Two facets of stress and indirect effects on child diet through emotion-driven eating

• Two facets of perceived stress should be considered when studying diet in youth.
• Self-efficacy for stress management predicted higher fruit and vegetable intakes.
• Perceived helplessness indirectly affected unhealthy snack food intake.

ObjectiveStress 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.MethodsCross-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.ResultsHigher 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; χ2(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 and implicationsStress 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.