Food addiction in anorexia nervosa: implications for the understanding of crossover diagnosis

Objective: Food addiction (FA) construct was introduced to reflect abnormal eating patterns that resemble behavioural ones found in substance use disorders. FA has been barely explored in anorexia nervosa (AN). This study evaluated FA occurrence and associated factors in a sample of patients with AN...

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Detalhes bibliográficos
Autores: Sánchez, Isabel, Lucas, Ignacio, Munguía, Lucero, Camacho Barcia, Lucía, Giménez, Mónica, Sánchez González, Jéssica, Granero, Roser, Solé Morata, Neus, Gearhardt, Ashley N., Diéguez, Carlos, Jiménez-Murcia, Susana, Fernández Aranda, Fernando
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2022
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositório:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/190784
Acesso em linha:https://hdl.handle.net/2445/190784
Access Level:Acceso aberto
Palavra-chave:Anorèxia nerviosa
Psicopatologia
Personalitat
Diagnòstic
Anorexia nervosa
Pathological psychology
Personality
Diagnosis
Descrição
Resumo:Objective: Food addiction (FA) construct was introduced to reflect abnormal eating patterns that resemble behavioural ones found in substance use disorders. FA has been barely explored in anorexia nervosa (AN). This study evaluated FA occurrence and associated factors in a sample of patients with AN, distinguishing between restrictive and binge-purging subtypes and focussing on the influence of FA in the crossover diagnosis between them. Method: A sample of 116 patients with AN admitted for treatment seeking at an Bellvitge Hospital Eating Disorders Unit were included (72 restrictive [AN-R]; 44 binge-purge AN [AN-BP]), and eating-related, personality and psychopathological variables were assessed. Most participants were women (92.2%), mean age 27.1 years old (SD = 10.5). Results: FA was more prevalent in patients with AN-BP compared to the AN-R group (75.0% and 54.2%, respectively). The patients with AN-R FA+, presented more similar ED symptomatology, general psychopathology and personality traits, with the AN-BP patients, than with the AN-R FA-. Conclusions: Patients with AN-R FA+, exhibit more similarities with the AN-BP subgroup than with the AN-R FA-. Thus, it is possible to hypothesise that the presence of FA might be an indicator of the possible crossover from AN-R to AN-BP.