Incorporating food addiction into disordered eating: The disordered eating food addiction nutrition guide (DEFANG)
Open accessAbstract
Although not formally recognized by the DSM-5, food addiction (FA) has been well described in the scientific literature. FA has emerged as a clinical entity that is recognized within the spectrum of disordered eating, particularly in patients with bulimia nervosa, binge-eating disorder and/or co-occurring addictive disorders and obesity. Integrating the concept of FA into the scope of disordered eating has been challenging for ED treatment professionals, since there is no well-accepted treatment model. The confusion surrounding the implications of FA, as well as the impact of the contemporary Westernized diet, may contribute to poor treatment outcomes. The purpose of this review is twofold. The first is to briefly explore the relationships between EDs and addictions, and the second is to propose a new model of conceptualizing and treating EDs that incorporates recent data on FA. Since treatment for EDs should vary based on individual assessment and diagnosis, the Disordered Eating Food Addiction Nutrition Guide (DEFANG) is presented as a tool for framing treatment goals and helping patients achieve sustainable recovery.
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Newly proposed models suggest that clinicians go beyond a no dieting approach for all eating disorder presentations and should incorporate addiction neuroscience.
“Newly proposed models suggest that clinicians go beyond a “no dieting” approach for all ED presentations and should incorporate addiction neuroscience [46,47].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [47]
The DEFANG (2017) was the first effort to disentangle food addiction from more classic eating disorder pathology by incorporating the presence or history of substance use disorder into the nutrition intake process.
“The DEFANG (2017) was the first effort to disentangle FA from more classic ED pathology by incorporating the presence or history of SUD into the nutrition intake process [47].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [47]
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Self-citation
- Authors
- Wiss, D. A., & Brewerton, T. D.
- Affiliations
- Medical University of South Carolina (US)
- Corresponding author
- Wiss, David A.
- Venue
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity
- Published
- 2016-12-10
- Volume
- 22
- Issue
- 1
- Pages
- 49-59
- ISSN
- 1124-4909 (ISSN-L)
- 1590-1262
- PMC
- PMC5334442
- OpenAlex
- W2560051844
- Cited by
- 68
- References
- 91
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 7 · 2023: 6 · 2022: 10 · 2021: 6 · 2020: 10 · 2019: 7 · 2018: 8 · 2017: 5
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- 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 › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- food addiction, disordered eating, bulimia nervosa, binge eating disorder, addiction, obesity, treatment model, Western diet, treatment goals, recovery
- MeSH terms
- Feeding and Eating Disorders, Feeding Behavior, Humans, Behavior, Addictive
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