Department of Psychiatry, University of São Paulo, Rua Artur de Azevedo, 145, Cerqueira Cesar, São Paulo CEP 05404-010, SP, Brasil.
Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada.
Nutrients. 2020 Nov 4;12(11):3388. doi: 10.3390/nu12113388.
Little is known about the characteristics of individuals seeking treatment for food addiction (FA), and the clinical utility of FA has yet to be established. To address these gaps, we examined (i) the demographic, eating pathology, and psychiatric conditions associated with FA and (ii) whether FA is associated with psychosocial impairments when accounting for eating-related and other psychopathology. Forty-six patients seeking treatment for FA completed self-report questionnaires and semi-structured clinical interviews. The majority of the sample were women and self-identified as White, with a mean age of 43 years. Most participants (83.3%) presented with a comorbid psychiatric condition, most commonly anxiety and mood disorders, with a mean of 2.31 comorbid conditions. FA was associated with binge eating severity and anxiety symptoms, as well as psychological, physical, and social impairment. In regression analyses controlling for binge eating severity, food cravings, depression, and anxiety, FA remained a significant predictor only of social impairment. Taken together, the results suggest that individuals seeking treatment for FA are likely to present with significant comorbid conditions, in particular anxiety disorders. The results of the present research provide evidence for the clinical utility of FA, particularly in explaining social impairment.
关于寻求食物成瘾(FA)治疗的个体的特征,以及 FA 的临床实用性知之甚少。为了解决这些差距,我们研究了(i)与 FA 相关的人口统计学、饮食病理学和精神状况,以及(ii)在考虑与饮食相关的和其他精神病理学时,FA 是否与心理社会障碍有关。46 名寻求 FA 治疗的患者完成了自我报告问卷和半结构化临床访谈。样本中的大多数是女性,自认为是白人,平均年龄为 43 岁。大多数参与者(83.3%)存在共病精神状况,最常见的是焦虑和情绪障碍,共病 2.31 种。FA 与暴食严重程度和焦虑症状以及心理、身体和社会障碍有关。在控制暴食严重程度、食物渴求、抑郁和焦虑的回归分析中,FA 仍然是社会障碍的唯一显著预测因子。总的来说,这些结果表明,寻求 FA 治疗的个体可能存在严重的共病状况,特别是焦虑障碍。本研究的结果为 FA 的临床实用性提供了证据,特别是在解释社会障碍方面。