Food Addiction and Bulimia Nervosa
Abstract
In individuals with obesity and binge eating disorder (BED), eating patterns can show addictive qualities, with similarities to substance use disorders on behavioural and neurobiological levels. Bulimia nervosa (BN) has received less attention in this regard, despite their regular binge eating symptoms. The Yale Food Addiction Scale (YFAS) was developed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnostic criteria for substance use disorders, and food addiction can be diagnosed when at least three addiction symptoms are endorsed and a clinically significant impairment or distress is present. Although the prevalence of food addiction diagnoses is increased in individuals with obesity and BED, recent studies which used the YFAS showed that there are also individuals with normal weight who can be classified as being 'food addicted'. Based on self-reported eating disorder symptoms, women with current (n=26) or remitted (n=20) BN, and a control group of women matched for age and body mass index (n=63) completed the YFAS and other measures. Results revealed that all patients with current BN received a food addiction diagnosis according to the YFAS while only six (30%) women with remitted BN did. None of the women in the control group received a food addiction diagnosis. Results provide support for the notion that BN can be described as addiction-like eating behaviour and suggest that food addiction most likely improves when BN symptoms…
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ED research has identified significant overlap between FA and bulimia nervosa (BN), with FA symptoms improving when BN symptoms remit.
“For example, ED research has identified significant overlap between FA and bulimia nervosa (BN), with FA symptoms improving when BN symptoms remit [47].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [47]
Treatment studies suggest that food addiction most likely improves when bulimia nervosa symptoms remit.
“Treatment studies suggest that FA most likely improves when BN symptoms remit [57].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [57]
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- Authors
- Meule, A., von Rezori, V., & Blechert, J.
- Affiliations
- University of Würzburg (DE)
- Division of Clinical Psychology, Psychotherapy and Health Psychology University of Salzburg Austria
- Corresponding author
- Meule, Adrian
- ORCID
- Meule, Adrian
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2014-07-03
- Volume
- 22
- Issue
- 5
- Pages
- 331-337
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W1856376394
- Cited by
- 125
- References
- 74
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 9 · 2023: 12 · 2022: 12 · 2021: 14 · 2020: 12 · 2019: 13 · 2018: 15 · 2017: 10 · 2016: 12 · 2015: 5 · 2014: 4
- FWCI
- 12.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- food addiction, bulimia nervosa, Yale Food Addiction Scale, binge eating, remission, women, normal weight, obesity, binge eating disorder
- MeSH terms
- Adult, Feeding Behavior, Female, Humans, Obesity, Psychiatric Status Rating Scales, Body Mass Index, Case-Control Studies, Behavior, Addictive, Bulimia Nervosa, Young Adult, Binge-Eating Disorder
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