Food Addiction Is Strongly Associated With Psychopathology and Reduced Psychological Well-Being Among Adults Irrespective of BMI.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-07-14 DOI:10.1002/erv.70011

Christina Horsager, Emil Færk, Jens Meldgaard Bruun, Marlene B Lauritsen, Søren Dinesen Østergaard

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引用次数: 0

Abstract

Background and aims: Food addiction has been linked to psychopathology and reduced psychological well-being. Here, we investigated whether these associations are mainly driven by food addiction itself or mediated via an increase in BMI.

Methods: Data stem from a nationwide survey from Denmark (n = 1474 participants). The survey questionnaire included the Yale Food Addiction Scale 2.0 (YFAS 2.0) measuring food addiction, questions on height and weight (to compute BMI), and a range of self-reported measures of psychopathology and psychological well-being. The association between food addiction and psychopathology/psychological well-being, stratified by weight category (normal weight (BMI 18.5-24.9), overweight (BMI 25-29.9) and obesity (BMI ≥ 30)), was assessed via multivariable regression analyses, adjusted for sex, age, socioeconomic status and BMI.

Results: Across all BMI categories, having food addiction was strongly positively associated with psychopathology (depression, anxiety, and interpersonal sensitivity) and strongly negatively associated with psychological well-being (all p-values < 0.001), despite adjustment for BMI. These associations remained following exclusion of participants either having received a diagnosis of mental disorder or having redeemed a prescription for psychopharmacological treatment.

Conclusion: The findings from this study are compatible with food addiction itself, and not increased BMI likely arising from it, being associated with psychopathology and reduced psychological well-being.

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在成年人中，食物成瘾与精神病理和心理健康下降密切相关，而与BMI无关。

背景和目的：食物成瘾与精神病理和心理健康下降有关。在这里，我们调查了这些关联是主要由食物成瘾本身驱动还是通过BMI增加介导。方法：数据来自丹麦的一项全国性调查（n = 1474名参与者）。调查问卷包括耶鲁食物成瘾量表2.0 (YFAS 2.0)，测量食物成瘾，身高和体重问题（计算BMI），以及一系列自我报告的精神病理学和心理健康测量。通过多变量回归分析评估食物成瘾与精神病理/心理健康之间的关系，并根据体重类别（正常体重（BMI 18.5-24.9）、超重（BMI 25-29.9）和肥胖（BMI≥30））进行分层，调整性别、年龄、社会经济地位和BMI。结果：在所有BMI类别中，尽管对BMI进行了调整，但食物成瘾与精神病理（抑郁、焦虑和人际敏感）呈强烈正相关，与心理健康呈强烈负相关（所有p值< 0.001）。在排除了接受过精神障碍诊断或接受过精神药物治疗的参与者后，这些关联仍然存在。结论：这项研究的结果与食物成瘾本身是一致的，而不是由食物成瘾引起的BMI增加，与精神病理和心理健康下降有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.