Stojek Monika M, Łukowska Marta, Sokołowska Maryla, Nowacki Ari, Zielińska Joanna, Duszkiewicz Roksana, Różycka Jagoda, Crosby Ross D
Institute of Psychology, University of Silesia, Katowice, Poland.
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Eur J Psychotraumatol. 2025 Dec;16(1):2508015. doi: 10.1080/20008066.2025.2508015. Epub 2025 Jun 11.
Food addiction (FA) and posttraumatic stress disorder (PTSD) are each associated with obesity and adverse psychological outcomes. The goal of this study was to generate symptom profiles based on varying levels of FA and PTSD symptoms. We hypothesised four profiles: PTSD + FA; PTSD; FA; healthy.: In a general Polish population ( = 2245), scores on PTSD Checklist for DSM-5 (PCL-5), Lifetime Events Checklist (LEC), and Yale FA Scale (YFAS) were used as indicators in the latent profile analysis. Gender and Negative Urgency (SUPPS-P) were used as predictors of profile membership. Scores on Emotional Eating (DEBQ), AUDIT, Depression (DASS-21), binge eating presence were used as validators. The sample was divided into two subsamples to conduct a robustness check. In both samples ( = 1133; = 1132), a three-profile solution emerged with high PCL-5, LEC, YFAS (PTSD + FA); high PCL-5 and LEC, low YFAS (PTSD profile); and low PCL-5, LEC, YFAS (healthy). No FA profile emerged. Predictors and validators meaningfully differentiated profiles. Findings indicate that FA is closely related to PTSD symptoms. PTSD + FA profile had the highest BMI, dysregulated eating, and problematic alcohol use, indicating a potential phenotype at risk for obesity. PTSD and dysregulated eating should be assessed in tandem.
食物成瘾（FA）和创伤后应激障碍（PTSD）均与肥胖及不良心理后果相关。本研究的目的是根据不同程度的FA和PTSD症状生成症状概况。我们假设了四种概况：PTSD+FA；PTSD；FA；健康。在波兰普通人群（n=2245）中，《精神疾病诊断与统计手册》第5版创伤后应激障碍检查表（PCL-5）、终身事件检查表（LEC）和耶鲁食物成瘾量表（YFAS）的得分被用作潜在概况分析的指标。性别和消极紧迫性（SUPPS-P）被用作概况归属的预测因素。情绪性进食（DEBQ）、酒精使用障碍识别测试（AUDIT）、抑郁（DASS-21）得分以及暴饮暴食情况被用作验证指标。样本被分为两个子样本进行稳健性检验。在两个样本（n=1133；n=1132）中，出现了三种概况的解决方案，即PCL-5、LEC、YFAS得分高（PTSD+FA）；PCL-5和LEC得分高、YFAS得分低（PTSD概况）；以及PCL-5、LEC、YFAS得分低（健康）。未出现FA概况。预测因素和验证指标能够有效区分不同概况。研究结果表明，FA与PTSD症状密切相关。PTSD+FA概况的体重指数、饮食失调和酒精使用问题最高，表明存在肥胖风险的潜在表型。应同时评估PTSD和饮食失调情况。
