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The Impact of Emotional Eating Behavior on Psychological Health in Patients with Bulimia Nervosa and Corresponding Intervention Approaches

by Anzhaer Aihemaiti 1 ,  Xinwei Chen 1  and  Renchuan Zhu 1
1
Xinjiang Teacher's College, Urumchi, Xinjiang, China, 830043.
*
Author to whom correspondence should be addressed.
JPHE  2025 8(4):267; https://doi.org/10.69610/j.phe.20250815
Received: / Accepted: / Published Online: 15 August 2025
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Abstract

The excessive eating behavior in patients with Binge Eating Disorder (BED) is influenced by physiological, psychological, and personality factors, with emotional eating serving as a core mechanism. Studies indicate that negative emotions significantly increase the risk of binge eating, while impaired inhibitory control and dysregulation of the neural reward system are underlying mechanisms. Emerging evidence suggests that gut microbiota may exacerbate this cycle by modulating mood and feeding behavior via the gut-brain axis. Interventions should integrate psychological strategies (e.g., mindfulness) and physiological modulation (e.g., microbiota-based therapies).

Keywords: Binge Eating Disorder; Negative Emotion; Mindfulness; Microbiota; Gut-Brain Axis.;
Copyright: © 2025 by Aihemaiti, Chen and Zhu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (Creative Commons Attribution 4.0 International License). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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ACS Style
Aihemaiti, A.; Chen, X.; Zhu, R. The Impact of Emotional Eating Behavior on Psychological Health in Patients with Bulimia Nervosa and Corresponding Intervention Approaches. Journal of Public Health & Environment, 2025, 8, 267. doi:10.69610/j.phe.20250815
AMA Style
Aihemaiti A., Chen X., Zhu R.. The Impact of Emotional Eating Behavior on Psychological Health in Patients with Bulimia Nervosa and Corresponding Intervention Approaches. Journal of Public Health & Environment; 2025, 8(4):267. doi:10.69610/j.phe.20250815
Chicago/Turabian Style
Aihemaiti, Anzhaer; Chen, Xinwei; Zhu, Renchuan 2025. "The Impact of Emotional Eating Behavior on Psychological Health in Patients with Bulimia Nervosa and Corresponding Intervention Approaches" Journal of Public Health & Environment 8, no.4:267. doi:10.69610/j.phe.20250815

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References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. American Psychiatric Publishing; 2013. doi:10.1176/appi.books.9780890425596
  2. Kessler RC, Berglund PA, Chiu WT, et al. The Prevalence and Correlates of Binge Eating Disorder in the World Health Organization World Mental Health Surveys. Biol Psychiatry. 2013;73(9):904-914. doi:10.1016/j.biopsych.2012.11.020
  3. Chen H, Jackson T. Prevalence and Sociodemographic Correlates of Eating Disorder Endorsements among Adolescents and Young Adults from China. Eur Eat Disord Rev. 2008;16(5):375-385. doi:10.1002/erv.837
  4. Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61(3):348-358. doi:10.1016/j.biopsych.2006.03.040
  5. Lewinsohn PM, Seeley JR, Moerk KC, Striegel-Moore RH. Gender Differences in Eating Disorder Symptoms in Young Adults. Int J Eat Disord. 2002;32(4):426-440. doi:10.1002/eat.10103
  6. Czepczor-Bernat K, Brytek-Matera A. The Impact of Food-Related Behaviours and Emotional Functioning on Body Mass Index in an Adult Sample. Eat Weight Disord. 2021;26(1):323-329. doi:10.1007/s40519-020-00853-3
  7. Macht M, Simons G. Emotional Eating. In: Nyklíček I, Vingerhoets A, Zeelenberg M, eds. Emotion Regulation and Well-Being. Springer; 2011:281-295. doi:10.1007/978-1-4419-6953-8_17
  8. Racine SE, Wildes JE. Emotion Dysregulation and Symptoms of Anorexia Nervosa: The Unique Roles of Lack of Emotional Awareness and Impulse Control Difficulties When Upset. Int J Eat Disord. 2013;46(7):713-720. doi:10.1002/eat.22145
  9. Prefit AB, Cândea DM, Szentagotai-Tătar A. Emotion Regulation across Eating Pathology: A Meta-Analysis. Appetite. 2019;143:104438. doi:10.1016/j.appet.2019.104438
  10. Konturek SJ, Konturek PC, Pawlik T, Brzozowski T. Brain-Gut Axis and Its Role in the Control of Food Intake. J Physiol Pharmacol. 2004;55(1 Pt 2):137-154.
