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Explaining the relationship between attachment anxiety, eating behaviour and BMI.

Laura L Wilkinson1, Angela C Rowe2, Eric Robinson3

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Attachment anxiety predicts overeating and higher BMI. This is mediated by emotional eating and difficulty managing emotions, suggesting targeted interventions for weight management.

Keywords:
Affect regulationAttachment anxietyBody weightEmotional eating

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Health Psychology

Background:

  • Attachment anxiety, characterized by fear of abandonment, is linked to overeating and increased body mass index (BMI).
  • The precise mechanisms connecting attachment anxiety to eating behaviors and weight require further elucidation.
  • Understanding these pathways is crucial for developing effective weight management strategies.

Purpose of the Study:

  • To investigate the mediating roles of emotional eating, hunger susceptibility, and uncontrolled eating in the relationship between attachment anxiety and BMI (Study 1).
  • To examine whether difficulties in emotion regulation and stress-induced eating mediate the link between attachment anxiety and BMI (Study 2).

Main Methods:

  • Two cross-sectional online questionnaire studies (N=665 and N=548) were conducted with UK and US participants.
  • Attachment orientation, BMI, emotional eating, hunger susceptibility, uncontrolled eating, emotion regulation, and stress-induced eating were assessed.
  • Mediation analyses (PROCESS) were employed to examine the proposed pathways.

Main Results:

  • In Study 1, emotional eating and hunger susceptibility significantly mediated the association between attachment anxiety and BMI.
  • In Study 2, difficulties in engaging with goal-directed behaviors when upset and stress-induced eating serially mediated the relationship between attachment anxiety and BMI.
  • Misperception of emotion was not a significant mediator.

Conclusions:

  • Attachment anxiety influences BMI through emotional eating and impaired emotion regulation, leading individuals to use food for comfort.
  • Interventions targeting attachment anxiety and emotion regulation skills may effectively reduce overeating and manage body weight.
  • These findings underscore the importance of psychological factors in obesity and weight-related health issues.