2026-04-05T10:44:40Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1851692025-12-05T13:16:23Zcom_2072_1057col_2072_478798col_2072_478860col_2072_478916col_2072_478917

Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders Miranda Olivos, Romina Agüera, Zaida Granero, Roser Vergeer, Rhianna R. Dieguez, Carlos Jiménez-Murcia, Susana Gearhardt, Ashley N. Fernández Aranda, Fernando Trastorns de la conducta alimentària Alcoholisme Drogoaddicció Eating disorders Alcoholism Drug addiction Background and aims: Food addiction (FA) and substance use (SU) have frequently been reported in patients with eating disorders (EDs). Our study aimed to assess the prevalence rates of FA and/or lifetime problematic alcohol and illicit drug use among patients with specific ED, such as: bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding and eating disorder (OSFED). We sought to identify clinical, psychopathological, and personality profiles involved in these addictive behavior-based phenotypes. Methods: The total sample was 527 patients (176 BN, 115 BED, and 236 OSFED). FA was assessed through the Yale Food Addiction Scale 2.0. To determine lifetime SU, a semi structured clinical interview was carried out. Results: Patients with BN had the highest rates of FA both with and without SU. No gender differences were obtained for the prevalence of current FA and/or lifetime SU. Patients reporting at least one addictive-related behavior exhibited increased clinical severity compared to those who reported none. Increased impulsivity (such as high lack of premeditation, sensation seeking, and positive urgency) and low self-directedness were differentiating factors for presenting one or two addictive behaviors. Discussion and Conclusions: Overall, patients presenting with at least one addictive-like behavior reported a poorer clinical status than those without. Also, patients with FA and SU exhibited a more dysfunctional profile characterized by high impulsivity and low selfdirectedness. These findings would support the need for targeted treatments to reduce impulsivity and increase self-directedness, especially in patients with any addictive-related behavior, as a step towards improving their treatment outcome. 2022-04-28T14:02:59Z 2022-04-28T14:02:59Z 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Reproducció del document publicat a: https;//doi.org/10.1556/2006.2021.00087 Journal of Behavioral Addictions, 2022, vol. 11, num. 1, p. 102–115 https;//doi.org/10.1556/2006.2021.00087 cc by-nc (c) Miranda Olivos, Romina et al., 2022 http://creativecommons.org/licenses/by-nc/3.0/es/ info:eu-repo/semantics/openAccess AKJournals Articles publicats en revistes (Ciències Clíniques)