Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Psychiatry
Published in: BMC Psychiatry 1/2024

Open Access 01-12-2024 | Research

Profiles of intuitive eating in adults: the role of self-esteem, interoceptive awareness, and motivation for healthy eating

Authors: Nancy Chammas, Anna Brytek-Matera, Debora Tornquist, Felipe Barreto Schuch, Zeinab Bitar, Diana Malaeb, Mirna Fawaz, Feten Fekih-Romdhane, Souheil Hallit, Sahar Obeid, Michel Soufia

Published in: BMC Psychiatry | Issue 1/2024

Login to get access

Abstract

Objective

Intuitive eating is an eating behavior that has recently come to use mainly in the young population. Knowing that the Lebanese cultural diet differs from other countries, the purpose of this study was to investigate if there is a relationship between self-esteem, interoceptive awareness, and motivation for healthy eating in a sample of Lebanese adults using a Latent Profile Analysis approach.

Design

Cross-sectional study.

Setting

Lebanese governorates.

Participants

359 Lebanese participants enrolled in this study (mean age: 22.75 ± 7.04 years, 40.1% males), through convenience sampling in several Lebanese governorates. Participants were asked to fill anonymously the following scales: The Intuitive Eating Scale (IES-2), the Rosenberg Self-Esteem Scale, the Multidimensional Assessment of Interoceptive Awareness Scale (MAIA), and the Motivation for Healthy Eating Scale (MHES).

Results

Our findings revealed four profiles: profile 1 (n = 67; 18.66%) characterized by high SE and intermediate interoceptive awareness and motivation for healthy eating; profile 2 (n = 86; 23.97%) presented high SE, interoceptive awareness, and motivation for healthy eating; profile 3 (n = 86; 23.96%) characterized by high SE, interoceptive awareness, and motivation for healthy eating; class 4 (n = 108; 30.08) described by low SE, intermediate interoceptive awareness, and motivation for healthy eating One-way analysis of variance did not observe a significant difference between the four profiles based on intuitive eating (F = 1.810; p = 0.145; ɳp2 = 0.015).

