Food addiction, in obese patients seeking bariatric surgery, is associated with higher prevalence of current mood and anxiety disorders and past mood disorders

Benzerouk, Farid; Gierski, Fabien; Ducluzeau, Pierre-Henri; Bourbao-Tournois, Céline; Gaubil-Kaladjian, I.; Bertin, Éric; Kaladjian, Arthur; Ballon, Nicolas; Brunault, Paul

doi:10.1016/j.psychres.2018.05.087

Cited by 41 publications

(23 citation statements)

References 46 publications

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“…Our study hypotheses were largely supported. Consistent with the existing literature [ 20 , 21 , 22 , 23 , 24 , 25 ], food addiction symptomatology was strongly correlated with binge eating characteristics and psychiatric distress (i.e., depression and anxiety symptoms). It was also moderately correlated with %TWL.…”

Section: Discussionsupporting

confidence: 88%

“…Rates of food addiction in pre-operative bariatric surgery populations as determined by the YFAS [ 18 ] and its subsequent modifications range from 14% to 58% [ 19 ]. Food addiction has been found to be associated with increased psychosocial impairment, including higher rates of depression, anxiety, impulsivity, and eating psychopathology, particularly binge eating [ 20 , 21 , 22 , 23 , 24 , 25 ]. In fact, food addiction has been conceptualized as a more severe and compulsive subtype of binge eating disorder (BED) [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Food Addiction Is Associated with Binge Eating and Psychiatric Distress among Post-Operative Bariatric Surgery Patients and May Improve in Response to Cognitive Behavioural Therapy

et al. 2020

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The current study examined clinical correlates of food addiction among post-operative bariatric surgery patients, compared the clinical characteristics of patients with versus without food addiction, and examined whether a brief telephone-based cognitive behavioural therapy (Tele-CBT) intervention improves food addiction symptomatology among those with food addiction. Participants (N = 100) completed measures of food addiction, binge eating, depression, and anxiety 1 year following bariatric surgery, were randomized to receive either Tele-CBT or standard bariatric post-operative care, and then, repeated the measure of food addiction at 1.25 and 1.5 years following surgery. Thirteen percent of patients exceeded the cut-off for food addiction at 1 year post-surgery, and this subgroup of patients reported greater binge eating characteristics and psychiatric distress compared to patients without food addiction. Among those with food addiction, Tele-CBT was found to improve food addiction symptomatology immediately following the intervention. These preliminary findings suggest that Tele-CBT may be helpful, at least in the short term, in improving food addiction symptomatology among some patients who do not experience remission of food addiction following bariatric surgery; however, these findings require replication in a larger sample.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Food Addiction Is Associated with Binge Eating and Psychiatric Distress among Post-Operative Bariatric Surgery Patients and May Improve in Response to Cognitive Behavioural Therapy

et al. 2020

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“…In an Australian sample of adults ( n = 1344), anxiety sensitivity predicted severe FA [ 174 ]. The association between FA and current anxiety disorders has also been reported in bariatric surgery candidates ( n = 128) [ 175 ]. One study suggested that irrational beliefs may be the source of the anxiety associated with FA [ 176 ].…”

Section: Other Psychiatric Diagnosesmentioning

confidence: 96%

Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint

Wiss

Brewerton

2020

Nutrients

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Converging evidence from both animal and human studies have implicated hedonic eating as a driver of both binge eating and obesity. The construct of food addiction has been used to capture pathological eating across clinical and non-clinical populations. There is an ongoing debate regarding the value of a food addiction “diagnosis” among those with eating disorders such as anorexia nervosa binge/purge-type, bulimia nervosa, and binge eating disorder. Much of the food addiction research in eating disorder populations has failed to account for dietary restraint, which can increase addiction-like eating behaviors and may even lead to false positives. Some have argued that the concept of food addiction does more harm than good by encouraging restrictive approaches to eating. Others have shown that a better understanding of the food addiction model can reduce stigma associated with obesity. What is lacking in the literature is a description of a more comprehensive approach to the assessment of food addiction. This should include consideration of dietary restraint, and the presence of symptoms of other psychiatric disorders (substance use, posttraumatic stress, depressive, anxiety, attention deficit hyperactivity) to guide treatments including nutrition interventions. The purpose of this review is to help clinicians identify the symptoms of food addiction (true positives, or “the signal”) from the more classic eating pathology (true negatives, or “restraint”) that can potentially elevate food addiction scores (false positives, or “the noise”). Three clinical vignettes are presented, designed to aid with the assessment process, case conceptualization, and treatment strategies. The review summarizes logical steps that clinicians can take to contextualize elevated food addiction scores, even when the use of validated research instruments is not practical.

