Illness perception in patients with eating disorders: clinical, personality, and food addiction correlates

Author(s):  
Zaida Agüera ◽  
Nadine Riesco ◽  
Eduardo Valenciano-Mendoza ◽  
Roser Granero ◽  
Isabel Sánchez ◽  
...  
2015 ◽  
Vol 156 ◽  
pp. e192 ◽  
Author(s):  
Marco Aurélio C. Rosa ◽  
Julie Collombat ◽  
Cecile M. Denis ◽  
Jean-Marc Alexandre ◽  
F. Serre ◽  
...  

2022 ◽  
Vol 12 ◽  
Author(s):  
Octavian Vasiliu

Food addiction is considered an important link for a better understanding of psychiatric and medical problems triggered by dysfunctions of eating behaviors, e. g., obesity, metabolic syndrome, binge eating disorder, or bulimia nervosa. At behavioral level, food addiction has high degrees of similarity with other eating disorders, a phenomenon that creates difficulties in finding specific diagnostic criteria. Food addiction has been also described as “eating addiction” or “eating dependence” by several researchers, who placed the emphasis on the behavior and not on the food itself. High-sodium foods, artificially flavored-foods, rich carbohydrate- and saturated fats-containing foods are triggers for the activation of the same neural pathways, therefore they act similarly to any drug of abuse. Food addiction is considered a disorder based on functional negative consequences, associated distress and potential risks to both psychological well-being and physical health. A clinical scale was validated for the quantification of the eating addiction severity, namely the Yale Food Addiction Severity Scale (YFAS), constructed to match DSM IV criteria for substance dependence. Using this instrument, a high prevalence of food addiction was found in the general population, up to 20% according to a meta-analytic research. The pathogenesis of this entity is still uncertain, but reward dysfunction, impulsivity and emotion dysregulation have been considered basic mechanisms that trigger both eating dysfunctions and addictive behaviors. Genetic factors may be involved in this dependence, as modulators of higher carbohydrate and saturate fat craving. Regarding the existence of potential therapeutic solutions, lorcaserin, antiepileptic drugs, opioid antagonists, antiaddictive agents are recommended for obesity and eating disorders, and they may be intuitively used in food addiction, but clinical trials are necessary to confirm their efficacy. In conclusion, a better understanding of food addiction's clinical profile and pathogenesis may help clinicians in finding prevention- and therapeutic-focused interventions in the near future.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2969 ◽  
Author(s):  
Rami Bou Khalil ◽  
Ghassan Sleilaty ◽  
Sami Richa ◽  
Maude Seneque ◽  
Sylvain Iceta ◽  
...  

Background: The current study aimed to test whether food addiction (FA) might mediate the relationship between the presence of a history of childhood maltreatment and eating disorder (ED) symptom severity. Methods: Participants were 231 patients with ED presenting between May 2017 and January 2020 to a daycare treatment facility for assessment and management with mainly the Eating Disorder Inventory-2 (EDI-2), the Child Trauma Questionnaire (CTQ), and the Yale Food Addiction Scale (YFAS 2.0). Results: Participants had a median age of 24 (interquartile range (IQR) 20–33) years and manifested anorexia nervosa (61.47%), bulimia nervosa (16.88%), binge-eating disorders (9.09%), and other types of ED (12.55%). They were grouped into those likely presenting FA (N = 154) and those without FA (N = 77). The group with FA reported higher scores on all five CTQ subscales, as well as the total score of the EDI-2 (p < 0.001). Using mediation analysis; significant indirect pathways between all CTQ subscales and the EDI-2 total score emerged via FA, with the largest indirect effect emerging for physical neglect (standardized effect = 0.208; 95% confidence interval (CI) 0.127–0.29) followed by emotional abuse (standardized effect = 0.183; 95% CI 0.109–0.262). Conclusion: These results are compatible with a model in which certain types of childhood maltreatment, especially physical neglect, may induce, maintain, and/or exacerbate ED symptoms via FA which may guide future treatments.