Conclusions

Among a sample of Lebanese people, four profiles of interoceptive awareness, motivation for healthy eating, and self-esteem were observed, with no difference concerning intuitive eating.
Literature
1.
Erhardt GA. Intuitive eating as a counter-cultural process towards self-actualisation: an interpretative phenomenological analysis of experiences of learning to eat intuitively. Health Psychol open. 2021;8(1):20551029211000957–20551029211000957.PubMedPubMedCentralCrossRef
2.
3.
Schnepper R, Georgii C, Eichin K, Arend A-K, Wilhelm FH, Vogele C, Lutz APC. Fight, Flight,– or grab a bite! Trait emotional and restrained eating style predicts Food Cue responding under negative emotions. Front Behav Neurosci. 2020;14:91–91.PubMedPubMedCentralCrossRef
4.
Caferoglu Z, Toklu H. Intuitive eating: associations with body weight status and eating attitudes in dietetic majors. Eat Weight Disorders. 2022;27(2):683–92.CrossRef
5.
Hazzard VM, Telke SE, Simone M, Anderson LM, Larson NI, Neumark-Sztainer D. Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors: findings from EAT 2010–2018. Eat Weight Disorders. 2021;26(1):287–94.CrossRef
6.
Du H, King RB, Chi P. Self-esteem and subjective well-being revisited: the roles of personal, relational, and collective self-esteem. PLoS ONE. 2017;12(8):e0183958–0183958.PubMedPubMedCentralCrossRef
7.
van den Berg PAPDMPH, Mond JPDMPH, Eisenberg MSDMPH, Ackard DPDLP, Neumark-Sztainer DPDMPHRD. The Link between body dissatisfaction and self-esteem in adolescents: similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. J Adolesc Health. 2010;47(3):290–6.PubMedPubMedCentralCrossRef
8.
Sears LA, Tracy KR, McBrier NM. Self-Esteem, body image, internalization, and disordered eating among female athletes. Athletic Train Sports Health care. 2012;4(1):29–37.CrossRef
9.
Cash TF, Fleming EC. The impact of body image experiences: development of the body image quality of life inventory. Int J Eat Disord. 2002;31(4):455–60.PubMedCrossRef
10.
Price CJ, Hooven C. Interoceptive awareness skills for emotion regulation: Theory and Approach of mindful awareness in body-oriented therapy (MABT). Front Psychol. 2018;9:798–798.PubMedPubMedCentralCrossRef
11.
Brown TA, Vanzhula IA, Reilly EE, Levinson CA, Berner LA, Krueger A, Lavender JM, Kaye WH, Wierenga CE. Body mistrust bridges interoceptive awareness and eating disorder symptoms. J Abnorm Psychol (1965). 2020;129(5):445.CrossRef
12.
Khalsa SS, Craske MG, Li W, Vangala S, Strober M, Feusner JD. Altered interoceptive awareness in anorexia nervosa: effects of meal anticipation, consumption and bodily arousal. Int J Eat Disord. 2015;48(7):889–97.PubMedPubMedCentralCrossRef
13.
Khalsa SS, Adolphs R, Cameron OG, Critchley HD, Davenport PW, Feinstein JS, Feusner JD, Garfinkel SN, Lane RD, Mehling WE, et al. Interoception and Mental Health: a Roadmap. Biol Psychiatry: Cogn Neurosci Neuroimaging. 2018;3(6):501–13.PubMed
14.
Wongprawmas R, Sogari G, Menozzi D, Mora C. Strategies to promote healthy eating among University students: a qualitative study using the nominal group technique. Front Nutr (Lausanne). 2022;9:821016–821016.CrossRef
15.
Kato Y, Hu C, Wang Y, Kojima A. Psychometric validity of the motivation for healthy eating scale (MHES), short version in Japanese. Curr Psychol (New Brunsw NJ). 2023;42(4):3258–67.CrossRef
16.
Food. Mood: how do diet and nutrition affect mental wellbeing? BMJ (Online). 2020;371:m4269–4269.
17.
18.
Lăcătușu C-M, Grigorescu E-D, Floria M, Onofriescu A, Mihai B-M. The mediterranean diet: from an environment-driven food culture to an emerging medical prescription. Int J Environ Res Public Health. 2019;16(6):942.PubMedPubMedCentralCrossRef
19.
Nylund-Gibson K, Choi AY. Ten frequently asked questions about latent class analysis. Translational Issues Psychol Sci. 2018;4(4):440.CrossRef
20.
Melki IS, Beydoun HA, Khogali M, Tamim H, Yunis KA, National Collaborative Perinatal Neonatal N. Household crowding index: a correlate of socioeconomic status and inter-pregnancy spacing in an urban setting. J Epidemiol Community Health (1979). 2004;58(6):476–80.CrossRef
21.