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“…Several studies also demonstrated the close association between FA, as assessed by the YFAS 2.0, and psychiatric or psychological factors usually associated with SRAD [see Burrows et al (23) and Penzenstadler et al (24) for recent reviews]: impulsivity (25), especially attentional and motor impulsivity (26), higher levels of psychopathology (27)(28)(29), poorer emotion regulation skills (30), emotional eating (31), and psychiatric disorders such as mood and anxiety disorders (30,32), eating disorders (33)(34)(35), eating disorder severity (30), and higher suicidality (32) and non-suicidal self-injury (33).…”

Section: Introductionmentioning

confidence: 99%

“…( 23 ) and Penzenstadler et al. ( 24 ) for recent reviews]: impulsivity ( 25 ), especially attentional and motor impulsivity ( 26 ), higher levels of psychopathology ( 27 – 29 ), poorer emotion regulation skills ( 30 ), emotional eating ( 31 ), and psychiatric disorders such as mood and anxiety disorders ( 30 , 32 ), eating disorders ( 33 – 35 ), eating disorder severity ( 30 ), and higher suicidality ( 32 ) and non-suicidal self-injury ( 33 ).…”

Section: Introductionmentioning

confidence: 99%

The Modified Yale Food Addiction Scale 2.0: Validation Among Non-Clinical and Clinical French-Speaking Samples and Comparison With the Full Yale Food Addiction Scale 2.0

et al. 2020

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Objectives: The modified Yale Food Addiction Scale 2.0 (mYFAS 2.0) was designed to assess food addiction using a shorter version than the YFAS 2.0. We lack data about the psychometric properties of the mYFAS 2.0 in patients with obesity, as well as studies comparing the psychometric properties of the mYFAS 2.0 versus the full YFAS 2.0. This study aimed to validate the French-language mYFAS 2.0 in a non-clinical population (study 1, n = 250), to determine the yet unknown psychometric properties of this scale in patients with obesity (study 2, n = 345), and to compare the full YFAS 2.0 and the mYFAS 2.0 in terms of food addiction (FA) prevalence and symptoms detection in both populations. Method: Study 1 included 250 non-clinical individuals (non-underweight and non-obese persons screened negative for eating disorders). Study 2 included 345 bariatric surgery candidates recruited in three centers (Quebec, Canada; Reims and Tours, France). The mYFAS 2.0 structure was investigated using confirmatory factorial analyses with tetrachoric correlations. Convergent validity was tested using the full YFAS 2.0, the Binge Eating Scale (both studies), the revised 18-item Three Factor Eating Questionnaire (study 1), the Beck Depression Inventory (study 2), and the body mass index (BMI; both studies).

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Food addiction, in obese patients seeking bariatric surgery, is associated with higher prevalence of current mood and anxiety disorders and past mood disorders

Cited by 41 publications

References 46 publications

Food Addiction Is Associated with Binge Eating and Psychiatric Distress among Post-Operative Bariatric Surgery Patients and May Improve in Response to Cognitive Behavioural Therapy

Food Addiction Is Associated with Binge Eating and Psychiatric Distress among Post-Operative Bariatric Surgery Patients and May Improve in Response to Cognitive Behavioural Therapy

Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint

The Modified Yale Food Addiction Scale 2.0: Validation Among Non-Clinical and Clinical French-Speaking Samples and Comparison With the Full Yale Food Addiction Scale 2.0

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