Food Addiction and Bulimia Nervosa
Food Addiction and Bulimia Nervosa
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DOI：
10.1002/erv.2306
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发表时间：
2014-09-01
影响因子：
5.3
通讯作者：
Blechert, Jens
中科院分区：
文献类型：
--
作者：
Meule, Adrian;von Rezori, Vittoria;Blechert, Jens
在肥胖和暴饮暴食症（BED）患者中，饮食模式可能表现出上瘾的特质，在行为和神经生物学水平上与物质使用障碍相似。神经性贪食症（BN）在这方面受到的关注较少，尽管他们有规律的暴食症状。耶鲁食物成瘾量表（YFAS）是根据《精神疾病诊断与统计手册》第四版制定的，该手册是物质使用障碍的诊断标准，当至少有三种成瘾症状得到认可，并且存在临床显著的损害或痛苦时，就可以诊断出食物成瘾。虽然在肥胖和BED患者中，食物成瘾诊断的患病率有所上升，但最近使用YFAS的研究表明，也有体重正常的人可以被归类为“食物成瘾”。根据自我报告的饮食失调症状，患有当前（n = 26）或缓解（n = 20） BN的女性，以及年龄和体重指数相匹配的对照组（n = 63）的女性完成了YFAS和其他测量。结果显示，根据YFAS，所有目前BN的患者都接受了食物成瘾诊断，而只有6名（30%）BN缓解的女性接受了食物成瘾诊断。对照组中没有一个女性被诊断为食物成瘾。结果支持BN可以被描述为类似成瘾的饮食行为的概念，并表明当BN症状减轻时，食物成瘾最有可能改善。版权所有(C) 2014约翰威利父子有限公司和饮食失调协会。
In individuals with obesity and binge eating disorder (BED), eating patterns can show addictive qualities, with similarities to substance use disorders on behavioural and neurobiological levels. Bulimia nervosa (BN) has received less attention in this regard, despite their regular binge eating symptoms. The Yale Food Addiction Scale (YFAS) was developed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnostic criteria for substance use disorders, and food addiction can be diagnosed when at least three addiction symptoms are endorsed and a clinically significant impairment or distress is present. Although the prevalence of food addiction diagnoses is increased in individuals with obesity and BED, recent studies which used the YFAS showed that there are also individuals with normal weight who can be classified as being 'food addicted'. Based on self-reported eating disorder symptoms, women with current (n = 26) or remitted (n = 20) BN, and a control group of women matched for age and body mass index (n = 63) completed the YFAS and other measures. Results revealed that all patients with current BN received a food addiction diagnosis according to the YFAS while only six (30%) women with remitted BN did. None of the women in the control group received a food addiction diagnosis. Results provide support for the notion that BN can be described as addiction-like eating behaviour and suggest that food addiction most likely improves when BN symptoms remit. Copyright (C) 2014 John Wiley & Sons, Ltd and Eating Disorders Association.