Objective: This study assessed the ecological validity of the Yale Food Addiction Scale (YFAS 2.0) with ecological momentary assessment (EMA) and explored the internal consistency and convergent validity of a momentary food addiction scale. Method: Adults (N = 49) who met criteria for binge-eating disorder and/or food addiction (age = 34.9 ± 12.1 years; 77.1% cisgender female; 55.1% non-Hispanic White) completed online questionnaires and a 10-day EMA protocol. Analyses examined (a) associations between the YFAS 2.0 and EMA-measured variables corresponding to food addiction criteria, (b) reliability of a momentary food addiction scale (EMA-FA), and (c) concurrent associations between EMA-FA and EMA-measured negative affect, impulsivity, eating expectancies, body satisfaction, consumption of palatable food, and taste response to palatable food. Results: YFAS scores were associated with EMA-reported variables corresponding to food addiction criteria ( ps < .045). The multilevel reliability for EMA-FA was adequate (ω = .75-.94). Individuals with higher EMA-FA scores reported greater negative affect, impulsivity, appetite, palatable food consumption, taste response to palatable food, and contrary to expectations, greater body satisfaction ( ps < .01). Within-person effects emerged for EMA-FA predicting higher negative affect, impulsivity, likelihood of palatable food consumption, more pleasurable taste responses after consuming palatable foods, yet lower body satisfaction, appetite, and eating expectancies ( ps < .01). Conclusions: Results support the ecological validity of the YFAS 2.0, and additional evidence of convergent validity and internal consistency was demonstrated for a momentary food addiction scale. This assessment of the psychometric properties of the YFAS will ultimately further its utility and relevance in the study and diagnosis of food addiction.
Public Health Significance StatementBy examining the ecological validity of the Yale Food Addiction Scale (YFAS 2.0), this study contributes to the growing body of literature on food addiction, a condition that has been linked to binge eating, psychosocial impairment, as well as obesity, a continually rising public health problem (Gearhardt et al., 2011(Gearhardt et al., , 2012. This topic is especially important given that obesity and dysregulated eating behaviors such as binge eating disproportionately affect those with food insecurity and individuals of lower socioeconomic status (Christensen et al., 2021). Further, by evaluating the psychometric properties of YFAS 2.0, this study provided further support for the YFAS 2.0 to be used more broadly in clinical settings to detect symptoms of food addiction in these disadvantaged populations. Finally, this study recruited a diverse sample, and we were able to explore eating behaviors that are prevalent in racial minorities and women, both subsets of people that persistently experienced social disadvantage, discrimination, and health disparities.