sexual Minority Couples

Across studies, intuitive eating is associated with many health indicators. The Intuitive Eating Scale-2 (IES-2), the instrument for measuring intuitive eating, had not previously been explored with a sample of sexual minority [Sexual minority refers to individuals who experience consensual sexual identity, attraction, or behavior that is non normative (typically sexual minority individuals are lesbian, gay, bisexual, queer, or non-heterosexual)] individuals despite the disparities in eating behaviors and stress that persist among this population. Further, past work suggests the context of being partnered can be both protective and harmful for eating behaviors, highlighting an important avenue for investigating intuitive eating at the dyad level. This study sought to investigate the factor structure of the IES-2 and to explore the associations between both partner’s mental health, relational quality, and interpersonal eating interactions within a dyadic sample of 228 married male sexual minority couples (88% white, 8.8% Latino or Hispanic, 5.3% African American or Black, and 5.9% in other racial or ethnic groups). The original four-factor solution did not fit the current sample; instead, a new, fifth factor emerged, which was labeled as Eating Not as Coping. Intuitive eating behaviors were dyadically associated with mental and relational health and partners’ health-related interactions with one another. Future use of the IES-2 is informed by present results which may also inform recommendations for practice with and study of health and relationships.