title: Two facets of stress and indirect effects on child diet through emotion-driven eating.
abstract: OBJECTIVE
  Stress has been associated with high-calorie, low-nutrient food intake (HCLN) and emotion-driven eating (EDE). However, effects on healthy food intake remain unknown. This study examined two facets of stress (self-efficacy, perceived helplessness) and food consumption, mediated by EDE.
  
  
  METHODS
  Cross-sectional data from fourth-graders (n=978; 52% female, 28% Hispanic) in an obesity intervention used self-report to assess self-efficacy, helplessness, EDE, fruit/vegetable (FV) intake, and high-calorie/low-nutrient (HCLN) food.
  
  
  RESULTS
  Higher stress self-efficacy was associated with higher FV intake, β=.354, p<0.001, and stress perceived helplessness had an indirect effect on HCLN intake through emotion-driven eating, indirect effect=.094, p<0.001; χ(2)(347)=659.930, p<0.001, CFI=0.940, TLI=0.930, RMSEA=0.030, p=1.00, adjusting for gender, ethnicity, BMI z-score, and program group.
  
  
  CONCLUSIONS
  Stress self-efficacy may be more important for healthy food intake and perceived helplessness may indicate emotion-driven eating and unhealthy snack food intake. Obesity prevention programs may consider teaching stress management techniques to avoid emotion-driven eating.
authors.affiliation: University of Southern California, Department of Preventive Medicine, Institute for Prevention Research, United States. Electronic address: eleanort@usc.edu.
authors.forename: Eleanor B
authors.initials: EB
authors.lastname: Tate
authors.affiliation: University of Southern California, Department of Preventive Medicine, Institute for Prevention Research, United States.
authors.forename: Donna
authors.initials: D
authors.lastname: Spruijt-Metz
authors.affiliation: University of Southern California, Department of Preventive Medicine, Institute for Prevention Research, United States.
authors.forename: Trevor A
authors.initials: TA
authors.lastname: Pickering
authors.affiliation: University of Southern California, Department of Preventive Medicine, Institute for Prevention Research, United States.
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Pentz
mesh_terms: D002648:Child; D003430:Cross-Sectional Studies; D004032:Diet / Q000523:psychology* / Q000706:statistics & numerical data; D004328:Drive; D004435:Eating / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D063766:Pediatric Obesity / Q000517:prevention & control / Q000523:psychology; D012572:School Health Services; D020377:Self Efficacy; D057566:Self Report; D013315:Stress, Psychological / Q000523:psychology*; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data
keywords: Child obesity; Executive function; Nutrition; Stress