Exploring food addiction across several behavioral addictions : analysis of clinical relevance
Gaspar-Pérez, Anahí (Universitat de Barcelona)
Granero, Roser (Institut d'Investigació Biomèdica de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Rosinska, Magda (Hospital Universitari de Bellvitge)
Artero, Cristina (Hospital Universitari de Bellvitge)
Ruiz Torras, Silvia (Universitat de Barcelona)
Gearhardt, Ashley N (University of Michigan. Department of Psychology)
Demetrovics, Zsolt (Flinders University. Institute for Mental Health and Wellbeing)
Guàrdia-Olmos, Joan (Universitat de Barcelona)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)
Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut

Fecha:	2025
Descripción:	20 pàg.
Resumen:	Background/Objectives: Recently, interest in studying food addiction (FA) in the context of behavioral addictions (BAs) has increased. However, research remains limited to determine the FA prevalence among various BAs. The current study aimed to investigate FA in a clinical sample of patients seeking treatment for gaming disorder, compulsive buying-shopping disorder (CBSD), compulsive sexual behavior disorder, and the comorbid presence of multiple BAs, as well as to determine the sociodemographic characteristics, personality traits, and general psychopathology of this clinical population. In addition, we analyzed whether FA is linked to a higher mean body mass index (BMI). Methods: The sample included 209 patients (135 men and 74 women) attending a specialized behavioral addiction unit. The assessment included a semi-structured clinical interview for the diagnosis of the abovementioned BAs, in addition to self-reported psychometric assessments for FA (using the Yale Food Addiction Scale 2. 0, YFAS-2), CBSD (using the Pathological Buying Screener, PBS), general psychopathology (using the Symptom Checklist-Revised, SCL-90-R), personality traits (using the Temperament and Character Inventory-Revised, TCI-R), emotional regulation (using Difficulties in Emotion Regulation Strategies, DERS), and impulsivity (using Impulsive Behavior Scale, UPPS-P). The comparison between the groups for the clinical profile was performed using logistic regression (categorical variables) and analysis of covariance (ANCOVA), adjusted based on the patients' gender. The sociodemographic profile was based on chi-square tests for categorical variables and analysis of variance (ANOVA) for quantitative measures. Results: The prevalence of FA in the total sample was 22. 49%. The highest prevalence of FA was observed in CBSD (31. 3%), followed by gaming disorder (24. 7%), and the comorbid presence of multiple BAs (14. 3%). No group differences (FA+/-) were found in relation to sociodemographic variables, but the comorbidity between FA and any BA was associated more with females as well as having greater general psychopathology, greater emotional dysregulation, higher levels of impulsivity, and a higher mean BMI. Conclusions: The comorbidity between FA and BA is high compared to previous studies (22. 49%), and it is also associated with greater severity and dysfunctionality. Emotional distress levels were high, which suggests that the group with this comorbidity may be employing FA behaviors to cope with psychological distress. However, a better understanding of the latent mechanisms that contribute to the progression of this multifaceted comorbid clinical disorder is needed. One aspect that future studies could consider is to explore the existence of FA symptoms early and routinely in patients with BAs.
Ayudas:	Agencia Estatal de Investigación PID2021-124887OB-I00 Instituto de Salud Carlos III DTS22/00072 European Commission 101080219 Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00824 Instituto de Salud Carlos III FORT23/00032
Nota:	Altres ajuts: This research was funded by grants from Plan Nacional sobre Drogas Convocatoria de subvenciones para proyectos de investigación financiados con fondos europeos 2022 (EXP2022/008847), and cofounded by FEDER (funds/European Regional Development Fund (ERDF), a way to build Europe). CIBERObn is an initiative of ISCIII. R.G. and F.F.-A. are supported by the Catalan Institution for Research and Advanced Studies (ICREA Academia, 2021-Programme and 2024-Programme, respectively). A.G.-P. is supported by the Ministerio de Ciencia e Innovación (Grants for predoctoral training contracts-FPI, Ref. PRE2022-104138).
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	Nutrients, Vol. 17 Núm. 7 (2025) , p. 1279, ISSN 2072-6643

DOI: 10.3390/nu17071279
PMID: 40219036

20 p, 763.3 KB

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