Monika M Stojek, Marta Łukowska, Maryla Sokołowska, Ari Nowacki, Joanna Zielińska, Roksana Duszkiewicz, Jagoda Różycka, Ross D Crosby
{"title":"波兰大量样本中创伤后应激障碍症状和食物成瘾的共同发生：潜在剖面分析","authors":"Monika M Stojek, Marta Łukowska, Maryla Sokołowska, Ari Nowacki, Joanna Zielińska, Roksana Duszkiewicz, Jagoda Różycka, Ross D Crosby","doi":"10.1080/20008066.2025.2508015","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background:</b> Food addiction (FA) and posttraumatic stress disorder (PTSD) are each associated with obesity and adverse psychological outcomes. The goal of this study was to generate symptom profiles based on varying levels of FA and PTSD symptoms. We hypothesised four profiles: PTSD + FA; PTSD; FA; healthy.<b>Method</b>: In a general Polish population (<i>N</i> = 2245), scores on PTSD Checklist for DSM-5 (PCL-5), Lifetime Events Checklist (LEC), and Yale FA Scale (YFAS) were used as indicators in the latent profile analysis. Gender and Negative Urgency (SUPPS-P) were used as predictors of profile membership. Scores on Emotional Eating (DEBQ), AUDIT, Depression (DASS-21), binge eating presence were used as validators.<b>Results:</b> The sample was divided into two subsamples to conduct a robustness check. In both samples (<i>n</i><sub>1</sub> = 1133; <i>n</i><sub>2</sub> = 1132), a three-profile solution emerged with high PCL-5, LEC, YFAS (PTSD + FA); high PCL-5 and LEC, low YFAS (PTSD profile); and low PCL-5, LEC, YFAS (healthy). No FA profile emerged. Predictors and validators meaningfully differentiated profiles.<b>Conclusions:</b> Findings indicate that FA is closely related to PTSD symptoms. PTSD + FA profile had the highest BMI, dysregulated eating, and problematic alcohol use, indicating a potential phenotype at risk for obesity. PTSD and dysregulated eating should be assessed in tandem.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2508015"},"PeriodicalIF":4.1000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160327/pdf/","citationCount":"0","resultStr":"{\"title\":\"Co-occurrence of posttraumatic stress disorder symptoms and food addiction in a large Polish sample: latent profile analysis.\",\"authors\":\"Monika M Stojek, Marta Łukowska, Maryla Sokołowska, Ari Nowacki, Joanna Zielińska, Roksana Duszkiewicz, Jagoda Różycka, Ross D Crosby\",\"doi\":\"10.1080/20008066.2025.2508015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Background:</b> Food addiction (FA) and posttraumatic stress disorder (PTSD) are each associated with obesity and adverse psychological outcomes. The goal of this study was to generate symptom profiles based on varying levels of FA and PTSD symptoms. We hypothesised four profiles: PTSD + FA; PTSD; FA; healthy.<b>Method</b>: In a general Polish population (<i>N</i> = 2245), scores on PTSD Checklist for DSM-5 (PCL-5), Lifetime Events Checklist (LEC), and Yale FA Scale (YFAS) were used as indicators in the latent profile analysis. Gender and Negative Urgency (SUPPS-P) were used as predictors of profile membership. Scores on Emotional Eating (DEBQ), AUDIT, Depression (DASS-21), binge eating presence were used as validators.<b>Results:</b> The sample was divided into two subsamples to conduct a robustness check. In both samples (<i>n</i><sub>1</sub> = 1133; <i>n</i><sub>2</sub> = 1132), a three-profile solution emerged with high PCL-5, LEC, YFAS (PTSD + FA); high PCL-5 and LEC, low YFAS (PTSD profile); and low PCL-5, LEC, YFAS (healthy). No FA profile emerged. Predictors and validators meaningfully differentiated profiles.<b>Conclusions:</b> Findings indicate that FA is closely related to PTSD symptoms. PTSD + FA profile had the highest BMI, dysregulated eating, and problematic alcohol use, indicating a potential phenotype at risk for obesity. 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Co-occurrence of posttraumatic stress disorder symptoms and food addiction in a large Polish sample: latent profile analysis.
Background: Food addiction (FA) and posttraumatic stress disorder (PTSD) are each associated with obesity and adverse psychological outcomes. The goal of this study was to generate symptom profiles based on varying levels of FA and PTSD symptoms. We hypothesised four profiles: PTSD + FA; PTSD; FA; healthy.Method: In a general Polish population (N = 2245), scores on PTSD Checklist for DSM-5 (PCL-5), Lifetime Events Checklist (LEC), and Yale FA Scale (YFAS) were used as indicators in the latent profile analysis. Gender and Negative Urgency (SUPPS-P) were used as predictors of profile membership. Scores on Emotional Eating (DEBQ), AUDIT, Depression (DASS-21), binge eating presence were used as validators.Results: The sample was divided into two subsamples to conduct a robustness check. In both samples (n1 = 1133; n2 = 1132), a three-profile solution emerged with high PCL-5, LEC, YFAS (PTSD + FA); high PCL-5 and LEC, low YFAS (PTSD profile); and low PCL-5, LEC, YFAS (healthy). No FA profile emerged. Predictors and validators meaningfully differentiated profiles.Conclusions: Findings indicate that FA is closely related to PTSD symptoms. PTSD + FA profile had the highest BMI, dysregulated eating, and problematic alcohol use, indicating a potential phenotype at risk for obesity. PTSD and dysregulated eating should be assessed in tandem.
期刊介绍：
The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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