Eating disorders and food addiction in men with heroin use disorder: a controlled study
Abstract
Purpose We aimed to determine the prevalence estimates of binge eating disorder, bulimia nervosa, anorexia nervosa, and food addiction in men with heroin use disorder and a matched sample of control participants.Methods A group of 100 men with heroin use disorder, consecutively admitted to a detoxification and therapy unit, were screened for DSM-5 eating disorders, along with a group of 100 male controls of similar age, education, and body mass index. The Yale Food Addiction Scale (YFAS), the Barratt Impulsivity Scale-version 11, and the Eating Attitudes Test were used for data collection. Patients were also evaluated for various aspects of heroin use disorder (e.g., craving) using the Addiction Profile Index.Results Binge eating disorder that met DSM-5 criteria was more prevalent in patients with heroin use disorder (21%) than in control subjects (8%) (odds ratio 3.1, 95% confidence interval 1.3-7.3; p < 0.01). Food addiction based on the YFAS was also more common among men with heroin use disorder (28%) than among control participants (12%) (odds ratio 2.9, 95% confidence interval 1.4-6.1; p < 0.01). A current food addiction was associated with more severe craving and having a history of suicide attempts in the patients.Conclusions Co-occurring binge eating disorder and food addiction are highly frequent in men with heroin use disorder. Screening for binge eating disorder and food addiction in patients with substance use disorder is important, as interventions may improve treatment outcome in this patient group.
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During early abstinence there is evidence of binge eating and addiction-like eating behaviors.
“During early abstinence there is evidence of binge eating and addiction-like eating behaviors (152) as well as concerns about weight gain (153).”
From A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health (2019) · cites this paper as [152]
Men with heroin use disorder (n = 100) had triple the odds of meeting criteria for binge eating disorder or food addiction compared to controls.
“Men with heroin use disorder (n = 100) had triple the odds of meeting criteria for BED or FA compared to controls [70].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [70]
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- Authors
- Canan, F., Karaca, S., Sogucak, S., Gecici, O., & Kuloglu, M.
- Affiliations
- Akdeniz University (TR)
- Corresponding author
- Canan, Fatih
- Venue
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity
- Published
- 2017-04-22
- Volume
- 22
- Issue
- 2
- Pages
- 249-257
- ISSN
- 1124-4909 (ISSN-L)
- 1590-1262
- OpenAlex
- W2606406111
- Cited by
- 51
- References
- 47
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 8 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 6 · 2019: 5 · 2018: 6 · 2017: 2
- FWCI
- 6.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (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 › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- eating disorders, food addiction, binge eating disorder, heroin addiction, men, bulimia nervosa, anorexia nervosa, substance use comorbidity, craving, suicide attempts, prevalence, screening
- MeSH terms
- Food Addiction, Adult, Feeding and Eating Disorders, Heroin Dependence, Humans, Male, Comorbidity, Prevalence, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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