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Tan S, Yang R, Abdukerima G, Xu Y, Zhu L, Xu B, Shen W, Song L, Ji B, Wang Z, Chen C, Shi J. Unraveling the role of social support in eating behavior among children and adolescents in Shanghai, China: exploring the mediating role of self-efficacy and the moderating influence of BMI and weight concern. Front Nutr 2024; 11:1411097. [PMID: 39045284 PMCID: PMC11265227 DOI: 10.3389/fnut.2024.1411097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Accepted: 06/20/2024] [Indexed: 07/25/2024] Open
Abstract
Objective This study explores the intricate relationship between social support and eating behaviors in children and adolescents, considering the mediating role of eating self-efficacy and the moderating effects of body mass index (BMI) and weight concern. Methods Data from 1986 primary and secondary school students aged 8 to 17 in Shanghai, China, were analyzed using moderated mediation analysis. Results The results demonstrate a robust positive association between social support and eating self-efficacy, particularly prominent among individuals with low BMI (effect = 0.506, 95% CI [0.376, 0.636]). Moreover, the study highlights that eating behavior is influenced not only by eating self-control (β = -0.054, 95% CI [-0.062, -0.046]) but also by the interaction term between individuals' perceptions of their body weight (β = -0.0008, 95% CI [-0.0015, -0.0001]). Conclusion Eating self-efficacy serves as a mediator in the relationship between social support and eating behavior, modulated by BMI and weight concern. Importantly, high weight concern significantly strengthens the mediating effect of eating self-efficacy on the relationship between social support and eating behavior, regardless of BMI.
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Affiliation(s)
- Shuoyuan Tan
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Rui Yang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Gulqihra Abdukerima
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yimin Xu
- East China Model High School, Shanghai, China
| | - Lihong Zhu
- Shanghai No.1 Middle School, Shanghai, China
| | - Bin Xu
- Jing’an No.2 Central Primary School, Shanghai, China
| | - Wenwei Shen
- Shanghai Jing’an Experimental Primary School, Shanghai, China
| | - Lixin Song
- Shanghai Jing’an District Jiangning Road Community Health Service Center, Shanghai, China
| | - Bing Ji
- Shanghai Jing’an District Jiangning Road Community Health Service Center, Shanghai, China
| | - Zhaoxin Wang
- The First Affiliated Hospital, Hainan Medical University, Haikou, Hainan, China
- School of Management, Hainan Medical University, Haikou, Hainan, China
| | - Chen Chen
- Shanghai Jing’an District Jiangning Road Community Health Service Center, Shanghai, China
| | - Jianwei Shi
- Department of General Practice, Yangpu Hospital, Tongji University School of Medicine, Shanghai, China
- Department of Social Medicine and Health Management, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Gatica-Saavedra M, Nazar G, Rubí P, Bustos C. Adaptation and validation of the Weight Efficacy Lifestyle Questionnaire (WEL) in a Chilean sample. PLoS One 2024; 19:e0293658. [PMID: 38295143 PMCID: PMC10829987 DOI: 10.1371/journal.pone.0293658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 10/18/2023] [Indexed: 02/02/2024] Open
Abstract
Self-efficacy is a cognitive-emotional factor that is consistently associated with behavioral change and, in particular, with changes in health behavior. Eating self-efficacy, understood as adopting and maintaining behaviors such as controlling one's weight and trusting in one's ability to control one's eating behavior, has been proposed for managing obesity. This study aimed to validate the Chilean version of the Weight Efficacy Lifestyle Questionnaire (WEL) in a sample of adults from the general population. Four hundred sixty-nine individuals (69.08% women, mean age = 38.02; SD = 10.31) participated in the study. An instrumental design was used geared toward developing tests and psychometric instruments, including adapting existing ones. Exploratory and confirmatory factor analyses were performed. The instrument version validated in Spain was applied in the study. The analysis obtained an instrument of 11 items with adequate psychometric properties allowing its use in clinical and research settings. It can help assess eating self-efficacy in the general population.
