Food addiction and psychiatric comorbidities: a review of current evidence
Food addiction and psychiatric comorbidities: a review of current evidence
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DOI：
10.1007/s40519-020-01021-3
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发表时间：
2020-09
期刊：
影响因子：
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通讯作者：
A. Piccinni;Rachele Bucchi;C. Fini;F. Vanelli;M. Mauri;Tiziana Stallone;Ernesto Daniel Cavallo;Cargioli Claudio
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文献类型：
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作者：
A. Piccinni;Rachele Bucchi;C. Fini;F. Vanelli;M. Mauri;Tiziana Stallone;Ernesto Daniel Cavallo;Cargioli Claudio
食物成瘾（FA）的特点是食用可口的食物，并伴有成瘾的心理和行为症状，如渴望、耐受性、对物质摄入的控制有限和戒断症状。尽管先前对FA的研究由于缺乏对这种情况的正式定义而受阻，但最近的全球趋势已经激起了科学界对FA的适当分类和构建的兴趣。更具体地说，最近的研究指出，FA、饮食障碍、情绪障碍、焦虑症、物质相关障碍和成瘾障碍之间存在共同的缺陷神经生物学机制以及常见的合并症。目的综述食物成瘾的复杂症状，评价其与情绪障碍、焦虑症、进食障碍、物质相关障碍和成瘾性障碍的关系。方法撰写系统综述，采用PRISMA方法。结果FA患者和物质使用障碍患者具有相似的危险因素、神经生物学和激素相关性、人格特征和症状特征。FA的存在似乎与情感障碍症状的负担成正比。FA与其他饮食失调的合并症与较差的临床状况和症状有关。结论fa应被认为是存在于不同精神病理领域的一种跨科结构，与物质相关障碍、情感障碍和饮食障碍有相似之处。此外，FA似乎可能是与几个精神病理维度相关的重要因素，但需要进一步的研究来澄清这一观点。证据等级：V级，综述文章。
BackgroundFood addiction (FA) is characterised by the consumption of appetible foods and by addictive psychological and behavioural symptoms such as cravings, tolerance, limited control of substance intake and withdrawal symptoms. Despite previous research on FA has been hindered by the lack of a formal definition for this condition, recent global trends have stirred the interest of the scientific community towards a proper classification and construct of FA. More specifically, recent studies have pointed towards shared defective neurobiological mechanisms as well as frequent comorbidities between FA, eating disorders, mood disorders, anxiety disorders and substance-related and addictive disorders.ObjectiveIn this review, we will provide an overview of the complex symptomatology of food addiction evaluating its relationship with mood disorders, anxiety disorders, eating disorders and substance-related and addictive disorders.MethodsWe wrote a systematic review and followed a PRISMA methods.ResultsPatients with FA and substance use disorders show similar risk factors, neurobiological and hormonal correlates, personality traits and symptom profiles. The presence of FA appears to be directly proportional to the burden of symptoms of affective disorder. The comorbidity between FA and other eating disorders is associated with worse clinical conditions and symptoms.ConclusionFA should be considered a sort of transnosological construct existing in different psychopathological domains that have similarities with substance-related, affective, and eating disorders. Furthermore, FA seems to be likely an important factor related to several psychopathological dimensions, but further studies are needed to clarify this view.Level of evidenceLevel V, review article.