School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, 2308, Australia.
Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, 2308, Australia.
Eat Weight Disord. 2021 Dec;26(8):2779-2786. doi: 10.1007/s40519-021-01147-y. Epub 2021 Mar 1.
There is increasing interest in food addiction and its potential treatment. However, little is known about the characteristics of people seeking addictive eating treatment, which is important to develop appropriate treatment and referral pathways. The aim was to describe the characteristics of individuals seeking addictive eating treatment and examine differences between eligible participants who did and did not engage in treatment.
Participants interested in an addictive eating treatment were recruited to an online screening survey. The 55-item survey included demographic questions, body satisfaction; weight-loss attempts; the modified Yale Food Addiction Survey (mYFAS); the Binge Eating Scale and mental health outcomes (DASS-21).
Individuals seeking addictive eating treatment (n = 309) were predominantly female (61%), from the obese BMI category (67%) and had accessed a range of services for weight loss (97%). Using multiple logistic regression, participants with higher mYFAS scores were more likely to engage in treatment (AOR 1.68; 95% CI 1.12-2.52), while participants with higher DASS total scores were less likely to engage in treatment (AOR 0.97; 95% CI 0.95-0.99).
This study indicates considerable interest from consumers in seeking addictive eating treatment. Individuals who did not engage in treatment displayed higher mental health comorbidity, suggesting that higher mental health symptomatology may be a barrier to treatment. Future qualitative research is needed to provide an in-depth understanding of the reasons for seeking and engaging in addictive eating treatment, as well as to identify the optimal treatments and referral pathways.
Level IV.
人们对食物成瘾及其潜在治疗方法越来越感兴趣。然而，对于寻求成瘾性饮食治疗的人群特征知之甚少，而了解这些特征对于开发适当的治疗和转介途径很重要。本研究旨在描述寻求成瘾性饮食治疗的个体的特征，并探讨符合条件的参与者中接受和未接受治疗者之间的差异。
对有兴趣接受成瘾性饮食治疗的参与者进行了在线筛查调查。该 55 项调查包括人口统计学问题、身体满意度、减肥尝试、改良耶鲁食物成瘾量表（mYFAS）、暴食量表和心理健康结果（DASS-21）。
寻求成瘾性饮食治疗的个体（n=309）主要为女性（61%），来自肥胖 BMI 类别（67%），并使用了多种服务来减肥（97%）。使用多因素逻辑回归，mYFAS 评分较高的参与者更有可能接受治疗（优势比 1.68；95%置信区间 1.12-2.52），而 DASS 总分较高的参与者更不可能接受治疗（优势比 0.97；95%置信区间 0.95-0.99）。
本研究表明，消费者对寻求成瘾性饮食治疗表现出浓厚的兴趣。未接受治疗的个体表现出更高的心理健康共病，这表明更高的心理健康症状可能是治疗的障碍。未来需要进行定性研究，以深入了解寻求和接受成瘾性饮食治疗的原因，并确定最佳的治疗和转介途径。
IV 级。