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Affiliation(s)
- Mariela Gatica-Saavedra
- Department of Psychiatry and Mental Health, Faculty of Medicine, Universidad de Concepción, Concepción, Chile
| | - Gabriela Nazar
- Department of Psychology, Faculty of Social Sciences, Universidad de Concepción, Concepción, Chile
| | - Patricia Rubí
- Department of Psychiatry and Mental Health, Faculty of Medicine, Universidad de Concepción, Concepción, Chile
| | - Claudio Bustos
- Department of Psychology, Faculty of Social Sciences, Universidad de Concepción, Concepción, Chile
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Xiao M, Luo Y, Zeng W, Chen H. Support from a Best Friend Makes People Eat Less under Stress: Evidence from Two Experiments. Nutrients 2023; 15:3898. [PMID: 37764682 PMCID: PMC10537042 DOI: 10.3390/nu15183898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 08/28/2023] [Accepted: 09/04/2023] [Indexed: 09/29/2023] Open
Abstract
When experiencing acute stress, individuals often turn to eating for comfort, as it provides a sense of satiety and satisfaction that can temporarily alleviate the stressful condition. However, this may increase the risk of obesity, diabetes, cardiovascular disease. In this study, we conducted two behavioral experiments to investigate the effectiveness of social support in reducing stress-induced overeating and the mediative role of negative affect and self-efficacy (Experiment 1), as well as the role of reward sensitivity (Experiment 2). Acute stress was induced using a speech preparation task and then participants were asked to regulate their emotions and cognition, either alone or with the help of pictures and supportive sentences provided by a best friend or stranger. Participants in Experiment 1 then completed the food choice task, and participants in Experiment 2 completed the food incentive delay task and the bogus tasting task. The results of both experiments consistently showed that participants who received support from their friends reported lower levels of perceived stress, chose fewer food portions, and consumed fewer snacks during acute stress, compared to the other three groups. Further mediation analysis using the process macro revealed that the differential influence of social support on the choice of high-calorie foods was due to decreased negative affect and increased self-efficacy. This study provides valuable insights for the development of therapeutic interventions for clinical eating disorders.
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Affiliation(s)
- Mingyue Xiao
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Tiansheng Road No. 2, Beibei District, Chongqing 400715, China
- Research Center of Psychology and Social Development, Faculty of Psychology, Southwest University, Tiansheng Road No. 2, Beibei District, Chongqing 400715, China
| | - Yijun Luo
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Tiansheng Road No. 2, Beibei District, Chongqing 400715, China
- Research Center of Psychology and Social Development, Faculty of Psychology, Southwest University, Tiansheng Road No. 2, Beibei District, Chongqing 400715, China
| | - Weiyu Zeng
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Tiansheng Road No. 2, Beibei District, Chongqing 400715, China
- Research Center of Psychology and Social Development, Faculty of Psychology, Southwest University, Tiansheng Road No. 2, Beibei District, Chongqing 400715, China
| | - Hong Chen
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Tiansheng Road No. 2, Beibei District, Chongqing 400715, China
- Research Center of Psychology and Social Development, Faculty of Psychology, Southwest University, Tiansheng Road No. 2, Beibei District, Chongqing 400715, China
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Khademi K, Kaveh MH, Ghahremani L, Nazari M, Karimi M. The impact of family social support on postpartum quality of life among Iranian women: structural equation modelling. J Int Med Res 2023; 51:3000605221147198. [PMID: 36823987 PMCID: PMC9969449 DOI: 10.1177/03000605221147198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
OBJECTIVE To assess the impact of family social support (FSS) on postpartum quality of life (PQOL). METHODS This analytical cross-sectional study enrolled postpartum women and asked them to complete the PQOL and FSS questionnaire (FSSQ) between October 2021 and February 2022 in three urban health centres in Shiraz, Iran. Pearson correlation coefficient analysis and multiple regression were used to determine the relationship between the FSS and PQOL variables. Structural equation modelling was used to determine the relationship pathways of the impact of FSS on PQOL. RESULTS A total of 240 women were enrolled in the study. The mean ± SD scores of PQOL and FSSQ were 61.63 ± 9.59 and 69.80 ± 11.19, respectively. Family support seeking (7.95) and emotional support seeking (-6.80) were two factors affecting PQOL. CONCLUSION Women should be empowered to seek support through education and actions from health workers, especially nurses and midwives, during routine regular prenatal care.
