{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T15:37:57Z","timestamp":1792337877917,"version":"4.4.0"},"reference-count":72,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Functional dyspepsia (FD) is relatively common among young adults and is increasingly understood within the framework of brain\u2013gut interactions. Eating behaviors and psychological distress may be related to FD, but evidence in young adults remains limited. This study examined the associations between FD and eating behaviors and depressive symptoms among university students. Methods: A cross-sectional study was conducted during health checkups. A total of 4328 students (2232 males and 2096 females) completed questionnaires assessing FD symptoms based on Rome IV, eating behaviors (EAT-26 and BITE), depressive symptoms (BDI-II), and coping styles (CISS). We compared scores between students with and without FD and performed multivariable logistic regression including gender, BMI, sleep, eating behaviors, and depressive symptoms. Results: The prevalence of questionnaire-based FD was 6.1% in males and 7.2% in females. Students with FD had higher EAT-26, BITE, BDI-II, and emotion-oriented coping scores. In multivariable logistic regression, EAT-26 \u2265 10 (OR: 1.92, 95% CI: 1.26\u20132.91, p = 0.002), BITE \u2265 10 (OR: 1.45, 95% CI: 1.01\u20132.08, p = 0.04), BDI-II \u2265 10 (OR: 3.83, 95% CI: 2.97\u20134.95, p &lt; 0.001), and BMI &lt; 18.5 kg\/m2 (OR: 1.74, 95% CI: 1.31\u20132.31, p &lt; 0.001) were significantly associated with FD; gender and sleep were not. Conclusions: FD was associated with disordered eating behaviors, depressive symptoms, and low BMI. Differences in emotion-oriented coping were observed between groups. These findings suggest that integrating assessments of gastrointestinal symptoms, eating behaviors, and psychological factors may inform early detection and support at university.<\/jats:p>","DOI":"10.3390\/nu18091316","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T10:38:14Z","timestamp":1776854294000},"page":"1316","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Associations of Functional Dyspepsia with Eating Behaviors and Stress-Coping Styles Among Japanese University Students"],"prefix":"10.3390","volume":"18","author":[{"given":"Yoshie","family":"Miyake","sequence":"first","affiliation":[{"name":"Health Service Center, Hiroshima University, 1-7-1, Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8514, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koki","family":"Takagaki","sequence":"additional","affiliation":[{"name":"Health Service Center, Hiroshima University, 1-7-1, Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8514, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsuo","family":"Yoshino","sequence":"additional","affiliation":[{"name":"Health Service Center, Hiroshima University, 1-7-1, Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8514, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5843-232X","authenticated-orcid":false,"given":"Toru","family":"Hiyama","sequence":"additional","affiliation":[{"name":"Health Service Center, Hiroshima University, 1-7-1, Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8514, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Health Service Center, Hiroshima University, 1-7-1, Kagamiyama, Higashi-Hiroshima, Hiroshima 739-8514, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"276","DOI":"10.5056\/jnm21076","article-title":"Association Between Body Mass Index and Functional Dyspepsia in Young Japanese People","volume":"28","author":"Yamamoto","year":"2022","journal-title":"J. Neurogastroenterol. Motil."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/S0889-8553(05)70367-8","article-title":"Functional Dyspepsia. Insights on Mechanisms and Management Strategies","volume":"25","author":"Malagelada","year":"1996","journal-title":"Gastroenterol. Clin. N. Am."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1053\/j.gastro.2004.05.030","article-title":"Pathophysiology and Treatment of Functional Dyspepsia","volume":"127","author":"Tack","year":"2004","journal-title":"Gastroenterology"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1053\/j.gastro.2016.02.014","article-title":"Rome IV Diagnostic Questionnaires and Tables for Investigators and Clinicians","volume":"150","author":"Palsson","year":"2016","journal-title":"Gastroenterology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1111\/apt.70189","article-title":"Functional Dyspepsia and Its Subgroups: Prevalence and Impact in the Rome IV Global Epidemiology Study","volume":"62","author":"Tack","year":"2025","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1053\/j.gastro.2020.04.014","article-title":"Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders: Results of Rome Foundation Global Study","volume":"160","author":"Sperber","year":"2021","journal-title":"Gastroenterology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1007\/BF02064375","article-title":"Impact of Dyspepsia on Quality of Life","volume":"40","author":"Talley","year":"1995","journal-title":"Dig. Dis. Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1053\/gast.2000.16493","article-title":"A Randomized Controlled Trial of Psychotherapy in Patients with Chronic Functional Dyspepsia","volume":"119","author":"Hamilton","year":"2000","journal-title":"Gastroenterology"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"456","DOI":"10.3748\/wjg.v26.i5.456","article-title":"Diet and Functional Dyspepsia: Clinical Correlates and Therapeutic Perspectives","volume":"26","author":"Pesce","year":"2020","journal-title":"World J. Gastroenterol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3942","DOI":"10.12659\/MSM.902705","article-title":"Certain Dietary Habits Contribute to Functional Dyspepsia in South China Rural Area","volume":"23","author":"Xu","year":"2017","journal-title":"Med. Sci. Monit."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Carpinelli, L., Savarese, G., Pascale, B., Milano, W.D., and Iovino, P. (2023). Gut\u2013Brain Interaction Disorders and Anorexia Nervosa: Psychopathological Asset, Disgust, and Gastrointestinal Symptoms. Nutrients, 15.","DOI":"10.3390\/nu15112501"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Rurgo, S., Marchili, M.R., Spina, G., Roversi, M., Cirillo, F., Raucci, U., Sarnelli, G., Raponi, M., and Villani, A. (2024). Prevalence of Rome IV Pediatric Diagnostic Questionnaire\u2013Assessed Disorder of Gut\u2013Brain Interaction, Psychopathological Comorbidities and Consumption of Ultra-Processed Food in Pediatric Anorexia Nervosa. Nutrients, 16.","DOI":"10.3390\/nu16060817"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1111\/j.1365-2982.2010.01621.x","article-title":"Can eating disorders cause functional gastrointestinal disorders?","volume":"22","author":"Janssen","year":"2010","journal-title":"Neurogastroenterol. Motil."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.jpeds.2008.09.053","article-title":"Obesity is related to multiple functional abdominal diseases","volume":"154","author":"Teitelbaum","year":"2009","journal-title":"J. Pediatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"G188","DOI":"10.1152\/ajpgi.00375.2002","article-title":"High-fat diet effects on gut motility, hormone, and appetite responses","volume":"284","author":"Boyd","year":"2003","journal-title":"Am. J. Physiol. Gastrointest. Liver Physiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.jpsychores.2004.04.375","article-title":"Eating Disorders and Irritable Bowel Syndrome: Is There a Link?","volume":"59","author":"Perkins","year":"2005","journal-title":"J. Psychosom. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"4379","DOI":"10.3748\/wjg.v18.i32.4379","article-title":"Prevalence of functional dyspepsia and its subgroups in patients with eating disorders","volume":"18","author":"Santonicola","year":"2012","journal-title":"World J. Gastroenterol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1002\/da.20163","article-title":"Emotional processing in eating disorders: Specific impairment or general distress-related deficiency?","volume":"23","author":"Liora","year":"2006","journal-title":"Depress. Anxiety"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s12328-015-0611-x","article-title":"Gastrointestinal symptoms and disorders in patients with eating disorders","volume":"8","author":"Sato","year":"2015","journal-title":"Clin. J. Gastroenterol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1037\/a0016481","article-title":"An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents","volume":"118","author":"Stice","year":"2009","journal-title":"J. Abnorm. Psychol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s13030-018-0127-y","article-title":"Cohort survey of college students\u2019 eating attitudes: Interventions for depressive symptoms and stress coping were key factors for preventing bulimia in a subthreshold group","volume":"12","author":"Okamoto","year":"2018","journal-title":"Biopsychosoc. Med."},{"key":"ref_22","first-page":"1666","article-title":"Determinants of symptoms in functional dyspepsia: Gastric sensorimotor function, psychosocial factors or somatisation?","volume":"57","author":"Vandenberghe","year":"2021","journal-title":"Gut"},{"key":"ref_23","first-page":"25","article-title":"Psychosocial aspects of the functional gastrointestinal disorders","volume":"45","author":"Drossman","year":"1999","journal-title":"Gut"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1097\/01.PSY.0000075977.90337.E7","article-title":"Medically Unexplained Physical Symptoms, Anxiety, and Depression: A Meta-Analytic Review","volume":"65","author":"Henningsen","year":"2003","journal-title":"Psychosom. Med."},{"key":"ref_25","first-page":"300","article-title":"Selected Personality Traits and Emotional Disorders in Women Diagnosed with Gastrointestinal Disease","volume":"18","author":"Piotrowicz","year":"2023","journal-title":"Prz. Gastroenterol."},{"key":"ref_26","first-page":"1382","article-title":"Depression, Anxiety and Stress Symptoms in Patients Presenting with Dyspepsia","volume":"25","author":"Tshabalala","year":"2019","journal-title":"S. Afr. J. Psychiatr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.jpsychores.2009.05.013","article-title":"Stress Profile, Coping Style, Anxiety, Depression, and Gastric Emptying as Predictors of Functional Dyspepsia","volume":"68","author":"Sosa","year":"2010","journal-title":"J. Psychosom. Res."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/01.PSY.0000106885.40753.C1","article-title":"Psychosocial factors and perceived severity of functional dyspeptic symptoms","volume":"66","author":"Cheng","year":"2004","journal-title":"Psychosom. