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Difficulties in emotion regulation and deficits in interoceptive awareness in moderate and severe obesity

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

Difficulties in emotion regulation and deficits in interoceptive awareness may be responsible for overeating and weight gain in obesity by increasing the risks of problematic eating behaviors. This study aimed to: (1) examine emotion regulation difficulties and interoceptive deficits in obesity; (2) compare the emotion regulation and interoceptive abilities of moderately and severely obese patients.

Methods

Participants were recruited through the university, diabetology centers and bariatric surgery departments. A total of 165 participants were categorized in three groups, matched by age and gender, according to their Body Mass Index (BMI). The severely obese (SO), moderately obese (MO) and normal weight (NW) groups were constituted of 55 participants each. Self-report questionnaires were used to assess emotion regulation difficulties (CERQ-DERS) and interoceptive awareness (MAIA-FFMQ).

Results

Overall, obese participants reported more emotion regulation difficulties and less interoceptive awareness than NW participants did. They also reported a lack of planning strategies and emotional awareness, as well as less ability to observe, notice and trust body sensations. No differences in emotion regulation and interoceptive abilities were found between MO and SO participants.

Conclusions

Emotion regulation and interoceptive awareness should be targeted in the psychotherapeutic care of obese people, regardless of their BMI.

Level of evidence

Level III, case-control analytic study.

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Acknowledgements

The study was supported by the European Genomic Institute for Diabetes and the Region Hauts-de-France. Funding sources had no role in study design, data collection, analysis, interpretation or publication. The datasets generated and analyzed during the current study are available from the corresponding author on reasonable request.

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Authors and Affiliations

  1. SCALab Laboratory, Department of Psychology, UMR 9193, CNRS, University of Lille, Villeneuve d’ascq, France

    Clémence Willem, Marie-Charlotte Gandolphe & Jean-Louis Nandrino

  2. Diabetology Center, CETRADIMN, Hospital of Roubaix, Roubaix, France

    Méline Roussel

  3. General and Endocrine Surgery, University Hospital of Lille, INSERM U1190, University of Lille, Lille, France

    Hélène Verkindt & François Pattou

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  1. Clémence Willem
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  2. Marie-Charlotte Gandolphe
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  3. Méline Roussel
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  6. Jean-Louis Nandrino
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Correspondence to Clémence Willem.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of an institutional research committee (Ethical committee of the University of Lille; Reference number: 2 017-5-S57) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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This article is part of topical collection on Personality and eating and weight disorders.

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Willem, C., Gandolphe, MC., Roussel, M. et al. Difficulties in emotion regulation and deficits in interoceptive awareness in moderate and severe obesity. Eat Weight Disord 24, 633–644 (2019). https://doi.org/10.1007/s40519-019-00738-0

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