  11. Aguiar-Bloemer AC, Diez-Garcia RW. Influence of Emotions Evoked by Life Events on Food Choice. Eat Weight Disord. 2018;23(1):45-53. doi:10.1007/s40519-017-0468-8
  12. Clore GL, Wyer RS Jr, Dienes B, Gasper K, Gohm C, Isbell L. Affective Feelings as Feedback: Some Cognitive Consequences. In: Martin LL, Clore GL, eds. Theories of Mood and Cognition: A User's Guidebook. Lawrence Erlbaum Associates Publishers; 2001:27-62.
  13. Holland RW, de Vries M, Hermsen B, van Knippenberg A. Mood and the Attitude-Behavior Link: The Happy Act on Impulse, the Sad Think Twice. Soc Psychol Personal Sci. 2012;3(3):356-364. doi:10.1177/1948550611421635
  14. Williams-Kerver GA, Crowther JH. Emotion Differentiation and Disordered Eating Behaviors: The Role of Appearance Schemas. Eat Behav. 2020;37:101369. doi:10.1016/j.eatbeh.2020.101369
  15. Sproesser G, Schupp HT, Renner B. The Bright Side of Stress-Induced Eating: Eating More When Stressed but Less When Pleased. Psychol Sci. 2014;25(1):58-65. doi:10.1177/0956797613494849
  16. Escandón-Nagel N, Peró-Cebollero M, Grau A, Soriano J, Feixas G. Overvaluation of weight and shape in obesity: a comparative study between people with and without binge eating disorder. Front Psychol. 2024;15:1414455.
  17. Cardi V, Esposito M, Clarke A, Schifano S, Treasure J. The Impact of Induced Positive Mood on Symptomatic Behaviour in Eating Disorders. An Experimental, AB/BA Crossover Design Testing a Multimodal Presentation during a Test-Meal. Appetite. 2015;87:192-198. doi:10.1016/j.appet.2014.12.224
  18. Spoor STP, Bekker MHJ, van Strien T, van Heck GL. Relations between Negative Affect, Coping, and Emotional Eating. Appetite. 2007;48(3):368-376. doi:10.1016/j.appet.2006.10.005
  19. Brockmeyer T, Skunde M, Wu M, et al. Difficulties in Emotion Regulation across the Spectrum of Eating Disorders. Compr Psychiatry. 2014;55(3):565-571. doi:10.1016/j.comppsych.2013.12.001
  20. Racine SE, Wildes JE. Emotion Dysregulation and Symptoms of Anorexia Nervosa: The Unique Roles of Lack of Emotional Awareness and Impulse Control Difficulties When Upset. Int J Eat Disord. 2013;46(7):713-720. doi:10.1002/eat.22145
  21. Guerrieri R, Nederkoorn C, Schrooten M, Martijn C, Jansen A. Inducing Impulsivity Leads High and Low Restrained Eaters into Overeating, Whereas Current Dieters Stick to Their Diet. Appetite. 2009;53(1):93-100. doi:10.1016/j.appet.2009.05.013
  22. Danner UN, Sternheim L, Evers C. The Importance of Distinguishing between the Different Eating Disorders (Sub)types When Assessing Emotion Regulation Strategies. Psychiatry Res. 2014;215(3):727-732. doi:10.1016/j.psychres.2014.01.005
  23. Evers C, Dingemans A, Junghans AF, Boevé A. Feeling Bad or Feeling Good, Does Emotion Affect Your Consumption of Food? A Meta-Analysis of the Experimental Evidence. Neurosci Biobehav Rev. 2018;92:195-208. doi:10.1016/j.neubiorev.2018.05.028
  24. Seidel M, King JA, Ritschel F, et al. The Real-Life Costs of Emotion Regulation in Anorexia Nervosa: A Combined Ecological Momentary Assessment and fMRI Study. Transl Psychiatry. 2018;8(1):28. doi:10.1038/s41398-017-0004-7
  25. Fairburn CG, Cooper Z, Shafran R. Cognitive Behaviour Therapy for Eating Disorders: A "Transdiagnostic" Theory and Treatment. Behav Res Ther. 2003;41(5):509-528. doi:10.1016/S0005-7967(02)00088-8
  26. Leehr EJ, Schag K, Dresler T, et al. Food Specific Inhibitory Control under Negative Mood in Binge-Eating Disorder: Evidence from a Multimethod Approach. Int J Eat Disord. 2018;51(2):112-123. doi:10.1002/eat.22818
  27. Lutz APC, Dierolf A, van Dyck Z, et al. Mood-Induced Changes in the Cortical Processing of Food Images in Bulimia Nervosa. Addict Behav. 2021;113:106712. doi:10.1016/j.addbeh.2020.106712
  28. Wallis DJ, Hetherington MM. Stress and Eating: The Effects of Ego-Threat and Cognitive Demand on Food Intake in Restrained and Emotional Eaters. Appetite. 2004;43(1):39-46. doi:10.1016/j.appet.2004.02.001
  29. Oliver G, Wardle J, Gibson EL. Stress and Food Choice: A Laboratory Study. Psychosom Med. 2000;62(6):853-865. doi:10.1097/00006842-200011000-00016
  30. Loxton NJ, Tipman RJ. Reward Sensitivity and Food Addiction in Women. Appetite. 2017;115:28-35. doi:10.1016/j.appet.2016.10.022
  31. Guo W, Xiong W. From gut microbiota to brain: implications on binge eating disorders. Gut Microbes. 2024;16(1):2357177.
