Food addiction and bulimia nervosa: New data based on the yale food addiction scale 2.0
Abstract
Previous research on 'food addiction' as measured with the Yale Food Addiction Scale (YFAS) showed a large overlap between addiction-like eating and bulimia nervosa. Most recently, a revised version of the YFAS has been developed according to the changes made in the diagnostic criteria for substance use disorder in the Diagnostic and Statistical Manual of Mental Disorders fifth edition. The current study examined prevalence and correlates of the YFAS2.0 in individuals with bulimia (n = 115) and controls (n = 341). Ninety-six per cent of participants with bulimia and 14% of controls received a YFAS2.0 diagnosis. A higher number of YFAS2.0 symptoms was associated with lower interoceptive awareness, higher depressiveness, and higher impulsivity in both groups. However, a higher number of YFAS2.0 symptoms was associated with higher body mass and weight suppression in controls only and not in participants with bulimia. The current study is the first to show a large overlap between bulimia and 'food addiction' as measured with the YFAS2.0, replicating and extending findings from studies, which used the previous version of the YFAS. Compensatory weight control behaviours in individuals with bulimia likely alleviate the association between addiction-like eating and higher body mass. Thus, the large overlap between bulimia and 'food addiction' should be taken into consideration when examining the role of addiction-like eating in weight gain and obesity. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.
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Compensatory weight control behaviors in individuals with bulimia nervosa and anorexia nervosa binge-purge type likely dampen the association between food addiction and BMI.
“Compensatory weight control behaviors in individuals with BN and AN-BP likely dampen the association between FA and BMI [52].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [52]
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Cut-off scores for the Barratt Impulsiveness Scale–short form (BIS–15): sense and nonsense
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Self-citationFood Addiction and Impulsivity in Clinical Populations by Gender: a Systematic Review
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Murphy, C. M., & MacKillop, J. M. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-816207-1.00007-x · Cited by 7 · see citing works
Chapron, S., Kervran, C., da Rosa, M. A. C., Fournet, L., Shmulewitz, D., Hasin, D. S., Denis, C., Collombat, J., Monsaingeon, M., Fatseas, M., et al. (2023) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2023.110937 · Cited by 6 · see citing works
On the prevalence of ‘food addiction’ in persons with bulimia nervosa
Meule, A. (2024) · European Eating Disorders Review · doi:10.1002/erv.3061 · Cited by 6 · see citing works
Self-citationAn Addiction Perspective on Eating Disorders and Obesity
Meule, A. (2018) · Elsevier eBooks · doi:10.1016/b978-0-323-54852-6.00016-1 · Cited by 6 · see citing works
Self-citationCollombat, J., Chapron, S., Sarram, S., Fatseas, M., Serre, F., & Auriacombe, M. (2024) · L Encéphale · doi:10.1016/j.encep.2024.03.002 · Cited by 5 · see citing works
Müller, A., & Steins‐Loeber, S. (2022) · SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice · doi:10.1024/0939-5911/a000774 · Cited by 4 · see citing works
Goto, Y., Krieger, J., Won, M., & Lee, Y.-A. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1753662 · Cited by 3 · see citing works
Pape, M., Herpertz, S., Färber, T., Seiferth, C., Schoemann, N., Wolstein, J., & Steins‐Loeber, S. (2025) · European Eating Disorders Review · doi:10.1002/erv.3196 · Cited by 3 · see citing works
Intermittent Extended Access Rodent Models of Compulsive Eating
Zorrilla, E. P., Kreisler, A. D., & Bagsic, S. R. S. (2020) · Neuromethods · doi:10.1007/978-1-0716-0924-8_8 · Cited by 3 · see citing works
Hurel, E., Grall‐Bronnec, M., Thiabaud, E., Saillard, A., Hardouin, J.-B., & Challet‐Bouju, G. (2021) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s292490 · Cited by 3 · see citing works
