article_1683098_1776429526 1776429526 Kıbrıs Ruh Sağlığı Enstitüsü Cyprus Turkish Journal of Psychiatry and Psychology KTPP Dergisi 1302-7840 03 28 2026 8 1 Dilan Malgaz Güçlü IĞDIR ÜNİVERSİTESİ https://orcid.org/0000-0003-4868-0247 Son dönemlerde yeme bozukluklarının artmasıyla birlikte bu alanda yapılan araştırmalar önem kazanmıştır. Bu çalışmada, kadınlarda aşırı besin isteğinin anksiyete ile olan ilişkisinde dürtüselliğin rolünün incelenmesi amaçlanmıştır. İlişkisel desenle yürütülen bu araştırmanın çalışma grubunu 699 kadın oluşturmaktadır. Araştırmaya katılım gösteren kadınlara Kişisel Bilgi Formu, Aşırı Besin İsteği Ölçeği, Beck Anksiyete Ölçeği ile Barratt Dürtüsellik Ölçeği uygulanmıştır. Çalışmadan elde edilen ölçek puanlarının birbirleriyle ilişkisini belirlemek amacıyla Pearson korelasyon analizi yapılmıştır. Çalışmanın hipotezlerini test etmek adına aracı değişken modeli oluşturulmuş ve test etmek için Process Macro Hayes eklentisi ile Model 4 aracılık modeli kullanılarak analiz gerçekleştirilmiştir. Çalışmadaki tüm analizlerde güven aralığı %95 olarak belirlenmiştir. Araştırmadan elde edilen bulgulara göre kadınların aşırı besin isteği ile anksiyete ve dürtüsellik arasında pozitif yönde anlamlı ilişki tespit edilmiştir. Anksiyete ile dürtüsellik arasında da pozitif yönde anlamlı ilişki belirlenmiştir. Anksiyete puanlarının, aşırı besin isteği puanlarına etkisinde, modelden önceki ve modelin içerisindeki etki yönü ve anlamlılık düzeyi değişmemiş olduğundan, dürtüsellik değişkeninin anlamlı katkısının kısmi aracılık düzeyinde olduğu saptanmıştır. 03 28 2026 11 01 2025 64 73 10.35365/ctjpp.26.1.09 https://dergipark.org.tr/tr/doi/10.35365/ctjpp.26.1.09 Akkuş, M., Gelirgün, Ö., Karataş, K., Telatar, T., Gökçen, O., & Dönmez, F. (2024). The role of anxiety and depression in the relationship among emotional eating, sleep quality, and impulsivity. The Journal of Nervous and Mental Disease, 212, 378–383. https://doi.org/10.1097/NMD.0000000000001783 Annesi, J. J. (2021). Reciprocal relationship of mood and emotional eating changes through self-regulation of weight-loss behaviors. Eating Behaviors, 43, 101559. https://doi.org/10.1016/j.eatbeh.2021.101559 Annesi, J. J., Mareno, N., & McEwen, K. (2016). Psychosocial predictors of emotional eating and their weight-loss treatment-induced changes in women with obesity. Eating and weight disorders : EWD, 21(2), 289–295. https://doi.org/10.1007/s40519-015-0209-9 Atalayer, D. (2018). Dürtüsellik ve aşırı yeme arasındaki ilişki: Psikolojik ve nörobiyolojik yaklaşımlar. Psikiyatride Güncel Yaklaşımlar. https://doi.org/10.18863/pgy.358090 Awad, E., Salameh, P., Sacre, H., Malaeb, D., Hallit, S., & Obeid, S. (2021). Association between impulsivity and orthorexia nervosa/healthy orthorexia: Any mediating effect of depression, anxiety, and stress? BMC Psychiatry, 21, 265. https://doi.org/10.1186/s12888-021-03594-4 Barratt, E. S. (1959). Anxiety and impulsiveness related to psychomotor efficiency. Perceptual and Motor Skills, 9, 191–198. https://doi.org/10.2466/pms.1959.9.3.191 Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897. https://doi.org/10.1037/0022-006X.56.6.893 Bénard, M., Bellisle, F., Kesse-Guyot, E., Julia, C., Andreeva, V. A., Etilé, F., Reach, G., Déchelotte, P., Tavolacci, M. P., Hercberg, S., & Péneau, S. (2019). Impulsivity is associated with food intake, snacking, and eating disorders in a general population. The American Journal of Clinical Nutrition, 109(1), 117–126. https://doi.org/10.1093/ajcn/nqy255 Bongers, P., van den Akker, K., Havermans, R., & Jansen, A. (2015a). Emotional eating and Pavlovian learning: Does negative mood facilitate appetitive conditioning? Appetite, 89, 226–236. https://doi.org/10.1016/j.appet.2015.02.018 Bongers, P., Van De Giessen, E., Roefs, A., Nederkoorn, C., Booij, J., Van Den Brink, W., & Jansen, A. (2015b). Being impulsive and obese increases susceptibility to speeded detection of high-calorie foods. Health Psychology, 34(6), 677–685. https://doi.org/10.1037/hea0000167 Campana, B., Brasiel, P. G., de Aguiar, A. S., & Dutra, S. C. P. L. (2019). Obesity and food addiction: Similarities to drug addiction. Obesity Medicine, 16, 100136. https://doi.org/10.1016/j.obmed.2019.100136 Cardi, V., Leppanen, J., & Treasure, J. (2015). The effects of negative and positive mood induction on eating behavior: A meta-analysis of laboratory studies in the healthy population and eating and weight disorders. Neuroscience & Biobehavioral Reviews, 57, 299–309. https://doi.org/10.1016/j.neubiorev.2015.08.011 Carr, M., Wiedemann, A., Macdonald-Gagnon, G., & Potenza, M. (2021). Impulsivity and compulsivity in binge eating disorder: A systematic review of behavioral studies. