Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders

Background and aims: Food addiction (FA) and substance use (SU) have frequently been reported in patients with eating disorders (EDs). Our study aimed to assess the prevalence rates of FA and/or lifetime problematic alcohol and illicit drug use among patients with specific ED, such as: bulimia nervo...

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Autores: Miranda Olivos, Romina, Agüera, Zaida, Granero, Roser, Vergeer, Rhianna R., Dieguez, Carlos, Jiménez-Murcia, Susana, Gearhardt, Ashley N., Fernández Aranda, Fernando
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/185169
Acceso en línea:https://hdl.handle.net/2445/185169
Access Level:acceso abierto
Palabra clave:Trastorns de la conducta alimentària
Alcoholisme
Drogoaddicció
Eating disorders
Alcoholism
Drug addiction
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spelling Food addiction and lifetime alcohol and illicit drugs use in specific eating disordersMiranda Olivos, RominaAgüera, ZaidaGranero, RoserVergeer, Rhianna R.Dieguez, CarlosJiménez-Murcia, SusanaGearhardt, Ashley N.Fernández Aranda, FernandoTrastorns de la conducta alimentàriaAlcoholismeDrogoaddiccióEating disordersAlcoholismDrug addictionBackground and aims: Food addiction (FA) and substance use (SU) have frequently been reported in patients with eating disorders (EDs). Our study aimed to assess the prevalence rates of FA and/or lifetime problematic alcohol and illicit drug use among patients with specific ED, such as: bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding and eating disorder (OSFED). We sought to identify clinical, psychopathological, and personality profiles involved in these addictive behavior-based phenotypes. Methods: The total sample was 527 patients (176 BN, 115 BED, and 236 OSFED). FA was assessed through the Yale Food Addiction Scale 2.0. To determine lifetime SU, a semi structured clinical interview was carried out. Results: Patients with BN had the highest rates of FA both with and without SU. No gender differences were obtained for the prevalence of current FA and/or lifetime SU. Patients reporting at least one addictive-related behavior exhibited increased clinical severity compared to those who reported none. Increased impulsivity (such as high lack of premeditation, sensation seeking, and positive urgency) and low self-directedness were differentiating factors for presenting one or two addictive behaviors. Discussion and Conclusions: Overall, patients presenting with at least one addictive-like behavior reported a poorer clinical status than those without. Also, patients with FA and SU exhibited a more dysfunctional profile characterized by high impulsivity and low selfdirectedness. These findings would support the need for targeted treatments to reduce impulsivity and increase self-directedness, especially in patients with any addictive-related behavior, as a step towards improving their treatment outcome.AKJournals2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/185169Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https;//doi.org/10.1556/2006.2021.00087Journal of Behavioral Addictions, 2022, vol. 11, num. 1, p. 102–115https;//doi.org/10.1556/2006.2021.00087cc by-nc (c) Miranda Olivos, Romina et al., 2022http://creativecommons.org/licenses/by-nc/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1851692026-05-27T06:46:51Z
dc.title.none.fl_str_mv Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
title Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
spellingShingle Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
Miranda Olivos, Romina
Trastorns de la conducta alimentària
Alcoholisme
Drogoaddicció
Eating disorders
Alcoholism
Drug addiction
title_short Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
title_full Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
title_fullStr Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
title_full_unstemmed Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
title_sort Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
dc.creator.none.fl_str_mv Miranda Olivos, Romina
Agüera, Zaida
Granero, Roser
Vergeer, Rhianna R.
Dieguez, Carlos
Jiménez-Murcia, Susana
Gearhardt, Ashley N.
Fernández Aranda, Fernando
author Miranda Olivos, Romina
author_facet Miranda Olivos, Romina
Agüera, Zaida
Granero, Roser
Vergeer, Rhianna R.
Dieguez, Carlos
Jiménez-Murcia, Susana
Gearhardt, Ashley N.
Fernández Aranda, Fernando
author_role author
author2 Agüera, Zaida
Granero, Roser
Vergeer, Rhianna R.
Dieguez, Carlos
Jiménez-Murcia, Susana
Gearhardt, Ashley N.
Fernández Aranda, Fernando
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Trastorns de la conducta alimentària
Alcoholisme
Drogoaddicció
Eating disorders
Alcoholism
Drug addiction
topic Trastorns de la conducta alimentària
Alcoholisme
Drogoaddicció
Eating disorders
Alcoholism
Drug addiction
description Background and aims: Food addiction (FA) and substance use (SU) have frequently been reported in patients with eating disorders (EDs). Our study aimed to assess the prevalence rates of FA and/or lifetime problematic alcohol and illicit drug use among patients with specific ED, such as: bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding and eating disorder (OSFED). We sought to identify clinical, psychopathological, and personality profiles involved in these addictive behavior-based phenotypes. Methods: The total sample was 527 patients (176 BN, 115 BED, and 236 OSFED). FA was assessed through the Yale Food Addiction Scale 2.0. To determine lifetime SU, a semi structured clinical interview was carried out. Results: Patients with BN had the highest rates of FA both with and without SU. No gender differences were obtained for the prevalence of current FA and/or lifetime SU. Patients reporting at least one addictive-related behavior exhibited increased clinical severity compared to those who reported none. Increased impulsivity (such as high lack of premeditation, sensation seeking, and positive urgency) and low self-directedness were differentiating factors for presenting one or two addictive behaviors. Discussion and Conclusions: Overall, patients presenting with at least one addictive-like behavior reported a poorer clinical status than those without. Also, patients with FA and SU exhibited a more dysfunctional profile characterized by high impulsivity and low selfdirectedness. These findings would support the need for targeted treatments to reduce impulsivity and increase self-directedness, especially in patients with any addictive-related behavior, as a step towards improving their treatment outcome.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/185169
url https://hdl.handle.net/2445/185169
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https;//doi.org/10.1556/2006.2021.00087
Journal of Behavioral Addictions, 2022, vol. 11, num. 1, p. 102–115
https;//doi.org/10.1556/2006.2021.00087
dc.rights.none.fl_str_mv cc by-nc (c) Miranda Olivos, Romina et al., 2022
http://creativecommons.org/licenses/by-nc/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc (c) Miranda Olivos, Romina et al., 2022
http://creativecommons.org/licenses/by-nc/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv AKJournals
publisher.none.fl_str_mv AKJournals
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,298079

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