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1007\/s00535-006-1966-z","article-title":"Recent insights into digestive motility in functional dyspepsia","volume":"41","author":"Mizuta","year":"2006","journal-title":"J. Gastroenterol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1159\/000532082","article-title":"Functional Dyspepsia: Current understanding and future perspective","volume":"105","author":"Oshima","year":"2024","journal-title":"Digestion"},{"key":"ref_31","first-page":"74","article-title":"Survey of stress and coping strategies among nursing staff","volume":"8","author":"Darvishpour","year":"2019","journal-title":"J. Educ. Health Promot."},{"key":"ref_32","first-page":"11","article-title":"Post-traumatic stress disorder and coping among career professional firefighters","volume":"2","author":"Nydegger","year":"2011","journal-title":"Am. J. Health Sci."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1097\/NMD.0000000000001103","article-title":"Coping and its relation to PTSD in Greek Firefighters","volume":"208","author":"Theleritis","year":"2020","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/S0306-4530(03)00091-X","article-title":"The Cognitive Activation Theory of Stress","volume":"29","author":"Ursin","year":"2004","journal-title":"Psychoneuroendocrinology"},{"key":"ref_35","first-page":"2495B","article-title":"Separate and Combined Effects of Biofeedback Training and Brief Individual Psychotherapy in the Treatment of Gastrointestinal Disorders","volume":"39","author":"Giles","year":"1976","journal-title":"Diss. Abstr. Int."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1002\/smi.2460050110","article-title":"A behaviourally orientated stress reduction program and its effects upon self-reported gastric complaints","volume":"5","author":"Uhes","year":"1989","journal-title":"Stress"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/0022-3999(94)90033-7","article-title":"Psychotherapy in Functional Dyspepsia","volume":"38","author":"Haug","year":"1994","journal-title":"J. Psychosom. Res."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"259","DOI":"10.15403\/jgld-3325","article-title":"Association of functional dyspepsia with depression and anxiety: A systematic review","volume":"30","author":"Esterita","year":"2021","journal-title":"J. Gastrointestin. Liver Dis."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1017\/S0033291700049163","article-title":"The eating attitudes test: Psychometric features and clinical correlates","volume":"12","author":"Garner","year":"1982","journal-title":"Psychol. Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1159\/000289091","article-title":"Relationship between disturbed eating behavior and other psychosomatic dymptoms in adolescents","volume":"65","author":"Bernet","year":"1996","journal-title":"Psychother. Psychosom."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/S0924-9338(10)70152-8","article-title":"Subthreshold eating disorders: Diagnostic issues, natural evolution and treatment implications","volume":"25","author":"Monteleone","year":"2010","journal-title":"Eur. Psychiatry"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1192\/bjp.150.1.18","article-title":"A self-rating scale for bulimia: The \u201cBITE\u201d","volume":"150","author":"Henderson","year":"1987","journal-title":"Br. J. Psychiatry"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Beck, A., Steer, R., and Brown, G. (1996). Manual for the Beck Depression Inventory-II, Psychological Corporation.","DOI":"10.1037\/t00742-000"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1037\/0278-6133.20.2.112","article-title":"Psychometric evaluation of the BDI-II with primary care medical patients","volume":"20","author":"Arnau","year":"2001","journal-title":"Health Psychol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"25","DOI":"10.2147\/NDT.S117846","article-title":"Detailed course of depressive symptoms in late adolescents","volume":"13","author":"Jinnin","year":"2016","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_46","unstructured":"Endler, N.S., and Parker, J.D.A. (1990). Coping Inventory for Stressful Situations (CISS): Manual, Multi-Health Systems."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s00535-021-01843-7","article-title":"Evidence-based clinical practice guidelines for functional dyspepsia 2021","volume":"57","author":"Miwa","year":"2022","journal-title":"J. Gastroenterol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1007\/BF03327528","article-title":"Application of the SCOFF, EAT-26 and TFEQ in Young Women Seeking Diet Therapy","volume":"10","author":"Siervo","year":"2005","journal-title":"Eat. Weight Disord."},{"key":"ref_49","first-page":"161","article-title":"Validity of the Japanese Version of the Eating Attitudes Test (EAT-26)","volume":"45","author":"Nakai","year":"2003","journal-title":"Seishin Igaku"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1111\/j.1469-7610.1994.tb01213.x","article-title":"Eating attitudes and weight preoccupation among Japanese female high-school students","volume":"35","author":"Mukai","year":"1994","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_51","first-page":"785","article-title":"Evaluation method of eating disorder symptoms","volume":"27","author":"Nakai","year":"2007","journal-title":"Mod. Physician"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/S0165-1781(02)00106-3","article-title":"Cross-cultural validation of the Beck Depression Inventory-II in Japan","volume":"110","author":"Kojima","year":"2002","journal-title":"Psychiatry Res."