Food Addiction in bulimia nervosa: Clinical correlates and association with response to a brief psychoeducational intervention
Open accessAbstract
Food addiction (FA) has been examined in different populations. Although high FA levels are associated with greater eating disorder severity, few studies have addressed how FA relates to treatment outcome. GOALS: The study aims (1) to determine whether a brief intervention for bulimia nervosa (BN) reduces FA diagnosis or severity compared with baseline and (2) to determine if FA is predictive of treatment outcome. METHOD: Sixty-six female BN patients participated in the study. The Yale Food Addiction Scale was administered at two time points: prior to and following a 6-week intervention. The number of weekly binging/purging episodes, dropout and abstinence from bulimic behaviour were used as primary outcome measures. RESULTS: This brief intervention reduced FA severity and FA diagnosis in the 55 patients who completed treatment. FA severity was a short-term predictor of abstinence from binging/purging episodes after treatment (p = .018). CONCLUSIONS: Food addiction appears to be prevalent in BN although FA severity can improve following a short-term intervention. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.
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In an intervention study among women with bulimia nervosa (n = 66), those with higher food addiction severity at baseline were less likely to obtain abstinence from binge-purge episodes following treatment.
“In an intervention study among women with BN (n = 66), those with higher FA severity at baseline were less likely to obtain abstinence from binge–purge episodes following treatment [58].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [58]
Among women with BN, patients with higher FA severity at baseline were less likely to obtain abstinence from bingeing/purging episodes after treatment.
“Notwithstanding, it is worth repeating that among women with BN, patients with higher FA severity at baseline were less likely to obtain abstinence from bingeing/purging episodes after treatment [58].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [58]
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References 32 · Cited by 72
Research works printed but not linked: 2
- Ignacio, J., & Sánchez, R. (2002). SCL-90-R: aplicación y análisis de sus propiedades psicométricas en una muestra de sujetos clínicos españoles. Psicopatología Clínica Legal Y Forense, 2(1), 5-19.
- Martínez-Azumendi, O., Fernández-Gómez, C., & Beitia-Fernández, M. (2001). [Factorial variance of the SCL-90-R in a Spanish out-patient psychiatric sample]. Actas Españolas de Psiquiatría, 29(2), 95-102. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11333527 This article is protected by copyright. All rights reserved. Food addiction and treatment response in BN
- Authors
- Hilker, I., Sánchez, I., Steward, T., Jiménez‐Murcia, S., Granero, R., Gearhardt, A. N., Rodríguez‐Muñoz, R. C., Dieguez, C., Crujeiras, A. B., Tolosa‐Sola, I., Casanueva, F. F., Menchón, J. M., & Fernández‐Aranda, F.
- Affiliations
- Department of Psychiatry University Hospital of Bellvitge‐IDIBELL Barcelona Spain
- Bellvitge University Hospital (ES)
- Instituto de Salud Carlos III (ES)
- Universitat Autònoma de Barcelona (ES)
- University of Michigan (US)
- Ciber Fisiopatologia Obesidad y Nutrición (CIBERObn) Instituto Salud Carlos III Barcelona Spain
- Corresponding author
- Fernández‐Aranda, Fernando
- ORCID
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2016-09-04
- Volume
- 24
- Issue
- 6
- Pages
- 482-488
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2507438485
- Cited by
- 72
- References
- 32
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 12 · 2020: 8 · 2019: 7 · 2018: 11 · 2017: 4
- FWCI
- 9.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by-nc-nd)
- Minerva Access (University of Melbourne) (submittedVersion)
- Funders
- Instituto de Salud Carlos III (PI14/00290)
- Ministerio de Economía y Competitividad (PSI2015‐68701‐R)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- food addiction, bulimia nervosa, psychoeducational intervention, treatment outcome prediction, Yale Food Addiction Scale, binge eating, purging, abstinence, eating disorder severity
- MeSH terms
- Adult, Bulimia, Female, Humans, Male, Psychiatric Status Rating Scales, Psychotherapy, Severity of Illness Index, Behavior, Addictive, Treatment Outcome, Bulimia Nervosa, Binge-Eating Disorder
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