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Objective <p>This study aimed to elucidate how psychological distress, self-control, and sustainable healthy eating behaviors interact to shape food addiction, by simultaneously modeling their direct and indirect effects in adult population.</p> Methods <p>A cross-sectional survey was conducted with 985 adults (mean age: 28.8 ± 10.9) from community health centers in Elazığ, Turkey. Standardized instruments measured depression, anxiety, stress (DASS-21), self-control, sustainable healthy eating, and food addiction (YFAS). Statistical analyses included logistic regression and structural equation modeling (SEM).</p> Results <p>Food addiction prevalence was 34.9%. Individuals with food addiction had significantly higher mean depression, anxiety, and stress scores, and lower self-control (37.1 ± 4.3 vs. 40.2 ± 4.3, <i>p</i> &lt; 0.001) and sustainable healthy eating scores (15.0 ± 3.9 vs. 17.6 ± 4.7, <i>p</i> &lt; 0.001) compared to those without addiction. Logistic regression indicated that anxiety (OR[95% CI] = 1.27 [1.20–1.34]) was the strongest predictor, while higher self-control (OR = 0.92[0.88–0.95]) and sustainable eating (OR = 0.94[0.90–0.97]) reduced risk. The final model explained 44% of the variance. SEM showed that self-control and sustainable eating behaviors significantly mediated the relationship between stress and food addiction.</p> Discussion <p>Anxiety exerts the strongest direct influence on food addiction, while self-control and sustainable dietary habits serve as key mediators, particularly in the stress–food addiction pathway. These findings underscore the need for multidimensional interventions that integrate psychological and behavioral strategies to effectively prevent and manage food addiction.</p>

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Understanding food addiction through the lens of psychological well-being, self-control, and eating behavior: a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月7日

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  • Murat Açik,
  • Taha Gökmen Ülger

摘要

Objective

This study aimed to elucidate how psychological distress, self-control, and sustainable healthy eating behaviors interact to shape food addiction, by simultaneously modeling their direct and indirect effects in adult population.

Methods

A cross-sectional survey was conducted with 985 adults (mean age: 28.8 ± 10.9) from community health centers in Elazığ, Turkey. Standardized instruments measured depression, anxiety, stress (DASS-21), self-control, sustainable healthy eating, and food addiction (YFAS). Statistical analyses included logistic regression and structural equation modeling (SEM).

Results

Food addiction prevalence was 34.9%. Individuals with food addiction had significantly higher mean depression, anxiety, and stress scores, and lower self-control (37.1 ± 4.3 vs. 40.2 ± 4.3, p < 0.001) and sustainable healthy eating scores (15.0 ± 3.9 vs. 17.6 ± 4.7, p < 0.001) compared to those without addiction. Logistic regression indicated that anxiety (OR[95% CI] = 1.27 [1.20–1.34]) was the strongest predictor, while higher self-control (OR = 0.92[0.88–0.95]) and sustainable eating (OR = 0.94[0.90–0.97]) reduced risk. The final model explained 44% of the variance. SEM showed that self-control and sustainable eating behaviors significantly mediated the relationship between stress and food addiction.

Discussion

Anxiety exerts the strongest direct influence on food addiction, while self-control and sustainable dietary habits serve as key mediators, particularly in the stress–food addiction pathway. These findings underscore the need for multidimensional interventions that integrate psychological and behavioral strategies to effectively prevent and manage food addiction.