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 110, 110318. https://doi.org/10.1016/j.pnpbp.2021.110318 Cepeda-Benito, A., Gleaves, D. H., & Williams, T. L. (2001). The development and validation of the state and trait food-cravings questionnaires. Behavior Therapy, 31(1), 151–173. https://doi.org/10.1016/S0005-7894(00)80009-X De Oliveira, M., De Brito, E., Silva, K., De Aráujo, F., Cavalcante, T., Da Silva, A., & Souza, S. (2022). The feed beyond need: Mechanisms of the hedonic control of eating. Research, Society and Development, 11(3), e26626. https://doi.org/10.33448/rsd-v11i3.26626 Dingemans, A., Danner, U., & Parks, M. (2017). Emotion regulation in binge eating disorder: A review. Nutrients, 9(11), 1274. https://doi.org/10.3390/nu9111274 Elkin, N., & Kalabaş, S. (2023). The Relationship Between Emotional Eating Behavior Awareness And Body Image Of Women In Turkey During The Covid-19 Pandemic Period. Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi, 5(4), 339-343. https://doi.org/10.35365/ctjpp.23.4.06 Eysenck, M. W., & Derakshan, N. (2011). New perspectives in attentional control theory. Personality and Individual Differences, 50(7), 955–960. https://doi.org/10.1016/j.paid.2010.08.019 Güleç, H., Tamam, L., Turhan, M., Karakuş, G., Zengin, M., & Stanford, M. S. (2008). Psychometric properties of the Turkish version of the Barratt Impulsiveness Scale-11. Klinik Psikofarmakoloji Bülteni, 18(4), 249–256. Hall, K., Ayuketah, A., Brychta, R., Cai, H., Cassimatis, T., Chen, K., Chung, S., Costa, E., Courville, A., Darcey, V., Fletcher, L., Forde, C., Gharib, A., Guo, J., Howard, R., Joseph, P., McGehee, S., Ouwerkerk, R., Raisinger, K., Rozga, I., Stagliano, M., Walter, M., Walter, P., Yang, S., & Zhou, M. (2019). Ultra-processed diets cause excess calorie intake and weight gain: An inpatient randomized controlled trial of ad libitum food intake. Cell Metabolism, 30(1), 67–77. https://doi.org/10.1016/j.cmet.2019.05.008 Hayes, A. F. (2022). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (3rd ed.). NY: Guilford Press. ISBN: 978-1-4625-4903-0 Hill, A. J. (2007). The psychology of food craving. Proceedings of the Nutrition Society, 66(3), 277–285. https://doi.org/10.1017/S0029665107005502 Hussenoeder, F. S., Pabst, A., Conrad, I., Löbner, M., Engel, C., Zeynalova, S. R., Reyes, N., Glaesmer, H., Hinz, A., Witte, V., Schroeter, M. L., Wirkner, K., Kirsten, T., Löffler, M., Villringer, A., & Riedel-Heller, S. G. (2022). Anxiety and food addiction in men and women: Results from the longitudinal LIFE-Adult-Study. Frontiers in Psychiatry, 13, 845212. https://doi.org/10.3389/fpsyt.2022.845212 Karasar, N. (2009). Bilimsel araştırma yöntemleri: Kavramlar, ilkeler, teknikler. İstanbul: Nobel Akademik Yayıncılık. ISBN. 978-605-5426-58-3 Kurien, C., & Palanisamy, V. (2024). Effect of anxiety on impulsivity: Mediating role of cognitive flexibility. International Journal for Multidisciplinary Research, 6(2), 16990. Legget, K. T., Cornier, M. A., Sarabia, L., Delao, E. M., Mikulich-Gilbertson, S. K., Natvig, C., Erpelding, C., Mitchell, T., Hild, A., Kronberg, E., & Tregellas, J. R. (2023). Sex differences in effects of mood, eating-related behaviors, and BMI on food appeal and desire to eat: A cross-sectional survey study. Nutrients, 15(3), 762. https://doi.org/10.3390/nu15030762 Loxton, N. J. (2018). The role of reward sensitivity and impulsivity in overeating and food addiction. Current Addiction Reports, 5, 212–222. https://doi.org/10.1007/s40429-018-0206-y Maxwell, A., Gardiner, E., & Loxton, N. (2020). Investigating the relationship between reward sensitivity, impulsivity, and food addiction: A systematic review. European Eating Disorders Review, 28(4), 368–384. https://doi.org/10.1002/erv.2732 Melby-Lervåg, M., Redick, T. S., & Hulme, C. (2016). Working memory training does not improve