Shared and unique mechanisms underlying binge eating disorder and addictive disorders
Open accessAbstract
Scientific interest in "food addiction" is growing, but the topic remains controversial. One critique of "food addiction" is its high degree of phenotypic overlap with binge eating disorder (BED). In order to examine associations between problematic eating behaviors, such as binge eating and "food addiction," we propose the need to move past examining similarities and differences in symptomology. Instead, focusing on relevant mechanisms may more effectively determine whether "food addiction" contributes to disordered eating behavior for some individuals. This paper reviews the evidence for mechanisms that are shared (i.e., reward dysfunction, impulsivity) and unique for addiction (i.e., withdrawal, tolerance) and eating disorder (i.e., dietary restraint, shape/weight concern) frameworks. This review will provide a guiding framework to outline future areas of research needed to evaluate the validity of the "food addiction" model and to understand its potential contribution to disordered eating.
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Impulsivity has been identified as a key shared mechanism between binge eating disorder and addictive disorders.
“Impulsivity has been identified as a key shared mechanism between BED and addictive disorders [99].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [99]
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Self-citationExamining binge-eating disorder and food addiction in adults with overweight and obesity
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Hilbert, A. (2019) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2018.10.011 · Cited by 96 · see citing works
The microbiota, the gut and the brain in eating and alcohol use disorders: A ‘Ménage à Trois’?
Temko, J. E., Bouhlal, S., Farokhnia, M., Lee, M. R., Cryan, J. F., & Leggio, L. (2017) · Alcohol and Alcoholism · doi:10.1093/alcalc/agx024 · Cited by 76 · see citing works
Disordered Eating Among Individuals with Excess Weight: a Review of Recent Research
Nightingale, B. A., & Cassin, S. E. (2019) · Current Obesity Reports · doi:10.1007/s13679-019-00333-5 · Cited by 68 · see citing works
Wiss, D. A., & Brewerton, T. D. (2017) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-016-0344-y · Cited by 68 · see citing works
Wiss, D. A., Avena, N., & Gold, M. (2020) · Nutrients · doi:10.3390/nu12113521 · Cited by 66 · see citing works
Wiss, D., & Brewerton, T. (2020) · Nutrients · doi:10.3390/nu12102937 · Cited by 63 · see citing works
A Systematic Review of Physical Activity Interventions in Individuals with Binge Eating Disorders
Blanchet, C., Mathieu, M.-È., St-Laurent, A., Fecteau, S., St-Amour, N., & Drapeau, V. (2018) · Current Obesity Reports · doi:10.1007/s13679-018-0295-x · Cited by 48 · see citing works
Psychosocial Interventions for Food Addiction: A Systematic Review
Cassin, S. E., Sijercic, I., & Montemarano, V. (2020) · Current Addiction Reports · doi:10.1007/s40429-020-00295-y · Cited by 48 · see citing works
Racine, S. E., Hagan, K. E., & Schell, S. E. (2019) · Psychological Assessment · doi:10.1037/pas0000749 · Cited by 23 · see citing works
The Role of Nutrition in Addiction Recovery
Wiss, D. A. (2019) · The Assessment and Treatment of Addiction · doi:10.1016/b978-0-323-54856-4.00002-x · Cited by 20 · see citing works
Overeating, Overweight, and Substance Use: What Is the Connection?
Saules, K. K., Carr, M. M., & Herb, K. M. (2018) · Current Addiction Reports · doi:10.1007/s40429-018-0208-9 · Cited by 10 · see citing works
Food addiction and its associations to trauma, severity of illness, and comorbidity
Brewerton, T. D. (2019) · Compulsive Eating Behavior and Food Addiction · doi:10.1016/b978-0-12-816207-1.00015-9 · Cited by 6 · see citing works
eHealth treatments for compulsive overeating: A narrative review
Moghimi, E., Davis, C. A., & Rotondi, M. (2020) · Current Addiction Reports · doi:10.1007/s40429-020-00312-0 · Cited by 3 · see citing works
- Authors
- Schulte, E. M., Grilo, C. M., & Gearhardt, A. N.
- Affiliations
- Yale University (US)
- University of Michigan (US)
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2016-03
- Volume
- 44
- Pages
- 125-139
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC5796407
- OpenAlex
- W2252491910
- Cited by
- 271
- References
- 302
- Citations by year
- 2026: 12 · 2025: 25 · 2024: 25 · 2023: 24 · 2022: 32 · 2021: 24 · 2020: 35 · 2019: 24 · 2018: 32 · 2017: 26 · 2016: 12
- FWCI
- 4.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK102532)
- 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
- binge eating disorder, food addiction, addiction, impulsivity, withdrawal, tolerance (pharmacology and immunology), dietary restraint, disordered eating, problematic eating behaviors
- MeSH terms
- Feeding Behavior, Humans, Impulsive Behavior, Reward, Behavior, Addictive, Binge-Eating Disorder
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