Unwin Jen, Delon Christine, Giæver Heidi, Kennedy Clarissa, Painschab Molly, Sandin Frida, Poulsen Charlotte Schon, Wiss David A
The Collaborative Health Community, Oxford, United Kingdom.
Sweet Sobriety, Belgrade, MT, United States.
Front Psychiatry. 2025 Apr 14;16:1556988. doi: 10.3389/fpsyt.2025.1556988. eCollection 2025.
The topic of ultra-processed food addiction has been the subject of many peer-reviewed publications. Although on average 14% of adults may meet the criteria for ultra-processed food addiction in prevalence studies, it is not a recognized clinical diagnosis, hence a lack of published evidence-based treatment protocols and outcome data. In 2022, we reported outcomes pre- and post-intervention from an online, real food-based, low-carbohydrate educational program with psychosocial support related to ultra-processed food addiction recovery. The intervention was delivered across three locations, offering a common approach. The programs comprised weekly online sessions for 10-14 weeks, followed by monthly support groups. The previously published data were outcomes relating to ultra-processed food addiction symptoms measured by the modified Yale Food Addiction Scale 2.0, ICD-10 symptoms of substance use disorder related to food (CRAVED), and mental well-being as measured by the short version of the Warwick Edinburgh Mental Wellbeing Scale, pre- and post-intervention. The current report focuses on the same cohort's 6- and 12-month follow-up data. The 12-month follow-up data show significant, sustained improvement in ultra-processed food addiction symptoms and mental well-being. These data are the first long-term follow-up results to be published for a food addiction program. Research is now needed to evaluate and compare other long-term interventions for this impairing and increasingly prevalent biopsychosocial condition.
超加工食品成瘾这一话题已成为众多同行评审出版物的主题。尽管在患病率研究中,平均有14%的成年人可能符合超加工食品成瘾的标准,但它并非公认的临床诊断,因此缺乏已发表的循证治疗方案和结果数据。2022年,我们报告了一项基于真实食物的在线低碳水化合物教育项目在干预前后的结果,该项目提供与超加工食品成瘾康复相关的心理社会支持。干预在三个地点进行,采用共同的方法。这些项目包括为期10至14周的每周在线课程,随后是每月的支持小组。先前发表的数据是关于通过改良的耶鲁食物成瘾量表2.0测量的超加工食品成瘾症状、与食物相关的物质使用障碍的国际疾病分类第10版症状(CRAVED)以及通过沃里克-爱丁堡心理健康量表简版测量的心理健康状况在干预前后的情况。本报告重点关注同一队列的6个月和12个月随访数据。12个月的随访数据显示,超加工食品成瘾症状和心理健康状况有显著且持续的改善。这些数据是首个针对食物成瘾项目发表的长期随访结果。现在需要开展研究,以评估和比较针对这种损害性且日益普遍的生物心理社会状况的其他长期干预措施。