Neurocognitive impairments in eating disorders patients with and without comorbid food addiction
Munguía, L., Granero, R., Supit, K., Lucas, I., Gearhardt, A. N., Jiménez‐Múrcia, S., & Fernández‐Aranda, F. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01494-6 · Cited by 2 · see citing works
Assessing the magnitude and lifestyle determinants of food addiction in young adults
Vasgare, H., Gokhale, D., Phalle, A., & Jadhav, S. J. (2025) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-025-01752-1 · Cited by 2 · see citing works
FOOD ADDICTION IN PATIENTS WITH OBESITY
Locatelli, L., Pataky, Z., Boulanouar, L., & Golay, A. (2019) · Archive ouverte UNIGE (University of Geneva) · doi:10.36648/2471-8203.5.2.100043 · Cited by 2 · see citing works
Verlangen nach Süßem: Eine Evaluation der Suchtperspektive auf Zucker- und Süßstoffkonsum
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Self-citationEnea, V., Diaconu‐Gherasim, L. R., Iancu, S., & Lup, S. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02455-2 · Cited by 1 · see citing works
Development and validation of the modified Yale Food Addiction Scale for Children 2.0
Horsager, C., & Gearhardt, A. N. (2024) · Eating Behaviors · doi:10.1016/j.eatbeh.2024.101927 · Cited by 2 · see citing works
Unique and Shared Symptoms Across Food Addiction and Binge‐Eating Measures: A Content Analysis
Graver, H., McCausland, H. C., Kruger, M., Rubino, L. G., Moussaoui, J. R., Parnarouskis, L., LaFata, E. M., & Manasse, S. M. (2026) · International Journal of Eating Disorders · doi:10.1002/eat.70033 · Cited by 1 · see citing works
Wiss, D. A., LaFata, E. M., & Tomiyama, A. J. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01029-5 · Cited by 1 · see citing works
Food Addiction and Comorbidity
Brewerton, T. D. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780190671051.003.0008 · Cited by 1 · see citing works
Association Between Childhood Obesity and the Risk of Food Addiction: A Matched Case-Control Study
Brito, N. B., Robayna, B. P., Sosa, J. I. C., Bello, M. Á. G., Rodríguez, E., Roger, J. E. D. L. H., Pons, M. R., Brito, I. M. D., Romero, C. D., & Ramallo‐Fariña, Y. (2025) · Nutrients · doi:10.3390/nu17162654 · Cited by 1 · see citing works
Refined food addiction and its relation to obesity
Kahan, L. G., & Mehrzad, R. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-818839-2.00013-2 · Cited by 1 · see citing works
Evaluation of Food Addiction: Importance, Epidemiology, Diagnosis, and Assessment
Wilcox, C. E. (2021) · Springer eBooks · doi:10.1007/978-3-030-83078-6_12
Disordered Eating and the Brain
Westwater, M. L., Ziauddeen, H., & Fletcher, P. C. (2024) · doi:10.1093/oso/9780190671051.003.0060
Food Addiction and Treatment of Eating Disorders
Munguía, L., Camacho‐Barcia, L., Jiménez‐Múrcia, S., & Fernández‐Aranda, F. (2024) · doi:10.1093/oso/9780190671051.003.0042
- Authors
- de Vries, S., & Meule, A.
- Affiliations
- Department of Psychology University of Potsdam Germany
- University of Salzburg (AT)
- Corresponding author
- Meule, Adrian
- ORCID
- Meule, Adrian
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2016-08-30
- Volume
- 24
- Issue
- 6
- Pages
- 518-522
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2515705453
- Cited by
- 97
- References
- 28
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 8 · 2023: 7 · 2022: 10 · 2021: 11 · 2020: 13 · 2019: 17 · 2018: 15 · 2017: 8
- FWCI
- 17.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- publish.UP (University of Potsdam) (submittedVersion)
- Funders
- European Research Council (ERC‐StG‐2014 639445 NewEat)
- 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, interoceptive awareness, depression, impulsivity, weight suppression, body mass, obesity, eating disorders
- MeSH terms
- Adult, Body Weight, Depression, Depressive Disorder, Eating, Female, Food, Humans, Impulsive Behavior, Male, Obesity, Quality of Life, Weight Gain, Behavior, Addictive, Bulimia Nervosa
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