Cited by 68Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Incorporating food addiction into disordered eating: The disordered eating food addiction nutrition guide (DEFANG)

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Wiss, David A., Brewerton, Timothy D.·2017·Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity

Abstract

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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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
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
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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