Join us   Log in   redactiarmsu@gmail.com  


THE JOURNAL OF SCHOOL AND UNIVERSITY MEDICINE - Volume 10, Issue 1, January-March 2023

Pages: 18-27

Date of Publication: 07-Apr-2023


Print Article   Download XML  Download PDF

THE EFFECT OF ANXIETY EXPERIENCED IN UNIVERSITY STUDENTS DUE TO COVID-19 PANDEMIC UPON EMOTIONAL EATING

Author: Sevil KARAHAN YILMAZ, Gulsun AYRAN

Category: Medical

Abstract:

Aims: Individuals may consume more food than normal in response to negative emotions such as anxiety or irritability. One of the eating problems in which this food is consumed is defined as emotional eating, and emotional eating is an eating disorder that describes the tendency to overeat in response to negative emotions. The study was carried out to analyze the effect of anxiety due to the COVID-19 pandemic upon emotional eating in university students.

Methods: This descriptive research was conducted in May-June 2020 with 718 students who continue their university education in Turkey, have internet access and volunteer to participate in the research. Data were collected by snowball method by sending the survey link via Whatsapp groups. Data were collected online using the Descriptive Questionnaire, the State Anxiety Scale and the Emotional Eating Scale. The participant's statement was taken as a basis for the measurement values of body weight and height. Ethical principles were observed at all stages of the study.

Results: Totally 718 university students including 136 (18.9%) males and 582 (81.1%) females with a mean age of 21.51±7.08 participated into the study. The total score average of the Emotional Eating Scale was found to be 47.30±20.63. It was determined that the average score of the State-Trait Anxiety Inventory was 40.24 ± 5.72, and 46.7% of the students had low, 52.6% had medium and 0.7% had high level anxiety. A weakly positive significant relationship was revealed between the State-Trait Anxiety Inventory score and Emotional Eating Scale score (r=0.160, p<0.01).

Conclusions: It was concluded that university students were anxious at different levels during the COVID-19 pandemic, and their anxiety affected emotional eating.

Keywords: Anxiety, COVID 19, eating, emotional, student

DOI: 10.51546/JSUM.2023.10103

DOI URL: https://doi.org/10.51546/JSUM.2023.10103

References:

