食物成瘾概念的实际影响的批判性研究
A Critical Examination of the Practical Implications Derived from the Food Addiction Concept.
机构信息
Department of Psychology, University of Salzburg, Hellbrunner Straße 34, 5020, Salzburg, Austria.
Center for Cognitive Neuroscience, University of Salzburg, Salzburg, Austria.
出版信息
Curr Obes Rep. 2019 Mar;8(1):11-17. doi: 10.1007/s13679-019-0326-2.
PURPOSE OF REVIEW
Adopting an addiction perspective on eating disorders and obesity may have practical implications for diagnostic classification, prevention, and treatment of these disorders. The present article critically examines these implications derived from the food addiction concept.
RECENT FINDINGS
Introducing food addiction as a new disorder in diagnostic classification system seems redundant as most individuals with an addiction-like eating behavior are already covered by established eating disorder diagnoses. Food addiction may be a useful metaphor in the treatment of binge eating, but would be inappropriate for the majority of obese individuals. Implying an addiction to certain foods is not necessary when applying certain approaches inspired by the addiction field for prevention and treatment of obesity. The usefulness of abstinence models in the treatment of eating disorders and obesity needs to be rigorously tested in future studies. Some practical implications derived from the food addiction concept provide promising avenues for future research (e.g., using an addiction framework in the treatment of binge eating or applying abstinence models). For others, however, the necessity of implying an addiction to some foods needs to be scrutinized.
目的综述
采用成瘾的观点来看待饮食障碍和肥胖症可能对这些障碍的诊断分类、预防和治疗具有实际意义。本文批判性地审查了源于食物成瘾概念的这些影响。
最新发现
将食物成瘾作为一种新的疾病纳入诊断分类系统似乎是多余的，因为大多数具有类似成瘾的进食行为的个体已经涵盖在现有的进食障碍诊断中。食物成瘾可能是暴食治疗的一个有用的比喻，但对大多数肥胖者来说是不恰当的。在预防和治疗肥胖症时应用某些受成瘾领域启发的方法时，暗示对某些食物的成瘾是不必要的。在未来的研究中，需要严格测试禁欲模型在治疗饮食障碍和肥胖症中的有效性。食物成瘾概念衍生的一些实际影响为未来的研究提供了有前景的途径（例如，在治疗暴食症中采用成瘾框架或应用禁欲模型）。然而，对于其他一些影响，暗示对某些食物的成瘾的必要性需要仔细审查。
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