耶鲁食物成瘾量表 2.0 的生态有效性及即时食物成瘾症状。

The ecological validity of the Yale Food Addiction Scale 2.0 and momentary food addiction symptoms.

机构信息

Department of Psychiatry and Behavioral Sciences, University of Southern California.

Department of Population and Public Health Sciences, University of Southern California.

出版信息

Psychol Addict Behav. 2024 Aug;38(5):628-636. doi: 10.1037/adb0001014. Epub 2024 Jun 13.

Abstract

OBJECTIVE

This study assessed the ecological validity of the Yale Food Addiction Scale (YFAS 2.0) with ecological momentary assessment (EMA) and explored the internal consistency and convergent validity of a momentary food addiction scale.

METHOD

Adults ( = 49) who met criteria for binge-eating disorder and/or food addiction (age = 34.9 ± 12.1 years; 77.1% cisgender female; 55.1% non-Hispanic White) completed online questionnaires and a 10-day EMA protocol. Analyses examined (a) associations between the YFAS 2.0 and EMA-measured variables corresponding to food addiction criteria, (b) reliability of a momentary food addiction scale (EMA-FA), and (c) concurrent associations between EMA-FA and EMA-measured negative affect, impulsivity, eating expectancies, body satisfaction, consumption of palatable food, and taste response to palatable food.

RESULTS

YFAS scores were associated with EMA-reported variables corresponding to food addiction criteria (s < .045). The multilevel reliability for EMA-FA was adequate (ω = .75-.94). Individuals with higher EMA-FA scores reported greater negative affect, impulsivity, appetite, palatable food consumption, taste response to palatable food, and contrary to expectations, greater body satisfaction (s < .01). Within-person effects emerged for EMA-FA predicting higher negative affect, impulsivity, likelihood of palatable food consumption, more pleasurable taste responses after consuming palatable foods, yet lower body satisfaction, appetite, and eating expectancies (s < .01).

CONCLUSIONS

Results support the ecological validity of the YFAS 2.0, and additional evidence of convergent validity and internal consistency was demonstrated for a momentary food addiction scale. This assessment of the psychometric properties of the YFAS will ultimately further its utility and relevance in the study and diagnosis of food addiction. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

本研究通过生态瞬时评估(EMA)评估耶鲁食物成瘾量表(YFAS 2.0)的生态有效性,并探讨瞬时食物成瘾量表的内部一致性和聚合效度。

方法

符合暴食障碍和/或食物成瘾标准的成年人(n=49;年龄=34.9±12.1 岁;77.1%为跨性别女性;55.1%为非西班牙裔白人)完成了在线问卷和 10 天 EMA 方案。分析包括:(a)YFAS 2.0 与对应食物成瘾标准的 EMA 测量变量之间的相关性;(b)瞬时食物成瘾量表(EMA-FA)的可靠性;(c)EMA-FA 与 EMA 测量的负性情绪、冲动、饮食期望、身体满意度、美味食物消费和美味食物味觉反应之间的同期相关性。

结果

YFAS 评分与 EMA 报告的对应食物成瘾标准的变量相关(p<0.045)。EMA-FA 的多水平可靠性适中(ω=0.75-0.94)。EMA-FA 得分较高的个体报告了更多的负性情绪、冲动、食欲、美味食物消费、美味食物味觉反应,出乎意料的是,他们的身体满意度更高(p<0.01)。个体内效应表明,EMA-FA 预测了更高的负性情绪、冲动、美味食物消费的可能性、食用美味食物后更愉悦的味觉反应,然而降低了身体满意度、食欲和饮食期望(p<0.01)。

结论

结果支持 YFAS 2.0 的生态有效性,并且为瞬时食物成瘾量表提供了额外的聚合效度和内部一致性证据。对 YFAS 心理测量特性的评估将最终提高其在食物成瘾的研究和诊断中的效用和相关性。(APA,所有权利保留)。

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