Melki IS, Beydoun HA, Khogali M, Tamim H, Yunis KA. National Collaborative Perinatal neonatal N: Household crowding index: a correlate of socioeconomic status and inter-pregnancy spacing in an urban setting. J Epidemiol Community Health. 2004;58(6):476–80.PubMedPubMedCentralCrossRef
22.
Tylka TL, Kroon Van Diest AM. The intuitive eating Scale-2: item refinement and psychometric evaluation with College women and men. J Couns Psychol. 2013;60(1):137–53.PubMedCrossRef
23.
Fekih-Romdhane F, Jiang C, Obeid S, Malaeb D, Chammas N, Fawaz M, Soufia M, Meng R, Hallit S. Psychometric properties of the arabic version of the intuitive eating Scale-2 (IES-2) in a sample of community adults. J Eat Disorders. 2023;11(1):53–53.CrossRef
24.
Rosenberg MJA. Package ctM: Rosenberg self-esteem scale (RSE). 1965;61(52):18.
25.
Zaidi U, Awad SS, Mortada EM, Qasem HD, Kayal GF. Psychometric evaluation of arabic version of Self-Esteem, Psychological Well-being and impact of weight on quality of life questionnaire (IWQOL-Lite) in female student sample of PNU. Eur Med Health Pharm J. 2015;8(2).
26.
Fekih-Romdhane F, Malaeb D, Fawaz M, Chammas N, Soufia M, Obeid S, Hallit S. Psychometric properties of an arabic translation of the multidimensional assessment of interoceptive awareness (MAIA-2) questionnaire in a non-clinical sample of Arabic-speaking adults. BMC Psychiatry. 2023;23(1):577.PubMedPubMedCentralCrossRef
27.
Eggart M, Todd J, Valdés-Stauber J. Validation of the Multidimensional Assessment of Interoceptive awareness (MAIA-2) questionnaire in hospitalized patients with major depressive disorder. PLoS ONE. 2021;16(6):e0253913–0253913.PubMedPubMedCentralCrossRef
28.
Swami V, Barron D. Translation and validation of body image instruments: challenges, good practice guidelines, and reporting recommendations for test adaptation. Body Image. 2019;31:204–20.PubMedCrossRef
29.
30.
Cattell RB. The Scree Test for the number of factors. Multivar Behav Res. 1966;1(2):245–76.CrossRef
31.
Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equation Modeling: Multidisciplinary J. 1999;6(1):1–55.CrossRef
32.
Cohen P, Cohen J, Aiken LS, West SG. The problem of units and the circumstance for POMP. Multivar Behav Res. 1999;34(3):315–46.CrossRef
33.
Weller BE, Bowen NK, Faubert SJ. Latent class analysis: a guide to best practice. J Black Psychol. 2020;46(4):287–311.CrossRef
34.
Cohen J. Statistical power analysis for the behavioral sciences. Academic; 2013.
35.
36.
Hair JF Jr, Hult GTM, Ringle CM, Sarstedt M, Danks NP, Ray S. Partial Least Squares Structural Equation Modeling (PLS-SEM) using R: a workbook, 1st 2021 edn. Cham: Springer International Publishing; 2021.CrossRef
37.
Muthén B, Muthén LK. Integrating person-centered and variable‐centered analyses: growth mixture modeling with latent trajectory classes. Alcoholism: Clin Experimental Res. 2000;24(6):882–91.CrossRef
38.
Gödde JU, Yuan TY, Kakinami L, Cohen TR. Intuitive eating and its association with psychosocial health in adults: a cross-sectional study in a representative Canadian sample. Appetite. 2022;168:105782–105782.PubMedCrossRef
39.
Van Dyke N, Drinkwater EJ. Intuitive eating is positively associated with indicators of physical and mental health among rural Australian adults. Aust J Rural Health. 2022;30(4):468–77.PubMedPubMedCentralCrossRef
40.
Cella S, Cipriano A, Aprea C, Cotrufo P. Self-esteem and binge eating among adolescent boys and girls: the role of body disinvestment. Int J Environ Res Public Health. 2021;18(14):7496.PubMedPubMedCentralCrossRef
41.
42.
Schuz B, Schuz N, Ferguson SG. It’s the power of food: individual differences in food cue responsiveness and snacking in everyday life. Int J Behav Nutr Phys Act. 2015;12:149.PubMedPubMedCentralCrossRef
43.
Van Dyke N, Murphy M, Drinkwater EJ. What do people think of intuitive eating? A qualitative exploration with rural australians. PLoS ONE. 2023;18(8):e0278979.PubMedPubMedCentralCrossRef
44.
Baumeister RF, Campbell JD, Krueger JI, Vohs KD. Does High Self-Esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychol Sci. 2003;4(1):1–44.
45.
Reichenberger J, Schnepper R, Arend A-K, Blechert J. Emotional eating in healthy individuals and patients with an eating disorder: evidence from psychometric, experimental and naturalistic studies. Proc Nutr Soc. 2020;79(3):290–9.PubMedPubMedCentralCrossRef