  32. Kelley AE, Bakshi VP, Fleming S, Holahan MR. A Pharmacological Analysis of the Substrates Underlying Conditioned Feeding Induced by Repeated Opioid Stimulation of the Nucleus Accumbens. Neuropsychopharmacology. 2000;23(4):455-467.
  33. Drolet G, Dumont EC, Gosselin I, Kinkead R, Laforest S, Trottier JF. Role of Endogenous Opioid System in the Regulation of the Stress Response. Prog Neuropsychopharmacol Biol Psychiatry. 2001;25(4):729-741. doi:10.1016/S0278-5846(01)00161-0
  34. Volkow ND, Wise RA. How Can Drug Addiction Help Us Understand Obesity? Nat Neurosci. 2005;8(5):555-560. doi:10.1038/nn1452
  35. Arnsten AFT, Raskind MA, Taylor FB, Connor DF. The Effects of Stress Exposure on Prefrontal Cortex: Translating Basic Research into Successful Treatments for Post-Traumatic Stress Disorder. Neurobiol Stress. 2015;1:89-99. doi:10.1016/j.ynstr.2014.10.002
  36. Adam T, Epel E. Stress, Eating and the Reward System. Physiol Behav. 2007;91(4):449-458. doi:10.1016/j.physbeh.2007.04.011
  37. Bishop SR, Lau M, Shapiro S, et al. Mindfulness: A Proposed Operational Definition. Clin Psychol Sci Pract. 2004;11(3):230-241. doi:10.1093/clipsy.bph077
  38. Sagui-Henson SJ, Radin RM, Jhaveri K, et al. Negative Mood and Food Craving Strength among Women with Overweight: Implications for Targeting Mechanisms Using a Mindful Eating Intervention. Mindfulness. 2021;12(12):2997-3010. doi:10.1007/s12671-021-01760-z
  39. Sala M, Brosof LC, Levinson CA. Repetitive Negative Thinking Predicts Eating Disorder Behaviors: A Pilot Ecological Momentary Assessment Study in a Treatment Seeking Eating Disorder Sample. Behav Res Ther. 2019;112:12-17. doi:10.1016/j.brat.2018.11.005
  40. Gallant SN. Mindfulness Meditation Practice and Executive Functioning: Breaking down the Benefit. Conscious Cogn. 2016;40:116-130. doi:10.1016/j.concog.2016.01.005
  41. Barnhart WR, Braden AL, Dial L. Understanding the Relationship between Negative Emotional Eating and Binge Eating: The Moderating Effects of Acting with Awareness and Non-Reactive Mindfulness. J Clin Psychol. 2021;77(8):1954-1972. doi:10.1002/jclp.23123
  42. Juarascio A, Shaw J, Forman E, et al. Acceptance and Commitment Therapy as a Novel Treatment for Eating Disorders: An Initial Test of Efficacy and Mediation. Behav Modif. 2013;37(4):459-489. doi:10.1177/0145445513478633
  43. Ruffault A, Carette C, Lurbe I, et al. Randomized Controlled Trial of a 12-Month Computerized Mindfulness-Based Intervention for Obese Patients with Binge Eating Disorder: The MindOb Study Protocol. Contemp Clin Trials. 2016;49:126-133. doi:10.1016/j.cct.2016.06.012
  44. Minari TP, Araujo-Filho GM, Tacito LHB, et al. Effects of mindful eating in patients with obesity and binge eating disorder. Nutrients.
