title: The relationship between emotional regulation and eating behaviour: a multidimensional analysis of obesity psychopathology.
abstract: OBJECTIVE
  The aim of this study is to show that the differences among eating behaviours are related to the emotional dysregulation connected to the mental dimensions being part of the obese psychopathology. Eating behaviours can be considered a diagnostic feature at the initial screening for determining the obesity treatment: nutritional or bariatric surgery.
  
  
  METHODS
  1828 Obese subjects underwent psychiatric assessment before entering obesity nutritional treatment or bariatric surgery following the multidisciplinary programme. 1121 subjects were selected and enrolled in this study: 850 were inpatients visited or hospitalised at the Obesity Centre or at the Bariatric Surgery Units, 271 were outpatients visited at the Eating Disorder and Obesity Unit. Psychiatric examination was used to exclude psychiatric disorders and investigate eating behaviours distinguished on the basis of food intake rhythm in: gorging, snacking, grazing and binge. They are related to the mental dimensions: impulsiveness, body image, mood and anxiety, taking part in the emotional regulation system. Specific psychometric tools were used to investigate the different mental dimensions of the single eating behaviours and their differences. Statistical analysis of the psychopathological features was performed using ANOVA, ANCOVA, Levene test, Bonferroni's and Tamhane post hoc test. Significance was set at p < 0.05.
  
  
  RESULTS
  Data analysis shows significant differences of psychopathology among all the eating behaviours and an increase in the emotional dysregulation determining maladaptive behaviours.
  
  
  CONCLUSIONS
  Eating behaviours are connected to the balance of the different features of mental dimensions implicated in the emotional regulation system. They could provide significant clinical information and therefore be part of the obesity diagnostic criteria and therapeutic programme.
authors.affiliation: Department of Neuroscience, Reproductive Science and Odontostomatology, School of Medicine "Federico II" Naples, Via Pansini, 5, 80122, Naples, Italy. micanti@unina.it.
authors.forename: Fausta
authors.initials: F
authors.lastname: Micanti
authors.affiliation: Department of Neuroscience, Reproductive Science and Odontostomatology, School of Medicine "Federico II" Naples, Via Pansini, 5, 80122, Naples, Italy.
authors.forename: Felice
authors.initials: F
authors.lastname: Iasevoli
authors.affiliation: Department of Neuroscience, Reproductive Science and Odontostomatology, School of Medicine "Federico II" Naples, Via Pansini, 5, 80122, Naples, Italy.
authors.forename: Claudia
authors.initials: C
authors.lastname: Cucciniello
authors.affiliation: Department of Neuroscience, Reproductive Science and Odontostomatology, School of Medicine "Federico II" Naples, Via Pansini, 5, 80122, Naples, Italy.
authors.forename: Raimondo
authors.initials: R
authors.lastname: Costabile
authors.affiliation: Department of Neuroscience, Reproductive Science and Odontostomatology, School of Medicine "Federico II" Naples, Via Pansini, 5, 80122, Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Loiarro
authors.affiliation: Department of Neuroscience, Reproductive Science and Odontostomatology, School of Medicine "Federico II" Naples, Via Pansini, 5, 80122, Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pecoraro
authors.affiliation: Department of Clinical Medicine and Surgery, Centre Interuniversity Study of Obesity CISRO, School of Medicine "Federico II" Naples, Naples, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Pasanisi
authors.affiliation: Digestive Surgery Unit, School of Medicine Second University of Naples, Naples, Italy.
authors.forename: GianLuca
authors.initials: G
authors.lastname: Rossetti
authors.affiliation: Department of Neuroscience, Reproductive Science and Odontostomatology, School of Medicine "Federico II" Naples, Via Pansini, 5, 80122, Naples, Italy.
authors.forename: Diana
authors.initials: D
authors.lastname: Galletta
mesh_terms: D000328:Adult; D056912:Binge-Eating Disorder / Q000523:psychology*; D004644:Emotions / Q000502:physiology*; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D007175:Impulsive Behavior / Q000502:physiology*; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009765:Obesity / Q000523:psychology*; D055815:Young Adult
keywords: Anxiety; Body image; Eating behaviours; Emotional regulation; Impulsiveness; Mood; Obesity