Development of the Food Addiction Symptom Inventory: The first clinical interview to assess ultra-processed food addiction.

IF 3.3 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Psychological Assessment Pub Date : 2024-11-01 Epub Date: 2024-08-05 DOI:10.1037/pas0001340
Erica M LaFata, Kate Worwag, Karly Derrigo, Chloe Hessler, Kelly C Allison, Adrienne S Juarascio, Ashley N Gearhardt
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引用次数: 0

Abstract

Prior research on ultra-processed food addiction (FA) has utilized the self-report Yale Food Addiction Scale (YFAS) measures to identify individuals who experience indicators of substance-use disorders with respect to their consumption of ultra-processed foods. Studies using the YFAS have provided insight into the clinical utility of FA as both a distinct construct and an indicator of more severe psychopathology among individuals with eating disorders. However, the absence of clinician-administered assessment tools for FA has been identified as a barrier to the evaluation of FA as a novel clinical syndrome. Thus, the present study reflects the development of the Food Addiction Symptom Inventory (FASI), a clinician-administered assessment of FA, adapted from the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fifth editon modules for diagnosing substance-use disorders. The psychometric properties of the FASI and its concordance with the YFAS 2.0 were evaluated in a cross-sectional study of adults (n = 53) with binge-type eating disorders. The FASI performed appropriately on indices of reliability and validity. Concordance between the FASI and YFAS 2.0 was established for the symptom scores (r = .53, p < .001), and > 70% agreement was achieved for FA categorization. Using the FASI, 80% of individuals with bulimia nervosa and 91.7% of those with binge eating disorder were identified as exhibiting FA. While the YFAS 2.0 and FASI both lead to similar assessments of FA symptoms, the FASI provides an essential approach for clinician-guided identification of this phenotype, which may be particularly important when participants have high levels of dietary restraint or limited insight into the impact of their eating behavior. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

开发食物成瘾症状量表:首个评估超加工食品成瘾的临床访谈。
之前关于超加工食品成瘾(FA)的研究采用了耶鲁食品成瘾量表(YFAS)的自我报告方法,以确定在超加工食品消费方面出现药物使用障碍指标的个体。使用耶鲁食物成瘾量表进行的研究使人们深入了解了食物成瘾的临床实用性,它既是一种独特的结构,也是饮食失调患者更严重精神病理学的指标。然而,缺乏由临床医生操作的 FA 评估工具被认为是评估 FA 这一新型临床综合征的一个障碍。因此,本研究开发了 "食物成瘾症状量表"(FASI),这是一种由临床医生管理的 FA 评估工具,改编自《精神疾病诊断与统计手册》第五版中用于诊断药物滥用障碍的结构化临床访谈模块。在一项针对暴饮暴食型进食障碍成人(53 人)的横断面研究中,对 FASI 的心理计量特性及其与 YFAS 2.0 的一致性进行了评估。FASI 在信度和效度方面均表现适当。FASI 和 YFAS 2.0 在症状评分方面具有一致性(r = .53,p < .001),在 FA 分类方面的一致性大于 70%。使用 FASI,80% 的神经性贪食症患者和 91.7% 的暴饮暴食症患者被确定为有 FA 表现。虽然 YFAS 2.0 和 FASI 对 FA 症状的评估结果相似,但 FASI 为临床医生指导识别这种表型提供了一种重要方法,当参与者对饮食有高度克制或对其饮食行为的影响认识有限时,这种方法可能尤为重要。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
Psychological Assessment
Psychological Assessment PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
5.60%
发文量
167
期刊介绍: Psychological Assessment is concerned mainly with empirical research on measurement and evaluation relevant to the broad field of clinical psychology. Submissions are welcome in the areas of assessment processes and methods. Included are - clinical judgment and the application of decision-making models - paradigms derived from basic psychological research in cognition, personality–social psychology, and biological psychology - development, validation, and application of assessment instruments, observational methods, and interviews
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