Food addiction: Prevalence, psychopathological correlates and associations with quality of life in a large sample

Nunes-Neto, Paulo R.; Köhler, Cristiano A.; Schuch, Felipe B.; Solmi, Marco; Quevedo, João; Maes, Michael; Murru, Andrea; Vieta, Eduard; McIntyre, Roger S.; McElroy, Susan L.; Gearhardt, Ashley N.; Stubbs, Brendon; Carvalho, André F.

doi:10.1016/j.jpsychires.2017.10.003

Cited by 150Eating Disorders and BehaviorsNutrition, Health and Food BehaviorGambling Behavior and Treatments

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Food addiction: Prevalence, psychopathological correlates and associations with quality of life in a large sample

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Nunes-Neto, Paulo R., Köhler, Cristiano A., Schuch, Felipe B., Solmi, Marco, Quevedo, João, Maes, Michael, Murru, Andrea, Vieta, Eduard, McIntyre, Roger S., McElroy, Susan L., Gearhardt, Ashley N., Stubbs, Brendon, Carvalho, André F.·2018·Journal of Psychiatric Research

DOI 10.1016/j.jpsychires.2017.10.003

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Abstract

Objective To determine the prevalence of food addiction in a large Brazilian non-clinical sample. Sociodemographic and psychopathological correlates of food addiction as well as associations with quality (QoL) domains were also investigated.Methods This cross-sectional study obtained data from a Brazilian anonymous web-based research platform (N = 7639; 71.3% females). Participants provided sociodemographic data and completed the modified Yale Food Addiction Scale 2.0, PHQ-9, hypomania checklist (HCL-32), Fagerström Test for Nicotine Dependence, AUDIT, modified Skin picking-Stanford questionnaire, Minnesota impulsive disorders interview, Symptom Checklist-90-Revised inventory (SCL-90R), early trauma inventory self report-short form, and the WHO Quality of Life instrument-Abbreviated version (WHOQOL-Bref). Associations were adjusted to potential confounders through multivariable models.Results The prevalence of food addiction was 4.32% (95%CI: 3.89-4.80%), and was more common among females. Food addiction was associated with a positive screen for a major depressive episode (OR = 4.41; 95%CI: 3.46-5.62), bipolar spectrum disorder (OR = 1.98; 95%CI: 1.43-2.75), and skin picking disorder (OR = 2.02; 95%CI: 1.31-3.09). Food addiction was also independently associated with exposure to early life psychological and sexual abuse (P = 0.008) as well as with reduced physical, psychological, social, and environment QoL (all P < 0.001).Conclusions Food addiction may be common in low and middle-income countries, though possibly less prevalent than in the US. Food addiction was associated with co-occurring mood disorders and skin picking disorder as well as with early life psychological and sexual abuse. Finally, food addiction was independently associated with broad reductions in QoL. Public health efforts towards the early recognition and management of food addiction are warranted.

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In a Brazilian sample (n = 7639), FA was independently associated with early life physical and sexual abuse.
“In a Brazilian sample (n = 7639) FA was independently associated with early life physical and sexual abuse [27].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [27]
FA has been independently associated with exposure to early life sexual abuse.
“FA has been independently associated with exposure to early life sexual abuse [195].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [195]

