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<p>Sleep disturbances, stress, and emotional eating are interrelated, influencing adolescents’ mental and physical well-being. This study assessed the associations between stress, sleep quality, behavioral issues, and emotional eating in adolescents with obesity. One hundred randomly chosen adolescents aged 12–17&#xa0;years with diagnosed obesity participated. Path analysis revealed significant relationships between total stress and internalizing (<i>β</i> = 0.61, <i>p</i> &lt; .001) and externalizing (<i>β</i> = 0.39, <i>p</i> &lt; .001) problems. Sleep quality significantly predicted externalizing problems (<i>B</i> = − 5.92, <i>β</i> = − .36, <i>p</i> &lt; .001) but not internalizing problems (<i>p</i> = .289). Internalizing problems significantly predicted emotional eating (<i>B</i> = 0.03, <i>β</i> = .37, <i>p</i> &lt; .001), while externalizing problems did not (<i>p</i> = .897). Sleep quality and stress scores negatively covaried (<i>B</i> = − 6.13, <i>β</i> = − .30, <i>p</i> &lt; .022). The model explained 14%, 42%, and 37% of the variance in emotional eating, internalizing behavior, and externalizing behavior, respectively. Poor sleep quality and stress increase behavioral problems and emotional eating, contributing to weight gain in adolescents with obesity, which should be considered in optimizing their healthcare.</p>

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Stress, sleep, behavioral problems, and emotional eating in adolescents with obesity: a path analysis study

  • 期刊论文

  • 发表日期：

    2025年3月1日

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  • Igor A. Kelmanson

摘要

Sleep disturbances, stress, and emotional eating are interrelated, influencing adolescents’ mental and physical well-being. This study assessed the associations between stress, sleep quality, behavioral issues, and emotional eating in adolescents with obesity. One hundred randomly chosen adolescents aged 12–17 years with diagnosed obesity participated. Path analysis revealed significant relationships between total stress and internalizing (β = 0.61, p < .001) and externalizing (β = 0.39, p < .001) problems. Sleep quality significantly predicted externalizing problems (B = − 5.92, β = − .36, p < .001) but not internalizing problems (p = .289). Internalizing problems significantly predicted emotional eating (B = 0.03, β = .37, p < .001), while externalizing problems did not (p = .897). Sleep quality and stress scores negatively covaried (B = − 6.13, β = − .30, p < .022). The model explained 14%, 42%, and 37% of the variance in emotional eating, internalizing behavior, and externalizing behavior, respectively. Poor sleep quality and stress increase behavioral problems and emotional eating, contributing to weight gain in adolescents with obesity, which should be considered in optimizing their healthcare.