  1. Roy D, Tripathya S, Kar SK, Sharma N, Verma S, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian Journal of Psychiatry. 2020;51:1-7. https://doi.org/10.1016/j.ajp.2020.102083
  2. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: a web-based cross-sectional survey. Psychiatry Research. 2020;288(6):1-20. https://doi.org/10.1016/j.psychres.2020.112954
  3. World Health Organization. Coronavirus (COV?D 19) Dashboard. World Health Organization 2021. Available from: https://covid19.who.int/
  4. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020; 323:2133-2134. https://doi.org/10.1001/jama.2020.5893.
  5. Salman M, Asif N, Mustafa Z, et al. Psychological ?mpact of COVID-19 on Pakistani University students and how they are coping. Medrxiv The Preprint Server For Health Science. 2020;1-17. https://doi.org/10.1101/2020.05.21.20108647
  6. Fawaz M, Samaha A. E?learning: Depression, anxiety, and stress symptomatology among Lebanese university students during COVID?19 quarantine. Nurs Forum. 2021;56:52-57. https://doi.org/10.1111/nuf.12521
  7. Penaforte F, Minelli M, Anastácio L, Japur c. Anxiety symptoms and emotional eating are independently associated with sweet craving in young adults. Psychiatry Research. 2019;271:715-720. https://doi.org/10.1016/j.psychres.2018.11.070
  8. Adriaanse M, Ridder D, Evers C. Emotional eating: Eating when emotional or emotional about eating? Psychology and Health. 2011;26(1):23-39. https://doi.org/10.1080/08870440903207627
  9. Phillipou A, Meyer D, Neill E, et al. Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. Int J Eat Disord. 2020;53(7):1-8. https://doi.org/10.1002/eat.23317
  10. Fancourt D, Bu F, Mak HW, Paul E, Steptoe Trajectories of depression and anxiety
  11. during enforced isolation due to COVID-19: longitudinal analyses of 59 318 adults in the UK with and without diagnosed mental illness. medRxiv 2020.
  12. Brooks S, Webster R, Woodland L, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020;395:912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
  13. Cecchetto C, Aiello M, Gentili S, Lonta S. Osimo SA. Increased emotional eating during COVID-19 associated with lockdown, psychological and social distress. Appetite. 2020;160:1-9. https://doi.org/10.1016/j.appet.2021.105122
  14. McAtamney K, Mantzios M, Egan H, Wallis D. Emotional eating during COVID-19 in the United Kingdom: Exploring the roles of alexithymia and emotion dysregulation. Appettite. 2021;161:1-11. https://doi.org/10.1016/j.appet.2021.105120
  15. Coakley K, Le H, Silva S, Wilks A. Anxiety is associated with undesirable eating behaviors in university students during the COVID- 19 pandemic. Research Square. 2020. https://doi.org/10.21203/rs.3.rs-148637/v1
  16. Arden M, Chilcot J. Health psychology and the coronavirus (COVID?19) global pandemic: A call for research. British Journal of Health Psychology. 2020;25:231-232. https://doi.org/10.1111/bjhp.12414
  17. Kara D. adaptation of emotional eating scale to turkish and its validity and reliability study. Ça? University, Institute of Social Sciences, Department of Psychology, Graduate Thesis, Mersin, 2019.
  18. Spielberger CD, Gorsuch RL, Lusahene RE. Manual for state-trait anxiety ?nventory. California, Consulting Psychologists Pres. 1970.
  19. Öner N, Le Compte A. State-Trait Anxiety ?nventory handbook, Bo?aziçi University Publications, Istanbul. 1982.
  20. Eskici G. Covid-19 Pandemic: Nutrition recommendations for Quarantine. Anatolian Clinic the Journal of Medical Sciences. 2020;25(1):124-129. https://doi.org/10.21673/anadoluklin.722546
  21. Yakar B, Kaygusuz T, Pirincci E, Önalan E, Ertekin YH. Knowledge, attitude and anxiety of medical students about the current COVID-19 outbreak in Turkey. Family Practice and Palliative Care. 2020;5(2):36-44. https://doi.org/10.22391/fppc.737469
  22. Acar K, Mor A, Baynaz K, Arslano?lu E. An investigation on anxiety states of students in faculty of sport sciences during COVID-19. Int J Disabil Sports Health Sci. 2020;3(1):66-73. https://doi.org/10.33438/ijdshs.736875
  23. Wang C, Zhao H. The Impact of COVID-19 on anxiety in Chinese university students. Frontiers in Psychology. 2020;11:1-8. https://doi.org/10.3389/fpsyg.2020.01168
  24. Esen A, Kafadar D. The relationship between healthy living behaviors and anxiety and depression in those applying to a smoking cessation clinic. CBU-SBED. 2019;6(1):8-14.
  25. Göker ME, Turan ?. Problematic technology use in the COVID-19 pandemic. ESTUDAM Public Health Journal. 2020;5:108-114. https://doi.org/10.35232/estudamhsd.767526
  26. Statista. Coronavirus impact: global in-home media consumption by country 2020. Available From: https://www.statista.com/statistics/1106498/home-media-consumption-coronavirus-world wide-by-country/ Date of Access: 01.09.2020
  27. Robb C, Jager C, Abhari S, et al. Associations of social isolation with anxiety and depression during the early COVID-19 pandemic: A survey of older adults in London, UK. Front Psychiatry. 2020;11:1-12. https://doi.org/10.3389/fpsyt.2020.591120
  28. Holmes E, Connor R, Perry V, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7:547-560. https://doi.org/10.1016/S2215-0366(20)30168-1
  29. Papandreou C, Arija V, Aretouli E, Tsilidis K, Bulló M. Comparing eating behaviours, and symptoms of depression and anxiety between Spain and Greece during the COVID-19 outbreak: Cross-sectional analysis of two different confinement strategies. Eur Eat Disorders Rev. 2020;28:836-846. https://doi.org/10.1002/erv.2772
  30. Nagasu M, Muto K, Yamamoto I. Impacts of anxiety and socioeconomic factors on mental health in the early phases of the COVID-19 pandemic in the general population in Japan: A web-based survey. PLoS ONE 2021;16(3):1-19. https://doi.org/10.1371/journal.pone.0247705
  31. Bemanian M, Mæland S, Blomhoff R, et al. Emotional Eating in Relation toWorries and Psychological Distress Amid the COVID-19 Pandemic: A population-based survey on adults in Norway. 2021.
  32. Y?lmaz S, Eskici G. Evaluation of emotional (depression) and behavioural (nutritional, physical activity and sleep) status of Turkish adults during the COVID-19 pandemic period. Public Health Nutrition. 2020;24(5):942-949. https://doi.org/10.1017/S136898002000498X
  33. Kaya S, Uzdil Z, Çak?ro?lu F. Evaluation of the effects of fear and anxiety on nutrition during the COVID-19 pandemic in Turkey. Public Health Nutrition. 2020;24(2):282-289. http://dx.doi.org/10.1017/S1368980020003845
  34. Özmete E, Pak M. The Relationship between Anxiety Levels and Perceived Social Support during the Pandemic of COVID-19 in Turkey. Social Work In Public Health. 2020;35(7):603-616. https://doi.org/10.1080/19371918.2020.1808144
  35. Liu X, Liu J, Zhong X. Psychological state of college students during COVID-19 Epidemic. The Lancet Global Health. 2020;1-20.http://dx.doi.org/10.2139/ssrn.3552814
  36. Pak H, Süsen Y, Nazl?gül MD, Griffiths M. The mediating effects of fear of covid-19 and depression on the association between intolerance of uncertainty and emotional eating during the COVID-19 pandemic in Turkey. Int J Ment Health Addict. 2022;20(3):1882-1896. https://doi.org/10.1007/s11469-021-00489-z
  37. U?urlu YK, De?irmenci DM, Durgun H, U?ur HG. The examination of the relationship between nursing students' depression, anxiety and stress levels and restrictive, emotional, and external eating behaviors in COVID?19 social isolation process. Perspective in Psychiatry Care. 2021;57:507-516. https://doi.org/10.1111/ppc.12703
  38. Musharaf S. Prevalence and predictors of emotional eating among healthy young saudi women during the COVID-19 pandemic. Nutrients. 2020;12:1-17. https://doi.org/10.3390/nu12102923
  39. Bilici S, Ayhan B, Karabudak E, Köksal E. Factors affecting emotional eating and eating palatable food in adults. Nutrition Research and Practice. 2020;14(1):70-75. https://doi.org/10.4162/nrp.2020.14.1.70
  40. Nogay NH. The role of psychological eating styles in obesity among Turkish adolescents: A cross-sectional study. J Pak Med Assoc. 2017;67(4):573-576.