The Assessment of Food Addiction and the Yale Food Addiction Scale in Bariatric Surgery Populations

IF 1.5 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behaviour Change Pub Date : 2021-11-03 DOI:10.1017/bec.2021.21

Paul Stanley, A. O’Donovan, J. Schwartz, S. Edwards–Hampton

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引用次数: 1

Abstract

Abstract Food addiction (FA) appears among bariatric weight loss surgery candidates who struggle to control the intake of hyperpalatable/refined foods have high rates of psychopathology and related health problems. Despite this, prevalence rates of FA in the bariatric sector are reported as low or variable. We investigated the prevalence of FA and the applicability of conventionally used metrics for 166 pre-surgery candidates from a weight management centre (USA) and a major metropolitan hospital (Australia). Self-report measures assessed FA (Yale Food Addiction Scale (YFAS)), body mass index (BMI), disordered eating, addictive personality, psychopathology, and diet. Consistent with prior research, standard YFAS scoring, requiring the endorsement of a distress/impairment (D/I) criterion (FA + D/I), yielded a FA prevalence rate of 12.7%, compared to 37.3% when D/I was omitted (FA − D/I). We compared profiles for those with FA using each scoring method against those ‘without’, who did not meet a minimum of three YFAS symptoms (non-FA ≤ 2). Both methods differentiated those with and without FA on addictive traits, disordered eating and hyperpalatable food consumption. Only FA + D/I differentiated markers of psychological distress or impairment, including depression, anxiety and quality of life. Results indicate a need for further FA research in bariatric settings.

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减肥手术人群的食物成瘾评估和Yale食物成瘾量表

食物成瘾(FA)出现在减肥手术患者中，他们努力控制超美味/精制食品的摄入，有很高的精神病理和相关健康问题发生率。尽管如此，据报道，肥胖人群中FA的患病率很低或变化不定。我们调查了来自一家体重管理中心(美国)和一家大城市医院(澳大利亚)的166名术前患者的FA患病率和常规指标的适用性。自我报告测量评估FA(耶鲁食物成瘾量表(YFAS))、体重指数(BMI)、饮食失调、成瘾人格、精神病理和饮食。与先前的研究一致，标准的YFAS评分，需要认可的窘迫/损害(D/I)标准(FA + D/I)，得出的FA患病率为12.7%，而忽略D/I (FA - D/I)时为37.3%。我们使用每种评分方法比较了FA患者与“无”患者的概况，这些患者至少不满足三种YFAS症状(非FA≤2)。两种方法都区分了有FA和没有FA的人的成瘾特征、饮食失调和过度可口的食物消费。只有FA + D/I可以区分心理困扰或障碍的标志物，包括抑郁、焦虑和生活质量。结果表明，有必要在肥胖情况下进一步研究FA。

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

Behaviour Change PSYCHOLOGY, CLINICAL-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.