Evidence map›Paper›PMID 42569413›Full record

ArticleJournal of multidisciplinary healthcare2026

Social Support and Emotional Eating in Adults with Metabolic Dysfunction-Associated Fatty Liver Disease: The Chain Mediation Effects of Weight Self-Stigma and Depression.

Runjia Zhang, Weilong Wang, Jianyun Lu, Shufeng Ren, Qianqian Jia, Xiaoxuan He, Jingwen Cai, Bo Zhang, Wen Cai

Abstract read
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Article in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Runjia ZhangDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Weilong WangDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Jianyun LuDepartment of Endocrinology, Shihezi People's Hospital, Shihezi, Xinjiang, People's Republic of China.
Shufeng RenDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Qianqian JiaDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Xiaoxuan HeDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Jingwen CaiDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Bo ZhangDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Wen CaiDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Metabolic dysfunction-associated fatty liver disease (MAFLD) is a condition characterised by metabolic dysfunction, with an increasing prevalence among young and middle‑aged adults who are overweight or obese. Emotional eating, a common maladaptive eating behaviour, is frequently observed in overweight and obese populations. Although previous studies have indicated that social support is closely related to eating behaviours, its specific role in patients with MAFLD remains to be further elucidated. Patients and Methods: A cross‑sectional study was conducted in Shihezi, Xinjiang, China, in November 2025, involving 457 young and middle‑aged overweight and obese patients with MAFLD. The Perceived Social Support Scale, Weight Self‑Stigma Questionnaire, Self‑Rating Depression Scale, and the emotional eating subscale of the Dutch Eating Behaviour Questionnaire were administered. The bias‑corrected bootstrap method (5,000 resamples, 95% confidence interval) was used to test the statistical significance of each pathway in the serial mediation model. Results: Using unstandardized coefficients, social support was negatively associated with emotional eating through a direct pathway (Effect = -0.112, 95% CI: -0.180 to -0.044). Bootstrap analysis showed that weight self-stigma and depression were independently and serially involved in the indirect association between social support and emotional eating. The indirect effect through weight self-stigma was -0.054 (95% CI: -0.101 to -0.013), accounting for 14.96% of the total effect. The indirect effect through depression was -0.105 (95% CI: -0.153 to -0.064), accounting for 29.09%. The serial indirect effect through weight self-stigma and depression was -0.091 (95% CI: -0.123 to -0.063), accounting for 25.21%. Conclusion: Weight self‑stigma and depression play a serial mediating role in the relationship between social support and emotional eating among young and middle‑aged overweight and obese patients with MAFLD. The potential clinical implications of these findings warrant further investigation.

Indexed as

depressionemotional eatingMAFLDsocial supportweight self-stigma

Identifiers

PMID42569413
PMCPMC13450081

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.