  45. Oldershaw A, Lavender T, Sallis H, Stahl D, Schmidt U. Emotion Generation and Regulation in Anorexia Nervosa: A Systematic Review and Meta-Analysis of Self-Report Data. Clin Psychol Rev. 2015;39:83-95. doi:10.1016/j.cpr.2015.04.005
  46. Litwin R, Goldbacher EM, Cardaciotto L, Gambrel LE. Negative Emotions and Emotional Eating: The Mediating Role of Experiential Avoidance. Eat Weight Disord. 2017;22(1):97-104. doi:10.1007/s40519-016-0301-9
  47. Sala M, Ram SS, Vanzhula IA, Levinson CA. Mindfulness and Eating Disorder Psychopathology: A Meta-Analysis. Int J Eat Disord. 2020;53(6):834-851. doi:10.1002/eat.23247
  48. Ehring T, Watkins ER. Repetitive Negative Thinking as a Transdiagnostic Process. Int J Cogn Ther. 2008;1(3):192-205. doi:10.1521/ijct.2008.1.3.192
  49. Kristeller JL, Wolever RQ, Sheets V. Mindfulness-Based Eating Awareness Training (MB-EAT) for Binge Eating: A Randomized Clinical Trial. Mindfulness. 2014;5(3):282-297. doi:10.1007/s12671-012-0179-1
  50. Woolhouse H, Knowles A, Crafti N. Adding Mindfulness to CBT Programs for Binge Eating: A Mixed-Methods Evaluation. Eat Disord. 2012;20(4):321-339. doi:10.1080/10640266.2012.691791
  51. Jenkins T, Neveu J, Peuhkuri K, Bercik P. Influence of tryptophan and serotonin on mood and cognition with a possible role of the gut-brain axis. Nutrients. 2016;8(1):56. doi:10.3390/nu8010056
  52. Dinan TG, et al. Feeding Melancholic Microbes: MyNewGut Recommendations on Diet and Mood. Clin Nutr. 2019;38(5):1995-2001. doi:10.1016/j.clnu.2018.11.010
  53. Messaoudi M, Violle N, Bisson JF, Desor D, Javelot H, Rougeot C. Beneficial Psychological Effects of a Probiotic Formulation (Lactobacillus helveticus R0052 and Bifidobacterium longum R0175) in Healthy Human Volunteers. Gut Microbes. 2011;2(4):256-261. doi:10.4161/gmic.2.4.16108
  54. Chinna Meyyappan A, Forth E, Wallace CJK, Milev R. Effect of Fecal Microbiota Transplant on Symptoms of Psychiatric Disorders: A Systematic Review. BMC Psychiatry. 2020;20(1):299. doi:10.1186/s12888-020-02654-5
  55. Desbonnet L, Garrett L, Clarke G, Bienenstock J, Dinan TG. The Probiotic Bifidobacteria infantis: An Assessment of Potential Antidepressant Properties in the Rat. J Psychiatr Res. 2008;43(2):164-174. doi:10.1016/j.jpsychires.2008.03.009
  56. Logan AC, Katzman M. Major Depressive Disorder: Probiotics May Be an Adjuvant Therapy. Med Hypotheses. 2005;64(3):533-538. doi:10.1016/j.mehy.2004.08.019
  57. Li L, Su Q, Xie B, et al. Gut Microbes in Correlation with Mood: Case Study in a Closed Experimental Human Life Support System. Neurogastroenterol Motil. 2016;28(8):1233-1240. doi:10.1111/nmo.12822
  58. Burokas A, Arboleya S, Moloney RD, et al. Targeting the Microbiota-Gut-Brain Axis: Prebiotics Have Anxiolytic and Antidepressant-Like Effects and Reverse the Impact of Chronic Stress in Mice. Biol Psychiatry. 2017;82(7):472-487. doi:10.1016/j.biopsych.2016.12.031
  59. Chao L, Liu C, Sutthawongwadee S, et al. Effects of Probiotics on Depressive or Anxiety Variables in Healthy Participants under Stress Conditions or with a Depressive or Anxiety Diagnosis: A Meta-Analysis of Randomized Controlled Trials. Front Neurol. 2020;11:421. doi:10.3389/fneur.2020.00421
  60. Hibbeln JR. Fish Consumption and Major Depression. Lancet. 1998;351(9110):1213. doi:10.1016/S0140-6736(05)79168-6
  61. Costantini L, Molinari R, Farinon B, Merendino N. Impact of Omega-3 Fatty Acids on the Gut Microbiota. Int J Mol Sci. 2017;18(12):2645. doi:10.3390/ijms18122645
  62. Rao AV, Bested AC, Beaulne TM, et al. A Randomized, Double-Blind, Placebo-Controlled Pilot Study of a Probiotic in Emotional Symptoms of Chronic Fatigue Syndrome. Gut Pathog. 2009;1:6. doi:10.1186/1757-4749-1-6
  63. Benton D, Williams C, Brown A. Impact of Consuming a Milk Drink Containing a Probiotic on Mood and Cognition. Eur J Clin Nutr. 2006;61(3):355-361. doi:10.1038/sj.ejcn.1602546
  64. Sharma H, Santra S, Dutta A. Triple Reuptake Inhibitors as Potential Next-Generation Antidepressants: A New Hope? Future Med Chem. 2015;7(17):2385-2405. doi:10.4155/fmc.15.134
  65. Brothwood PL, Baudinet J. Interventions for improving psychological symptoms in binge eating disorder (BED) and loss of control (LOC) eating in childhood and adolescence: a systematic scoping review. J Eat Disord. 2025;13(1):1-19.