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Mindfulness-Based Interventions Applied to Addiction Treatments
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Association between food addiction with ultra-processed food consumption and eating patterns in a Brazilian sample
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Body image disturbance partially explains eating-related psychosocial impairment in food addiction
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Appetitive Needs and Addiction
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Validation of the dimensional Yale Food Addiction Scale for Children 2.0 and estimation of the weighted food addiction score in a sample of adolescents from the general population
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Psychometric validation of the full Yale food addiction scale for children 2.0 among adolescents from the general population and adolescents with a history of mental disorder
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Food addiction in Latin America
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Food addiction and self-regulation
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Mediation Effect of Depression on the Association between Food Addiction and Body Image in Individuals with Obesity
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Substance and Behavioral Addictions Assessment Instruments
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Reliability of an Arabic version of the Short Form Modified Yale Food Addiction Scale
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Ultra‐processed food addiction in a nationally representative sample of older adults in the USA
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Prevention and Treatment of Sex Addiction
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The Role of Culture in Addiction
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Yetişkinlerde Besin Etiketi Okumaya Yönelik Tutumun Yeme Bağımlılığı ile İlişkisi
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Food addiction: prevalence, psychopathological correlates and associations with quality of life in a great sample strength 2017
Nunes-Neto, P. R. (2017) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Food addiction and its associations with mental and physical health comorbidities and with quality of life in the general population
da Cruz, V. L., Appolinário, J. C., Sichieri, R., Hay, P., & Lopes, C. D. S. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01400-0 · Cited by 5
Psychosocial Correlates of Food Addiction and Its Association with Quality of Life in a Non-Clinical Adolescent Sample
Zhao, Z., Ma, Y., Han, Y., Liu, Y., Yang, K., Zhen, S., & Wen, D. (2018) · Nutrients · doi:10.3390/nu10070837 · Cited by 59
Shades of Foods: Prevalence and correlates of food addiction / Les ombres dels aliments: Prevalença i correlacions de l’addicció al menjar
Wang, C.-H., & Lopez-Fernandez, O. (2019) · RACO (Revistes Catalanes amb Accés Obert) (Consorci de Serveis Universitaris de Catalunya)
Food addiction in a large non-clinical sample of Canadians
Samokhvalov, A. V., Murphy, C. M., Balodis, I. M., & MacKillop, J. M. (2021) · European Psychiatry · doi:10.1192/j.eurpsy.2021.2181

Authors: Nunes-Neto, P. R., Köhler, C. A., Schuch, F. B., Solmi, M., Quevedo, J., Maes, M., Murru, A., Vieta, E., McIntyre, R. S., McElroy, S. L., Gearhardt, A. N., Stubbs, B., & Carvalho, A. F.
Affiliations: Universidade Federal do Ceará (BR)
Hospital de Clínicas de Porto Alegre (BR)
University of Padua (IT)
The University of Texas MD Anderson Cancer Center (US)
Deakin University (AU)
Hospital Clínic de Barcelona (ES)
University Health Network (CA)
Lindner Center of HOPE (US)
University of Michigan (US)
ORCID: Köhler, Cristiano A.
Schuch, Felipe B.
Solmi, Marco
Quevedo, João
Maes, Michael
Vieta, Eduard
McIntyre, Roger S.
McElroy, Susan L.
Gearhardt, Ashley N.
Stubbs, Brendon
Venue: Journal of Psychiatric Research
Publisher: Elsevier BV
Published: 2018-01
Volume: 96
Pages: 145-152
ISSN: 0022-3956 (ISSN-L)
DOI: 10.1016/j.jpsychires.2017.10.003
OpenAlex: W2762276750
Cited by: 150
References: 64
Citations by year: 2026: 2 · 2025: 11 · 2024: 11 · 2023: 7 · 2022: 14 · 2021: 15 · 2020: 67 · 2019: 12 · 2018: 11
FWCI: 30.45
Type: journal article
Language: en
Open access: green
www.repositorio.ufc.br
Licence: other-oa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychiatric Research (publishedVersion)
PubMed (publishedVersion)
LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
Research Portal (King's College London) (acceptedVersion, cc-by-nc-nd)
Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (acceptedVersion, cc-by-nc-nd)
Figshare (submittedVersion, cc-by)
Padua Research Archive (University of Padova) (submittedVersion)
Funders: Conselho Nacional de Desenvolvimento Científico e Tecnológico (447414/2014-3)
McGovern Medical School
Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina
Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University
Universidade do Extremo Sul Catarinense
Instituto Mente e Cérebro - Neurociência
University of Texas Health Science Center at Houston
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords: food addiction, prevalence, quality of life, depressive disorders, bipolar spectrum disorders, skin picking disorder, psychological violence, sexual abuse, psychopathology, Yale Food Addiction Scale, non-clinical population
MeSH terms: Food Addiction, Adolescent, Adult, Brazil, Cross-Sectional Studies, Female, Humans, Male, Quality of Life, Sex Factors, Prevalence, Multivariate Analysis, Young Adult

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Food addiction: Prevalence, psychopathological correlates and associations with quality of life in a large sample

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