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Affiliation(s)
- Khadijeh Khademi
- Student Research Committee, Department of Health Promotion,
School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Hossein Kaveh
- Research Centre for Health Sciences, Department of Health
Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz,
Iran,Mohammad Hossein Kaveh, Research Centre for
Health Sciences, Department of Health Promotion, Institute of Health, School of
Health, Shiraz University of Medical Sciences, 1 Razi Boulevard, Shiraz, Fars
Province 71536-75541, Iran.
| | - Leila Ghahremani
- Department of Health Promotion, School of Health, Shiraz
University of Medical Sciences, Shiraz, Iran
| | - Mahin Nazari
- Department of Health Promotion, School of Health, Shiraz
University of Medical Sciences, Shiraz, Iran
| | - Masoud Karimi
- Department of Health Promotion, School of Health, Shiraz
University of Medical Sciences, Shiraz, Iran
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Han L, Zhang J, Yang J, Yang X, Bai H. Between Personality Traits and Postpartum Depression: The Mediated Role of Maternal Self-Efficacy. Neuropsychiatr Dis Treat 2022; 18:597-609. [PMID: 35342292 PMCID: PMC8942121 DOI: 10.2147/ndt.s346327] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 03/09/2022] [Indexed: 11/23/2022] Open
Abstract
PURPOSE Postpartum depression is related to many factors, which affect the health of mothers and infants. The purpose of this study is to test the mediated effect of self-efficacy in the relationship between vulnerable personality and postpartum depression. PATIENTS AND METHODS A cross-sectional survey was conducted with pregnant women aged ≥20 years from February to April 2021 in Zhengzhou, China. We recruited 587 pregnant women, and 429 pieces of data were available. The demographic characteristics questionnaire, General Self efficacy Scale (GSES) and Vulnerable Personality Style Questionnaire (VPSQ) were distributed in the prenatal survey. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen postpartum depression symptoms at one month through WeChat and telephone follow-up. A mediated model was constructed to explain the relationship of variables and test the mediated effect of self-efficacy. RESULTS The valid questionnaires were 429 (effective response rate: 90.7%). The vulnerable personality and low self-efficacy were related to postpartum depression (all P< 0.01). The self-efficacy of pregnant women was inversely associated with vulnerable personality (β= -0.415) and postpartum depression (β= -0.216). The vulnerable personality and self-efficacy can explain 29.0% of the variation in postpartum depression. It was confirmed that a partial mediating effect of self-efficacy accounted for 18.0% (0.090/0.501) of the total effect. CONCLUSION Maternal self-efficacy partly mediates the relationship between vulnerable personality traits and postpartum depression. The study implies the importance of targeted interventions to improve self-efficacy for women with vulnerable personality traits to reduce the risk of postpartum depression.
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Affiliation(s)
- Lingli Han
- The Third Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan, People's Republic of China
| | - Ji Zhang
- Zhengzhou Maternal and Child Health Hospital, Zhengzhou, Henan, People's Republic of China
| | - Jingxuan Yang
- The Third Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan, People's Republic of China
| | - Xiaoyu Yang
- The Third Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan, People's Republic of China
| | - Hua Bai
- The Third Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan, People's Republic of China
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Plasonja N, Brytek-Matera A, Décamps G. French validation of the Weight Efficacy Life-Style questionnaire (WEL): Links with mood, self-esteem and stress among the general population and a clinical sample of individuals with overweight and obesity. PLoS One 2021; 16:e0259885. [PMID: 34784370 PMCID: PMC8594800 DOI: 10.1371/journal.pone.0259885] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Accepted: 10/28/2021] [Indexed: 12/03/2022] Open
Abstract
Eating self-efficacy refers to a person’s belief in their ability to regulate eating. Although the Weight Efficacy Life-Style questionnaire (WEL) is one of the most widely used eating self-efficacy tools, its French validation is lacking. The objective of this research was to validate a French version of the WEL in a general and a clinical sample, and to explore the links between eating self-efficacy and psychosocial variables. In study 1, the general population sample included 432 adults (93% of women, mean age = 43.18 ± 11.93 years). In study 2, the clinical sample included 2010 adults with overweight and obesity (87% of women, mean age = 44.44 ± 11.25 years). Exploratory and confirmatory factor analyses were performed. Two distinct versions of the WEL were retained: a 12-item questionnaire intended for use in the general population, named WEL-Fr-G, and an 11-item questionnaire for clinical samples, named WEL-Fr-C. The two French versions of the WEL presented strong reliability and sensibility. In addition, study 2 provided support for the measurement invariance of the WEL-Fr-C across sex and Body Mass Index. The two versions are therefore psychometrically sound instruments for assessing eating self-efficacy in the general population (WEL-Fr-G) and clinical samples (WEL-Fr-C).
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Affiliation(s)
| | | | - Greg Décamps
- LabPsy, University of Bordeaux, Bordeaux, France
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