Food Addiction in Bulimia Nervosa: Clinical Correlates and Association with Response to a Brief Psychoeducational Intervention

Abstract

Food addiction appears to be prevalent in BN although FA severity can improve following a short-term intervention. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.

Food addiction and associations with mental health symptoms: a systematic review with meta‐analysis

“…Only one study was identified with a high proportion of males (92%, in a veteran study) (62) . Other groups included bariatric weight-loss groups (n = 6) (15,22,37,56,61,65) , undergraduate/students (n = 7 studies) (5,35,68,71,74,80,81) and disordered eating groups (n = 7) (17,43,47,49,50,64,73) . Other groups included bariatric weight-loss groups (n = 6) (15,22,37,56,61,65) , undergraduate/students (n = 7 studies) (5,35,68,71,74,80,81) and disordered eating groups (n = 7) (17,43,47,49,50,64,73) .…”

“…The most common population group studied were those individuals seeking a weight-loss treatment (n = 11 studies) (18,24,35,(39)(40)(41)44,51,66,78,79) . Other groups included bariatric weight-loss groups (n = 6) (15,22,37,56,61,65) , undergraduate/students (n = 7 studies) (5,35,68,71,74,80,81) and disordered eating groups (n = 7) (17,43,47,49,50,64,73) . The studies carried out in disordered eating groups all included bulimia nervosa (BN) and BED, with only two studies including additional eating 109 (0.99), Eating concern 3.14 (0.95) versus 0.57 (0.66), Shape concern 4.54 (0.96) versus 1.98 (1.32), Weight concern 3.99 (1. with negative affect and emotional dysregulation, and negatively correlated with self-esteem (P = 0.01).…”

“…Forty-four of the 51 studies utilised the standard version of the YFAS, of which six had been converted to and validated in the following non-English languages: Italian (n = 6) (20,40,(51)(52)(53)(54) , French (n = 3) (36)(37)(38) , German (n = 3) (15,64,67) , Spanish (n = 4) (17,49,50,73) , Arabic (n = 1) (76,82) , Chinese (n = 1) (42) and Turkish (n = 1) (71) . Three studies used the shorter version of the YFAS, referred to as the modified YFAS (mYFAS), which comprises nine questions rather than the standard 25 items (45,60,72) ; these studies were larger populationbased surveys.…”

Associations of Food Addiction in a Sample Recruited to Be Nationally Representative of the United States

“…The YFAS is a self‐report measure that adapts the DSM criteria for substance‐use disorders to evaluate addictive‐like consumption of foods high in fat and/or refined carbohydrates (Gearhardt, Corbin, & Brownell, , ). The YFAS has been associated with clinically relevant features, such as frequency of binge eating episodes, weight cycling, obesity, and short‐term abstinence from binging‐purging in persons with bulimia nervosa following intervention (Davis et al, ; Gearhardt, Boswell, & White, ; Granero et al, ; Hilker et al, ; Schulte & Gearhardt, ). However, many previous studies of food addiction have consisted of small samples or samples with limited generalizability to the national population (e.g., clinical samples, undergraduates, overrepresentation of females and White individuals).…”

Food addiction: A transdiagnostic construct of increasing interest

“…With regard to therapy response , based on the literature, it has been observed that higher FA, according to YFAS scoring, has been associated with poorer treatment outcome in the case of eating disorders, specifically in Bulimia nervosa (Hilker et al, ), and also in Bariatric Surgery obese patients, where those with FA experienced more difficulties reducing weight prior to the BS (Guerrero Pérez, et al, ) and post‐operatively (Miller‐Matero et al, ).…”