Food Addiction in a Spanish Sample of Eating Disorders: DSM‐5 Diagnostic Subtype Differentiation and Validation Data

Although the concept of ‘food addiction’ (FA) has raised growing interest because of evidence for similarities between substance dependence and excessive food intake, there is a lack of studies that explore this construct among the wide spectrum of eating disorders (EDs). Besides providing validation scores of a Spanish version of the Yale FA Scale (YFAS‐S), this study examined the prevalence of ‘FA’ among ED subtypes compared with healthy‐eating controls (HCs) and the association between ‘FA’ scores, eating symptomatology and general psychopathology. A sample of 125 adult women with ED, diagnosed according to Diagnostic and Statistical Manual of Mental Disorders 5 criteria, and 82 healthy‐eating women participated in the study. All participants were assessed with the YFAS‐S, the ED Inventory‐2 and the Symptom Checklist‐Revised. Results showed that the internal structure of the one‐dimensional solution for the YFAS‐S was very good ( α  = 0.95). The YFAS‐S has a good discriminative capacity to differentiate between ED and controls (specificity = 97.6% and sensitivity (Se) = 72.8%; area under receiver operating characteristic curve = 0.90) and a good Se to screen for specific ED subtypes. YFAS‐S scores were associated with higher levels of negative affect and depression, higher general psychopathology, more severe eating pathology and greater body mass index. When comparing the prevalence of ‘FA’ between ED subtypes, the lowest prevalence of ‘FA’, measured with the YFAS‐S, was for the anorexia nervosa (AN) restrictive subtype with 50%, and the highest was for the AN binge–purging subtype (85.7%), followed by bulimia nervosa (81.5%) and binge eating disorder (76.9%). In conclusion, higher YFAS‐S scores are associated with bingeing ED‐subtype patients and with more eating severity and psychopathology. Although the ‘FA’ construct is able to differentiate between ED and HC, it needs to be further explored. Copyright © 2014 John Wiley & Sons, Ltd and Eating Disorders Association.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/109343/1/erv2311.pd

Development of the Modified Yale Food Addiction Scale Version 2.0

The Yale Food Addiction Scale (YFAS) operationalizes indicators of addictive‐like eating, originally based on the Diagnostic and Statistical Manual of Mental Disorders 4th edition Text Revision (DSM‐IV‐TR) criteria for substance‐use disorders. The YFAS has multiple adaptations, including a briefer scale (mYFAS). Recently, the YFAS 2.0 was developed to reflect changes to diagnostic criteria in the DSM‐5. The current study developed a briefer version of the YFAS 2.0 (mYFAS 2.0) using the participant sample from the YFAS 2.0 validation paper (n = 536). Then, in an independent sample recruited from Mechanical Turk, 213 participants completed the mYFAS 2.0, YFAS 2.0, and measures of eating‐related constructs in order to evaluate the psychometric properties of the mYFAS 2.0, relative to the YFAS 2.0. The mYFAS 2.0 and YFAS 2.0 performed similarly on indexes of reliability, convergent validity with related constructs (e.g. weight cycling), discriminant validity with distinct measures (e.g. dietary restraint) and incremental validity evidenced by associations with frequency of binge eating beyond a measure of disinhibited eating. The mYFAS 2.0 may be an appropriate choice for studies prioritizing specificity when assessing for addictive‐like eating or when a briefer measurement of food addiction is needed. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/137291/1/erv2515.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/137291/2/erv2515_am.pd

Associations of Food Addiction in a Sample Recruited to Be Nationally Representative of the United States

The current study investigated the prevalence of food addiction and its associations with obesity and demographic factors in a sample recruited to be more nationally representative of the United States than previous research. Individuals (n = 1050) were recruited through Qualtrics’ qBus, which sets demographic quotas developed using the United States census reference population. Participants (n = 986) self‐reported food addiction, measured by the modified Yale Food Addiction Scale 2.0, height, weight, age, gender, race and income. Food addiction was observed in 15% of participants, with greater prevalence in individuals who were younger, Hispanic and/or reported higher annual income. Food addiction prevalence was higher in persons who were underweight or obese, relative to normal weight or overweight. Food addiction was associated with higher body mass index in women and persons who were older, White and/or reported lower income. Identifying the scope of food addiction and individual risk groups may inform public policy initiatives and early intervention efforts. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142459/1/erv2575_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/142459/2/erv2575.pd

Belief in Food Addiction and Obesity-Related Policy Support

ObjectivesThis study examines whether belief in the food addiction construct is associated with support for obesity-related policies (e.g., restrictions on foods served in schools and workplace cafeterias, subsidies on fruits and vegetables), while simultaneously examining other factors associated with policy support (e.g., political party affiliation).DesignCross-sectional.SettingOnline Community.Participants200 individuals were recruited through Amazon Mechanical Turk.MeasurementsParticipants (n = 193) responded to three questions about belief in food addiction and a measure evaluating support for 13 obesity-related policy initiatives. Individuals also completed the modified Yale Food Addiction Scale (mYFAS), self-reported height and weight, and provided demographic information (age, gender, race, political party affiliation).ResultsBelief in food addiction was significantly associated with greater support for obesity-related initiatives, even when accounting for the significant associations of age, gender, and political party. Belief in food addiction and political party both had moderate effect sizes for predicting support for obesity-related policy. There was an interaction between age and belief in food addiction, with significant associations with policy support for both younger and older individuals, though the effect was larger for younger participants.ConclusionThe current study provides evidence that belief in food addiction is associated with increased obesity-related policy support, comparable to the influence of one’s political party. Growing evidence for the role of an addictive process in obesity may have important implications for public support of obesity-related policy initiatives

If Sugar Is Addictive…What Does It Mean for the Law?

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/97481/1/jlme.12038.pd

Preliminary validation of the Yale Food Addiction Scale for Children 2.0: A dimensional approach to scoring

ObjectiveAssessment approaches for food addiction in younger samples have not been updated to reflect recently revised diagnostic approaches for addictive disorders. The aim of the current study is to develop a new dimensional approach to assess food addiction in adolescents that is psychometrically sound, developmentally appropriate, and reflective of the updated diagnostic criteria.MethodsThe dimensional Yale Food Addiction Scale for Children 2.0 (dYFAS‐C 2.0) and related measures were administered to 127 adolescents from the community in the United States. Endorsement rates for each question were reviewed, and the psychometric properties were evaluated.ResultsProblem‐focused symptoms had low endorsement rates and were excluded from the final version of the scale. The dYFAS‐C 2.0 demonstrated partial evidence for a one‐factor structure, had good internal consistency reliability, and was positively associated with emotional eating, external eating, and body mass index (BMI). The dYFAS‐C 2.0 also accounted for unique variance in BMI. Unexpectedly, the dYFAS‐C 2.0 was positively associated with restrained eating.ConclusionsThe dYFAS‐C 2.0 appears to have adequate psychometric properties for assessing food addiction in community samples of adolescents. Future research should evaluate the measure in clinical samples and investigate the association between food addiction and restrained eating over the lifespan.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146644/1/erv2648.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146644/2/erv2648_am.pd

Individual differences in striatum activity to food commercials predict weight gain in adolescents

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/109559/1/oby20882.pd

Experimental and observational studies on alcohol use and dietary intake: a systematic review

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153599/1/obr12950_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153599/2/obr12950.pd

Maternal nicotine dependence is associated with longitudinal increases in child obesogenic eating behaviors

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152014/1/ijpo12541.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152014/2/ijpo12541_am.pd