46.
Tharaldsen KB, Bru E. Evaluating the mindfulness-based Coping Program: an effectiveness study using a mixed Model Approach. Ment Illn. 2012;4(1):e11.PubMedPubMedCentral
47.
Rounsefell K, Gibson S, McLean S, Blair M, Molenaar A, Brennan L, Truby H, McCaffrey TA. Social media, body image and food choices in healthy young adults: a mixed methods systematic review. Nutr Diet. 2020;77(1):19–40.PubMedCrossRef
48.
Heiman T, Olenik-Shemesh D. Perceived body appearance and eating habits: the Voice of Young and adult students attending higher education. Int J Environ Res Public Health 2019, 16(3).
49.
Sedeno L, Couto B, Melloni M, Canales-Johnson A, Yoris A, Baez S, Esteves S, Velasquez M, Barttfeld P, Sigman M, et al. How do you feel when you can’t feel your body? Interoception, functional connectivity and emotional processing in depersonalization-derealization disorder. PLoS ONE. 2014;9(6):e98769.PubMedPubMedCentralCrossRef
50.
Palascha A, van Kleef E, de Vet E, van Trijp HCM. Internally regulated eating style: a comprehensive theoretical framework. Br J Nutr. 2021;126(1):138–50.PubMedCrossRef
51.
Herbert BM, Blechert J, Hautzinger M, Matthias E, Herbert C. Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite. 2013;70:22–30.PubMedCrossRef
52.
Richard A, Meule A, Georgii C, Voderholzer U, Cuntz U, Wilhelm FH, Blechert J. Associations between interoceptive sensitivity, intuitive eating, and body mass index in patients with anorexia nervosa and normal-weight controls. Eur Eat Disorders Rev. 2019;27(5):571–7.CrossRef
53.
Oswald A, Chapman J, Wilson C. Do interoceptive awareness and interoceptive responsiveness mediate the relationship between body appreciation and intuitive eating in young women? Appetite. 2017;109:66–72.PubMedCrossRef
54.
Carbonneau N, Holding A, Lavigne G, Robitaille J. Feel good, eat Better: the role of Self-Compassion and Body Esteem in Mothers’ healthy eating behaviours. Nutrients. 2021;13(11):3907.PubMedPubMedCentralCrossRef
55.
Adams KL, Murphy J, Catmur C, Bird G. The role of interoception in the overlap between eating disorders and autism: methodological considerations. Eur Eat Disord Rev. 2022;30(5):501–9.PubMedPubMedCentralCrossRef
56.
Ahadzadeh AS, Rafik-Galea S, Alavi M, Amini M. Relationship between body mass index, body image, and fear of negative evaluation: moderating role of self-esteem. Health Psychol open. 2018;5(1):2055102918774251–2055102918774251.PubMedPubMedCentralCrossRef
57.
58.
Ljubičić M, Matek Sarić M, Klarin I, Rumbak I, Colić Barić I, Ranilović J, Dželalija B, Sarić A, Nakić D, Djekic I, et al. Emotions and Food Consumption: emotional eating behavior in a European Population. Foods. 2023;12(4):872.PubMedPubMedCentralCrossRef
Metadata
Title
Profiles of intuitive eating in adults: the role of self-esteem, interoceptive awareness, and motivation for healthy eating
Authors
Nancy Chammas
Anna Brytek-Matera
Debora Tornquist
Felipe Barreto Schuch
Zeinab Bitar
Diana Malaeb
Mirna Fawaz
Feten Fekih-Romdhane
Souheil Hallit
Sahar Obeid
Michel Soufia
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2024
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-024-05722-2

Other articles of this Issue 1/2024

BMC Psychiatry 1/2024 Go to the issue

Research

The association between maximal muscle strength, disease severity and psychopharmacotherapy among young to middle-aged inpatients with affective disorders – a prospective pilot study

Research

The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial

Research

Gender-specific pathways in mental health crisis in adolescents, from consultation to (in)voluntary admission: a retrospective study

Case Report

Suspected duloxetine-induced restless legs syndrome phenotypic variant: a case report

Research

Characteristics of suicide attempts in Northwestern Iran: a five-year population-based survey

Research

Modeling the structural relationships between trauma exposure with substance use tendency, depression symptoms, and suicidal thoughts in individuals with earthquake trauma experience: the mediatory role of peritraumatic dissociation and experiential avoidance