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食物成瘾的患病率及相关因素:使用 YFAS 2.0 进行的研究系统综述。

Prevalence and correlates of food addiction: Systematic review of studies with the YFAS 2.0.

机构信息

Eating Disorders Program (AMBULIM/PROTAD), Institute of Psychiatry, University of São Paulo, São Paulo, Brazil; School of Medicine, University of São Paulo, São Paulo, Brazil.

Faculty of Philosophy, Science and Letters of Ribeirão Preto, University of São Paulo, Brazil.

出版信息

Obes Res Clin Pract. 2021 May-Jun;15(3):191-204. doi: 10.1016/j.orcp.2021.03.014. Epub 2021 Apr 10.

Abstract

BACKGROUND

Research on food addiction (FA) has been growing and increasing interest has been seen in comprehending its mechanisms and clinical and psychological correlates of this phenomena. This field of study is specially apply to understand obesity and eating behavior issues related to eating disorders (ED).

OBJECTIVES

We performed a literature review that describe recent research using the updated version of the Yale Food Addiction Scale (YFAS 2.0) or modified-YFAS (mYFAS 2.0), from the date of its publication.

METHODS

Search were performed in Web of Science, Pubmed and PsycNET databases for studies that used the YFAS 2.0 and mYFAS 2.0.

RESULTS

The studies (n = 53) investigated adaptation and validation of the scale in different cultures (n = 13), prevalence on nonclinical populations and representative samples (n = 5), food addiction in obesity samples (n = 11), in samples with ED and disordered eating (n = 10) and studies that investigated FA in association with other clinical and psychological variables (n = 14).

DISCUSSION

Studies with the YFAS 2.0 reveal higher prevalence of FA in different samples, and a great association between FA and BED, BN and obesity. Implications for diagnostic of this phenomena and the overlap between FA and other disorders are discussed.

CONCLUSIONS

The field of FA remains an open subject and effort must be implied to understand the subjective experience of addiction related to eating and food.

摘要

背景

对食物成瘾(FA)的研究一直在不断发展,人们越来越关注理解其机制以及这种现象的临床和心理相关性。该研究领域特别适用于理解与饮食失调(ED)相关的肥胖和饮食行为问题。

目的

我们对最近使用耶鲁食物成瘾量表(YFAS 2.0)或改良-YFAS(mYFAS 2.0)的研究进行了文献综述,这些研究自其发表以来一直在进行。

方法

在 Web of Science、Pubmed 和 PsycNET 数据库中搜索使用 YFAS 2.0 和 mYFAS 2.0 的研究。

结果

这些研究(n=53)调查了该量表在不同文化中的适应性和验证(n=13)、非临床人群和代表性样本中的流行率(n=5)、肥胖样本中的食物成瘾(n=11)、ED 和饮食失调样本中的食物成瘾(n=10)以及调查 FA 与其他临床和心理变量之间关系的研究(n=14)。

讨论

使用 YFAS 2.0 的研究表明,不同样本中的 FA 患病率更高,并且 FA 与 BED、BN 和肥胖之间存在很大关联。讨论了这种现象的诊断含义以及 FA 与其他障碍之间的重叠。

结论

FA 领域仍然是一个开放的课题,必须努力理解与饮食和食物相关的成瘾的主观体验。

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