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Title: Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders
Author: Miranda Olivos, Romina
Agüera, Zaida
Granero, Roser
Vergeer, Rhianna R.
Dieguez, Carlos
Jiménez-Murcia, Susana
Gearhardt, Ashley N.
Fernández Aranda, Fernando
Keywords: Trastorns de la conducta alimentària
Eating disorders
Drug addiction
Issue Date: 2022
Publisher: AKJournals
Abstract: 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.
Note: Reproducció del document publicat a: https;//
It is part of: Journal of Behavioral Addictions, 2022, vol. 11, num. 1, p. 102–115
Related resource: https;//
ISSN: 2063-5303
Appears in Collections:Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)

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