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Kojima, M., and Furukawa, T.A. (2003). Japanese Version of the Beck Depression Inventory-II, Nippon-Hyoron-Sha. [2nd ed.].","DOI":"10.1037\/t39338-000"},{"key":"ref_54","first-page":"602","article-title":"Reliability and validity of the Japanese version of the CISS","volume":"95","author":"Furukawa","year":"1993","journal-title":"Seishin Shinkeigaku Zasshi"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"447","DOI":"10.2466\/08.02.PR0.116k23w6","article-title":"Reliability and validity of the Japanese version of the coping inventory for adults","volume":"116","author":"Watanabe","year":"2015","journal-title":"Psychol. Rep."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5056\/jnm24070","article-title":"Association between functional dyspepsia and binge eating disorder","volume":"31","author":"Velasco","year":"2025","journal-title":"J. Neurogastroenterol. Motil."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1007\/s10880-009-9180-9","article-title":"Bulimic eating disorders in primary care","volume":"17","author":"Mond","year":"2010","journal-title":"J. Clin. Psychol. Med. Settings"},{"key":"ref_58","unstructured":"Mash, E.J., and Barkley, R.A. (2007). Eating Disorders. Assessment of Childhood Disorders, Guilford Press. [4th ed.]."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1007\/s00535-015-1111-y","article-title":"Body mass index association with functional gastrointestinal disorders: Differences between genders. Results from a study in a tertiary center","volume":"51","author":"Bouchoucha","year":"2016","journal-title":"J. Gastroenterol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1111\/apt.13143","article-title":"Functional gastrointestinal disorders in 35,447 adults and their association with body mass index","volume":"41","author":"Bouchoucha","year":"2015","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_61","first-page":"45","article-title":"Gastrointestinal disorders and symptoms: Does body mass index matter?","volume":"64","author":"Josemanders","year":"2006","journal-title":"Neth. J. Med."},{"key":"ref_62","first-page":"572","article-title":"The relationship between obesity and functional gastrointestinal disorders","volume":"4","author":"Ho","year":"2008","journal-title":"Gastroenterol. Hepatol."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Beh, K.H., Chuah, K.H., Rappek, N.A.M., and Mahadeva, S. (2021). The association of body mass index with functional dyspepsia independent of psychological morbidity. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0245511"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/j.1365-2982.2008.01240.x","article-title":"Symptom pattern and pathophysiological correlates of weight loss in functional dyspepsia","volume":"22","author":"Tack","year":"2010","journal-title":"Neurogastroenterol. Motil."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1053\/gast.1996.v110.pm8612991","article-title":"Risk indicators of delayed gastric emptying in patients with functional dyspepsia","volume":"110","author":"Stanghellini","year":"1996","journal-title":"Gastroenterology"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1192\/bjp.174.4.288","article-title":"Subthreshold Mental Disorders","volume":"174","author":"Pincus","year":"1999","journal-title":"Br. J. Psychiatry"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.jad.2022.04.067","article-title":"Is subthreshold depression in adolescence clinically relevant?","volume":"309","author":"Noyes","year":"2022","journal-title":"J. Affect. Disord."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"111834","DOI":"10.1016\/j.jpsychores.2024.111834","article-title":"Comparing the prevalence of anxiety, depression, and gastrointestinal symptoms in gastroparesis vs. functional dyspepsia: A systematic review and meta-analysis","volume":"183","author":"Overs","year":"2024","journal-title":"J. Psychosom. Res."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1111\/j.1365-2036.2008.03619.x","article-title":"Impairment of health-related quality of life in functional dyspepsia","volume":"27","author":"Haag","year":"2008","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1037\/1040-3590.6.2.108","article-title":"The Chinese Ways of Coping Questionnaire","volume":"6","author":"Chan","year":"1994","journal-title":"Psychol. Assess."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.appet.2006.10.005","article-title":"Relations between negative affect, coping, and emotional eating","volume":"48","author":"Spoor","year":"2007","journal-title":"Appetite"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"149","DOI":"10.3109\/01612840.2011.632708","article-title":"The Relationship among depression, anxiety, stress, and coping styles in young adult college students","volume":"33","author":"Mahmoud","year":"2012","journal-title":"Issues Ment. Health Nurs."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/9\/1316\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T10:48:14Z","timestamp":1776854894000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/9\/1316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,22]]},"references-count":72,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["nu18091316"],"URL":"https:\/\/doi.org\/10.3390\/nu18091316","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,22]]}}}