The Relationship Between Depression, Anxiety, and Stress Levels and Eating Behavior in Emergency Service Workers

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dc.contributor.authorErden, Selime Celik
dc.contributor.authorYilmaz, Banu Karakus
dc.contributor.authorKozaci, Nalan
dc.contributor.authorUygur, Abdullah Burak
dc.contributor.authorYigit, Yavuz
dc.contributor.authorKarakus, Kadir
dc.contributor.authorAydin, Ismail Erkan
dc.date.accessioned2026-01-24T12:26:52Z
dc.date.available2026-01-24T12:26:52Z
dc.date.issued2023
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractIntroduction It is seen that shift work causes various biological, psychological, and behavioral problems in individuals. This study aimed to determine the eating attitudes and behaviors of health workers working in shifts in a stressful environment such as the emergency service and to examine the relationship between depression, anxiety, and stress levels and eating behaviors (emotional eating, restrictive eating, and external eating) in terms of sociodemographic and clinical characteristics. Material and Methods Sociodemographic data form; Depression, Anxiety, and Stress Scale (DASS); and Dutch Eating Behavior Questionnaire (DEBQ) were used. The study sample consisted of 92 employees (doctor, nurse, emergency medical technician (EMT), medical secretary, and security, staff) who were actively on duty in the emergency department of Alanya Alaaddin Keykubat University Medical Faculty Training and Research Hospital. Results In our study, when the eating behavior of emergency service workers was evaluated in terms of emotional, external, and restricted eating sub-dimensions, depression (p=0.043), anxiety (p=0.017), increased stress levels (p=0.002), being female (p=0.022), nurse-emergency medical technician profession (p=0.001), working in 24-hour shifts (p=0.001), and diet history (p=0.013) were associated with emotional eating. In addition, an increase in depression levels (p=0.048), being single (p=0.015), working in 24-hour shifts (p=0.005), a decrease in age (p<0.001) with extrinsic eating, an increase in body mass index (BMI) (p=0.020) and waist circumference (p=0.049), and diet history (p<0.001) were associated with restricted eating. Conclusions In our study, among the sociodemographic factors, being female, being single, working in 24-hour shifts, diet history, nurse-EMT profession, and undergraduate education level were found to increase the tendency to develop eating behavior problems. An increase in depression levels, being single, working in 24-hour shifts, and a decrease in age were associated with extrinsic eating. There is a correlation between depression, anxiety, and stress scores and emotional eating scores. Additionally, we found significant correlations between body mass index, waist circumference, diet history, and restricted eating scores. In the approach to eating behavior problems, it is important to determine the individual eating behavior disorder. Due to the increased risk of eating behavior disorder in those who work in long shifts such as 24 hours, it will be possible to organize work programs and increase the quality of service.
dc.identifier.doi10.7759/cureus.35504
dc.identifier.issn2168-8184
dc.identifier.issue2
dc.identifier.pmid37007378
dc.identifier.urihttps://doi.org/10.7759/cureus.35504
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4963
dc.identifier.volume15
dc.identifier.wosWOS:000946388800025
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCureus Inc
dc.relation.ispartofCureus Journal of Medical Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectdepression-anxiety-stress level
dc.subjectsociodemographic factors
dc.subjectrestricted eating
dc.subjectexternal eating
dc.subjectemotional eating
dc.subjectemergency service workers
dc.titleThe Relationship Between Depression, Anxiety, and Stress Levels and Eating Behavior in Emergency Service Workers
dc.typeArticle

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