2013 ◽  
Vol 84 ◽  
pp. 1217-1220 ◽  
Author(s):  
Migle Dovydaitiene ◽  
Inga Maslauskiene

Author(s):  
Fatih Canan ◽  
Servet Karaca ◽  
Suna Sogucak ◽  
Omer Gecici ◽  
Murat Kuloglu

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 199-199
Author(s):  
Zhiping Yu ◽  
Paul Fuglestad ◽  
Madisen Reasonover

Abstract Objectives Both mental health and eating disorders are increasing health concerns for college students. This study aimed to examine associative links between psychological distress, eating disorder risk, food addiction, and weight related concerns among first semester college students. Methods Freshman students 18 years or older in all majors in a southeastern university were invited to take an online survey. The measures included demographic characteristics, psychological behaviors and eating disorder risks. Pearson's correlation analysis was used to assess associations. Results Ninety-two students (79.3% female, 61.5% white) completed the survey. Psychological distress significantly correlated with higher eating disorder risk (stress r = 0.28, anxiety r = 0.28, depression r = 0.42; P's &lt; 0.01), higher food addiction symptom count (stress r = 0.30, anxiety r = 0.34, depression r = 0.44; P's &lt; 0.01), and lower weight related quality of life (stress r = −0.27, anxiety r = −0.38, depression r = −0.52; P's &lt; 0.01). Greater anxiety also significantly correlated with lower self-reported dream weights (r = −0.23, P &lt; 0.05) and happy weights (r = −0.23, P &lt; 0.05). Conclusions The findings suggest that the management of psychological well-being of college students is important for prevention and treatment of eating disorders and weight issues in this population. Funding Sources Brooks College of Health, University of North Florida.


2018 ◽  
Vol 26 (2) ◽  
pp. 83-91 ◽  
Author(s):  
Janet Treasure ◽  
Monica Leslie ◽  
Rayane Chami ◽  
Fernando Fernández-Aranda

2014 ◽  
Vol 22 (6) ◽  
pp. 389-396 ◽  
Author(s):  
Roser Granero ◽  
Ines Hilker ◽  
Zaida Agüera ◽  
Susana Jiménez-Murcia ◽  
Sarah Sauchelli ◽  
...  

2020 ◽  
Vol 225 ◽  
pp. 6-11
Author(s):  
L.R. Aptikieva ◽  

The growth of addictive behavior in the teenage environment is caused by a number of reasons (economic, political, demographic, social stability). One of the groups of addictive behavior is eating disorders of adolescents: anorexia nervosa and bulimia. The problem of eating disorders in adolescence is gaining worldwide scope because it leads to impaired health, death, which necessitates a comprehensive study of it and the search for modern, effective methods of work in this direction, which is the aim of the study. My theoretical research allowed me to identify modern, effective methods of working with adolescents with eating disorders (group therapy, family, rational, behavioral, hypnosis); identify risk factors for eating disorders of adolescents (genetic, family, biological, age, personality, cultural, factors of stressful events); consider types of food addictions in adolescents (anorexia nervosa and bulimia). A common symptom for adolescents with food addiction is dysmorphomania; loss of perception of hunger and satiety; low self-esteem; decrease in the circle of interests; violation or loss of social ties; the predominance of depressed, depressive mood; the appearance of obsessive thoughts on food and calories; decreased interest in the opposite sex and sexual sphere. Types of food addiction in adolescents are: anorexia nervosa and bulimia – a common concern is the control of one’s body weight, a distortion of his image, a change in nutritional value in the hierarchy of values, the formation of a stable vomiting reflex, irritability of the intestines, and nervousness. Difference: anorexia leads to severe weight loss; represents a complete rejection of food (bulimia – a constant desire to consume food); is deadly. Prevention of addiction is early prevention; effective working methods: group therapy, family, rational, behavioral, hypnosis.


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