performance on measures of intelligence or other measures of “far transfer”: Evidence from a meta-analytic review. Perspectives on Psychological Science, 11(4), 512–534. https://doi.org/10.1177/1745691616635612 Meule, A., & Blechert, J. (2017). Indirect effects of trait impulsivity on body mass. Eating Behaviors, 26, 66–69. https://doi.org/10.1016/j.eatbeh.2017.01.012 Meule, A., Hermann, T., & Kübler, A. (2014). A short version of the Food Cravings Questionnaire—Trait: The FCQ-T-reduced. Frontiers in Psychology, 5, 190. https://doi.org/10.3389/fpsyg.2014.00190 Mikhail, M. E., Keel, P. K., Burt, S. A., Sisk, C. L., Neale, M. C., & Klump, K. L. (2021). Trait negative affect interacts with ovarian hormones to predict risk for emotional eating. Clinical Psychological Science, 9(1), 114-128. https://doi.org/10.1177/2167702620951535 Morales, I., & Berridge, K. C. (2020). ‘Liking’ and ‘wanting’ in eating and food reward: Brain mechanisms and clinical implications. Physiology & Behavior, 227, 113152. https://doi.org/10.1016/j.physbeh.2020.113152 Mróz, M., Gross, J., & Brytek-Matera, A. (2022). Trait anxiety and unhealthy eating in adult women: The mediating role of cognitive instability. International Journal of Environmental Research and Public Health, 20(1), 296. https://doi.org/10.3390/ijerph20010296 Müftüoğlu, S., Kızıltan, G., & Akçil, O. K. M. (2017). Majör depresyon hastaları için “Aşırı Besin İsteği” ölçeğinin Türk kültürüne uyarlanması: Geçerlilik ve güvenilirlik çalışması. Turkiye Klinikleri Journal of Health Sciences, 2(1), 13–22. https://doi.org/10.5336/healthsci.2016-54418 Ng, L., & Davis, C. (2013). Cravings and food consumption in binge eating disorder. Eating Behaviors, 14, 472–475. https://doi.org/10.1016/j.eatbeh.2013.08.011 Nitturi, V., Chen, T. A., Zvolensky, M. J., McNeill, L. H., Obasi, E. M., & Reitzel, L. R. (2021). Anxiety sensitivity and fast-food ordering habits among Black adults. Health Behavior Research, 4(1). https://doi.org/10.4148/2572-1836.1086 Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt Impulsiveness Scale. Journal of Clinical Psychology, 51(6), 768–774. https://doi.org/10.1002/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1 Pelchat, M. L., & Schaefer, S. (2000). Dietary monotony and food cravings in young and elderly adults. Physiology & Behavior, 68(3), 353–359. https://doi.org/10.1016/S0031-9384(99)00190-0 Pinquart, M. (2019). Meta-analysis of anxiety in parents of young people with chronic health conditions. Journal of Pediatric Psychology, 44(8), 959–969. https://doi.org/10.1093/jpepsy/jsz024 Preve, M., Mula, M., Maltini, E., & Pini, S. (2014). Panic-agoraphobic spectrum symptoms are associated with impulsivity in bipolar disorder. Annals of Depression & Anxiety, 1, 1016. https://doi.org/10.1016/S0924-9338(12)74366-3 Reents, J., & Pedersen, A. (2021). Differences in food craving in individuals with obesity with and without binge eating disorder. Frontiers in Psychology, 12, 660880. https://doi.org/10.3389/fpsyg.2021.660880 Reents, J., Seidel, A. K., Wiesner, C. D., & Pedersen, A. (2020). The effect of hunger and satiety on mood-related food craving. Frontiers in Psychology, 11, 539. https://doi.org/10.3389/fpsyg.2020.00539 Rogers, P. J., & Brunstrom, J. M. (2016). Appetite and energy balancing. Physiology & Behavior, 164, 153–167. https://doi.org/10.1016/j.physbeh.2016.04.002 Stevens, J. R. (Ed.). (2017). Impulsivity: How time and risk influence decision making (Vol. 64). Nebraska: Springer. ISBN: 978-3-319-51721-6 Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson Education. ISBN: 978-0-13-479054-1. Tiggemann, M., & Kemps, E. (2005). The phenomenology of food cravings: The role of mental imagery. Appetite, 45(3), 305–313. https://doi.org/10.1016/j.appet.2005.08.004 Ulusoy, M., Şahin, N. H., & Erkmen, H. (1996). Turkish version of the Beck Anxiety Inventory: Psychometric properties. Journal of Cognitive Psychotherapy, 12, 163–172. https://www.scribd.com/document/715100262/Turkish-Version-of-the-Beck-Anxiety-Inventory-Psychometric-Properties Xia, L., Gu, R., Zhang, D., & Luo, Y. (2017). Anxious individuals are impulsive decision-makers in the delay discounting task: An ERP study. Frontiers in Behavioral Neuroscience, 11, 5. https://doi.org/10.3389/fnbeh.2017.00005