Bulimia as Substance Abuse: A Metaphor for Strategic Treatment

Slive, Arnold; Young, Frank D.

doi:10.1521/jsst.1986.5.3.71

Cited by 7 publications

(4 citation statements)

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“…This might include psychoeducational modules on addiction or stimulus control procedures that reduce exposure to ‘addictive’ foods (in contrast to current practice in BN psychotherapy). For example, case reports exist, which showed that providing an addiction framework motivated change in patients with BN and their families (Slive & Young, ). Some self‐help groups encourage to avoid certain ‘addictive’ foods (e.g.…”

Section: Discussionmentioning

confidence: 99%

Food Addiction and Bulimia Nervosa

Meule

Rezori

Blechert

2014

Euro Eating Disorders Rev

105

118

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In individuals with obesity and binge eating disorder (BED), eating patterns can show addictive qualities, with similarities to substance use disorders on behavioural and neurobiological levels. Bulimia nervosa (BN) has received less attention in this regard, despite their regular binge eating symptoms. The Yale Food Addiction Scale (YFAS) was developed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnostic criteria for substance use disorders, and food addiction can be diagnosed when at least three addiction symptoms are endorsed and a clinically significant impairment or distress is present. Although the prevalence of food addiction diagnoses is increased in individuals with obesity and BED, recent studies which used the YFAS showed that there are also individuals with normal weight who can be classified as being 'food addicted'. Based on self-reported eating disorder symptoms, women with current (n=26) or remitted (n=20) BN, and a control group of women matched for age and body mass index (n=63) completed the YFAS and other measures. Results revealed that all patients with current BN received a food addiction diagnosis according to the YFAS while only six (30%) women with remitted BN did. None of the women in the control group received a food addiction diagnosis. Results provide support for the notion that BN can be described as addiction-like eating behaviour and suggest that food addiction most likely improves when BN symptoms remit.

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Section: Discussionmentioning

confidence: 99%

Food Addiction and Bulimia Nervosa

Meule

Rezori

Blechert

2014

Euro Eating Disorders Rev

105

118

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show abstract

“…As the large majority of individuals with binge eating-related eating disorders displays an addiction-like eating behavior, this may resonate well with most patients. In patients with BN, for example, it has been reported that using addiction as a treatment metaphor can be helpful to motivate change [ 41 , 42 ]. For most obese persons, however, providing an addiction explanation in therapy may be inappropriate as only a minority of individuals with obesity displays an addiction-like eating behavior.…”

Section: Treatment Implicationsmentioning

confidence: 99%

A Critical Examination of the Practical Implications Derived from the Food Addiction Concept

Meule

2019

Curr Obes Rep

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Purpose of ReviewAdopting an addiction perspective on eating disorders and obesity may have practical implications for diagnostic classification, prevention, and treatment of these disorders. The present article critically examines these implications derived from the food addiction concept.Recent FindingsIntroducing food addiction as a new disorder in diagnostic classification system seems redundant as most individuals with an addiction-like eating behavior are already covered by established eating disorder diagnoses. Food addiction may be a useful metaphor in the treatment of binge eating, but would be inappropriate for the majority of obese individuals. Implying an addiction to certain foods is not necessary when applying certain approaches inspired by the addiction field for prevention and treatment of obesity. The usefulness of abstinence models in the treatment of eating disorders and obesity needs to be rigorously tested in future studies.SummarySome practical implications derived from the food addiction concept provide promising avenues for future research (e.g., using an addiction framework in the treatment of binge eating or applying abstinence models). For others, however, the necessity of implying an addiction to some foods needs to be scrutinized.

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“…Moreover, case reports exist, which show that providing an addiction framework may be helpful for some individuals, for example, those struggling with overweight and diet failures (28, 29) or with eating disorders such as BN (30). Thus, the food addiction model may be beneficial in some instances and may not be necessary or has potential downsides in others.…”

Section: Necessity and Potential Downsides Of The Food Addiction Modelmentioning

confidence: 99%

“…However, it has also been found that the concept of food addiction has a more positive public perception compared with alcohol or tobacco use and that the food addict label may be less vulnerable to public stigma than other addictions ( 22 , 23 , 27 ). Moreover, case reports exist, which show that providing an addiction framework may be helpful for some individuals, for example, those struggling with overweight and diet failures ( 28 , 29 ) or with eating disorders such as BN ( 30 ). Thus, the food addiction model may be beneficial in some instances and may not be necessary or has potential downsides in others.…”

Section: Necessity and Potential Downsides Of The Food Addiction Modementioning

confidence: 99%

Are Certain Foods Addictive?

Meule

2014

Front. Psychiatry

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Bulimia as Substance Abuse: A Metaphor for Strategic Treatment

Cited by 7 publications

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Food Addiction and Bulimia Nervosa

Food Addiction and Bulimia Nervosa

A Critical Examination of the Practical Implications Derived from the Food Addiction Concept

Are Certain Foods Addictive?

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