Validation of the French Version of the Yale Food Addiction Scale: An Examination of Its Factor Structure, Reliability and Construct Validity in a Nonclinical Sample

International audienceObjective: Food addiction is a concept that has recently been proposed by applying the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for substance dependence to eating behaviour. Food addiction has received increased attention given that it may play a role in binge eating, eating disorders, and the recent increase in obesity prevalence. Currently, there is no psychometrically sound tool for assessing food addiction in French. Our study aimed to test the psychometric properties of a French version of the Yale Food Addiction Scale (YFAS) by establishing its factor structure, internal consistency, and construct validity in a nonclinical population.Method: A total of 553 participants were assessed for food addiction (French version of the YFAS) and binge eating behaviour (Bulimic Investigatory Test, Edinburgh and Binge Eating Scale). We tested the scale’s factor structure (factor analysis for dichotomous data based on tetrachoric correlation coefficients), internal consistency, and construct validity with measures of binge eating.Results: Our results supported a 1-factor structure, which accounted for 54.1% of the variance. We demonstrated that this tool had adequate reliability and highly construct validity with measures of binge eating in this population, both in its diagnosis and symptom count version. A 2-factor structure explained an additional 9.1% of the variance, and could help to differentiate between patients with high, compared with low, levels of insight regarding addiction symptoms.Conclusions: In our study, we validated a psychometrically sound French version of the YFAS, both in its symptom count and diagnosis version. Future studies should validate this tool in clinical samples

Histoire des " Big Five " : OCEAN des cinq grands facteurs de la personnalité. Introduction du Big Five Inventory français ou BFI-FR

International audienceLa description de la personnalité a été conçue à partir d'une variété de points de vue théoriques et à différents niveaux d'abstraction. Dans l'étude de la personnalité, l'unité la plus fréquemment utilisée pour mesurer les différences individuelles a été le trait. Un consensus semble se dégager actuellement sur une taxonomie générale des traits de la personnalité, les cinq facteurs de la personnalité, connus sous le nom des " Big Five ", expression introduite par Goldberg. Le but de cet article est de resituer l'élaboration de la version originale du Big Five Inventory (BFI) de John, Donahue et Kentle (1991) dans son histoire, et parmi les autres tests disponibles le " TDA ou trait descriptive adjective " de Goldberg et le " NEO PI-R ou NEO personality inventory revised " de Costa et McCrae. La revue reprend les différents stades de conceptualisation des catégories qui furent élaborées à partir d'une sélection d'adjectifs de dictionnaires permettant de différencier un individu d'un autre. Seuls les traits seront utilisés pour l'élaboration des trois tests mentionnés. Les " Big Five " retrouvés à partir d'analyses factorielles peuvent se résumer en cinq facteurs réplicables connus sous le nom de OCEAN ou CANOE de la personnalité, moyen mnémotechnique pour E (Extraversion, Énergie, Enthousiasme) ; A (Agréabilité, Altruisme, Affection) ; C (Conscience, Contrôle, Contrainte) ; N (Émotions Négatives, Névrosisme, Nervosité) ; O (Ouverture, Originalité, Ouverture d'esprit), ordre établi par les auteurs du BFI. La structure des " Big Five " regroupe à un haut niveau d'abstraction les points communs de la plupart des systèmes existant sur la description de la personnalité et met à disposition un modèle descriptif intégré pour des recherches sur la personnalité

Why do liver transplant patients so often become obese? The addiction transfer hypothesis

International audienceIn patients who receive transplantation for alcohol liver disease, obesity and metabolic syndrome are highly prevalent after transplantation and both contribute to a significant proportion of cardiovascular complications, late morbidity and mortality in this population. Although immunosuppressive medications have been hypothesised to explain some of these post-liver-transplantation (LT) metabolic complications, they cannot be considered the sole cause of obesity and metabolic syndrome, and the high prevalence of these illnesses remains unexplained. Given the significant overlap between the neurobiological, psychiatric and psychological factors that underlie alcohol addiction and reward-related behavioural dyscontrol disorders such as food addiction (FA), we hypothesised that the high prevalence of obesity and metabolic syndrome reported in patients who receive transplantation for alcohol liver disease could be explained at least partially by a switch in some individuals from a previous alcohol addiction to post-transplantation FA (i.e., addiction transfer = addiction switch). In our integrative model, we also speculate that an increased prevalence of FA or alcohol addiction may occur in patients with both specific psychobiological profiles and shared risk factors. We further hypothesise that in the subpopulation of patients who develop either alcohol addiction or FA after LT, those with high insight with regard to the consequences of alcohol use could be at higher risk for FA, whereas those with low insight could be at higher risk for alcohol addiction. We discuss here evidence for and against this hypothesis and discuss which patients could be more vulnerable to these two addictions after LT. Because it will not be either possible or ethical to test some of our hypotheses in humans, future studies should test these hypotheses using a translational strategy, using both clinical and preclinical approaches. If our hypotheses could account for the significant increase in obesity and metabolic syndrome after LT, this would lead to new avenues for research and preventive as well as therapeutic interventions for alcohol-related LT patients. All patients with previous or current alcohol addiction should be systematically screened for FA and followed up for subsequent risk of obesity and metabolic syndrome. Such strategies might be effective in improving survival, outcomes and quality of life after LT and also in the overall population of patients with alcohol addiction. By determining common risk factors for both alcohol addiction and FA using a translational approach, our model could help to find novel psychopharmacological and psychological strategies that might be effective in both FA and alcohol addiction

Approche clinique du vécu de la mort chez le jeune myopathe

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Myasthénie auto-immune : quel impact sur la fatigue et la cognition ?

International audienc

Myasthénie auto-immune et fatigue: quels types d’impacts sur la cognition ?,

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Clinique : Qualité de vie

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Myopathie de Duchenne et impact de la charge de soins sur les aidants naturels

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Accompagnement psychologique des familles et des patients atteints de SMA en 2019

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Clinique : Poids de la douleur, fatigue et santé psychique sur la qualité de vie dans les MNM

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