Power, D, Jones, A, Keyworth, C, Dhir, P, Griffiths, A, Shepherd, K, Smith, J, Traviss-Turner, G, Matu, J and Ells, L (2025) Emotional Eating Interventions for Adults Living With Overweight and Obesity: A Systematic Review and Meta-Analysis of Behaviour Change Techniques. Journal of Human Nutrition and Dietetics (JHND), 38 (1). ISSN 0952-3871

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Abstract

BACKGROUND: Emotional eating (EE) is a barrier to the long-term success of weight loss interventions. Psychological interventions targeting EE have been shown to reduce EE scores and weight (kg), though the mechanisms remain unclear. This review and meta-analysis aimed to identify the specific behaviour change techniques (BCTs) associated with improved outcomes. METHODS: This is a review update and extension, with new studies extracted from searches of CINAHL, PsycINFO, MEDLINE and EMBASE 1 January 2022 to 31 April 2023. EE interventions for adults with BMI > 25 kg/m2 were considered for inclusion. Paper screening, extraction, BCT-coding and risk of bias were completed using the Template for Intervention Description and Replication (TIDieR) checklist, Behaviour Change Taxonomy v1 (BCTTv1) and Risk of Bias2 (RoB2)/Risk of Bias In Non-randomised Studies (ROBINS-I) tool. Narrative syntheses and random effects multi-level meta-analyses were conducted. RESULTS: In total, 6729 participants were included across 47 studies (13 identified in the update). Forty-two studies contributed to the pooled estimate for the impact of interventions on EE (SMD = -0.99 [95% CI: -0.73 to -1.25], p < 0.001). Thirty-two studies contributed to the pooled estimate for the impact of interventions on weight (-4.09 kg [95% CI: -2.76 to -5.43 kg], p < 0.001). Five BCTs related to identity, values and self-regulation were associated with notable improvements to both weight and EE ('incompatible beliefs', 'goal setting outcome'. 'review outcome goals', 'feedback on behaviour' and 'pros/cons'). CONCLUSION: Implementation and evaluation of the highlighted BCTs are required. Weight management services should consider screening patients for EE to tailor interventions to individual needs.

Item Type:	Article
Uncontrolled Keywords:	Humans; Obesity; Weight Loss; Feeding Behavior; Emotions; Behavior Therapy; Eating; Adult; Middle Aged; Female; Male; Overweight; behaviour change technique; emotional eating; obesity; psychological intervention; systematic review; weight management; Humans; Obesity; Emotions; Overweight; Behavior Therapy; Adult; Female; Male; Feeding Behavior; Weight Loss; Middle Aged; Eating; 32 Biomedical and Clinical Sciences; 3210 Nutrition and Dietetics; Nutrition; Obesity; 3.1 Primary prevention interventions to modify behaviours or promote wellbeing; Stroke; Metabolic and endocrine; Oral and gastrointestinal; Humans; Obesity; Emotions; Overweight; Behavior Therapy; Adult; Female; Male; Feeding Behavior; Weight Loss; Middle Aged; Eating; 0601 Biochemistry and Cell Biology; 1111 Nutrition and Dietetics; Nutrition & Dietetics; 3202 Clinical sciences; 3210 Nutrition and dietetics
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Divisions:	Psychology (from Sep 2019)
Publisher:	Wiley
SWORD Depositor:	A Symplectic
Date Deposited:	19 Mar 2025 10:14
Last Modified:	19 Mar 2025 10:15
DOI or ID number:	10.1111/jhn.13410
URI:	https://researchonline.ljmu.ac.uk/id/eprint/25919

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