An examination of food addiction in a racially diverse sample of obese patients with binge eating disorder in primary care settings.
Open accessAbstract
Objective The concept of food addiction in obesity and binge eating disorder (BED) continues to be a hotly debated topic yet the empirical evidence on the relationship between addictive-like eating and clinically relevant eating disorders is limited. The current study examined the association of food addiction as assessed by the Yale Food Addiction Scale (YFAS) with measures of disordered eating, dieting/weight history, and related psychopathology in a racially diverse sample of obese patients with binge eating disorder (BED).Method A consecutive series of 96 obese patients with BED who were seeking treatment for obesity and binge eating in primary care were given structured interviews to assess psychiatric disorders and eating disorder psychopathology and a battery of self-report measures including the YFAS to assess food addiction.Results Classification of food addiction was met by 41.5% (n=39) of BED patients. Patients classified as meeting YFAS food addiction criteria had significantly higher levels of negative affect, emotion dysregulation, and eating disorder psychopathology, and lower self-esteem. Higher scores on the YFAS were related to an earlier age of first being overweight and dieting onset. YFAS scores were also significant predictors of binge eating frequency above and beyond other measures.Discussion Compared to patients not classified as having food addiction, the subset of 41.5% of BED patients who met the YFAS food addiction cut-off appears to have a more severe presentation of BED and more associated pathology.
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Prevalence of food addiction is high in patients with eating disorders.
“Prevalence of FA is high in ED (Gearhardt et al., 2013; Granero et al., 2014; Meule et al., 2014b)”
From “Food Addiction” in patients with eating disorders is associated with negative urgency and difficulties to focus on long-term goals (2016) · cites this paper as Gearhardt et al., 2013
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Self-citation
- Authors
- Gearhardt, A. N., White, M. A., Masheb, R. M., & Grilo, C. M.
- Affiliations
- University of Michigan (US)
- Yale University (US)
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 54
- Issue
- 5
- Pages
- 500-505
- ISSN
- 0010-440X (ISSN-L)
- PMC
- PMC3638060
- OpenAlex
- W2007294537
- Cited by
- 209
- References
- 32
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 11 · 2023: 7 · 2022: 15 · 2021: 18 · 2020: 19 · 2019: 13 · 2018: 19 · 2017: 22 · 2016: 20 · 2015: 16 · 2014: 30 · 2013: 3 · 2012: 1
- FWCI
- 25.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Yale University
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK073542, K24DK070052)
- 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, binge eating disorder, obesity, Yale Food Addiction Scale, disordered eating, dieting, weight history, emotional dysregulation, negative affect, self-esteem, binge eating frequency, primary care, racial diversity
- MeSH terms
- Adult, Black or African American, Body Image, Body Weight, Emotions, Feeding Behavior, Female, Food, Hispanic or Latino, Humans, Male, Middle Aged, Obesity, Primary Health Care, Psychiatric Status Rating Scales, Surveys and Questionnaires, Self Concept, Body Mass Index, Behavior, Addictive, White People, Binge-Eating Disorder
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