From substances to food: an examination of addiction shift in individuals undergoing residential treatment for substance use
From substances to food: an examination of addiction shift in individuals undergoing residential treatment for substance use
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DOI：
10.1080/16066359.2018.1516757
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发表时间：
2019-07-04
影响因子：
2.9
通讯作者：
Gearhardt, Ashley N.
中科院分区：
文献类型：
--
作者：
Koball, Afton M.;Glodosky, Nicholas C.;Gearhardt, Ashley N.
背景资料：成瘾转变（也称为“交叉”，“转移”或“替代”成瘾）是一个常见的主题，出现在从物质使用障碍恢复的文献中。一些研究表明，那些从一种物质使用障碍中恢复过来的人，患上另一种物质使用障碍的风险会增加。尽管在这一领域已有研究，但人们对个体如何在从物质使用障碍中恢复时有可能对食物成瘾的风险知之甚少。研究方法：目前的研究试图检查成瘾的转变，特别是在44名接受物质使用障碍住院治疗的参与者中从物质到食物的转变。据推测，药物和/或酒精使用的渴望将下降，从前（在摄入住宅治疗）到后（在出院的住宅治疗），而食物成瘾和/或食物渴望将增加。结果如下：从治疗前到治疗后，观察到平均体重指数、酒精渴望、冲动行为、痛苦耐受力、抑郁和焦虑的评分有显著变化。在测量食物成瘾或食物渴望的分数方面，从治疗前到治疗后没有观察到显著差异。结论：前后措施的变化表明，药物和/或酒精使用的渴望下降。与最初的假设相反，食物成瘾和食物渴望在基线时相对较低，并且从术前到术后没有变化。心理因素的探索性事后分析表明，冲动，痛苦的容忍度，抑郁和焦虑下降，从前到后。短的随访时间和竞争理论可能是这些发现的重要因素。
Background: Addiction shift (also known as "Cross," "Transfer," or "Substitute" addiction) is a common theme that emerges in the literature on recovery from substance use disorders. Some research has suggested that those who recover from one substance use disorder are at increased risk of developing another. Despite existing research in this area, little is known about how individuals may be at risk of developing an addiction to food as they recover from a substance use disorder. Methods: The current study sought to examine addiction shift, specifically from substances to food in 44 participants undergoing residential treatment for substance use disorders. It was hypothesized that drug and/or alcohol use cravings would go down from pre (at intake to residential treatment) to post (at discharge from residential treatment), while food addiction and/or food craving would increase. Results: Significant changes were observed from pre to post for mean body mass index, and scores from measures assessing alcohol cravings, impulsive behaviors, distress tolerance, depression, and anxiety. No significant differences from pre to post were observed for scores measuring food addiction or food cravings. Conclusions: Changes in pre to post measures indicated that drug and/or alcohol use cravings decreased. Contrary to original hypotheses, food addiction and food craving was relatively low at baseline and did not change from pre to post. Exploratory post-hoc analyses of psychological factors suggested that impulsivity, distress tolerance, depression, and anxiety went down from pre to post. Short follow-up timeframe and competition theory are likely important factors in these findings.