ArticleJournal of behavioral addictions2022
Food addiction and lifetime alcohol and illicit drugs use in specific eating disorders.
Article in Journal of behavioral addictions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 16 citations in OpenAlex.
- Specialized, integrative treatment for long-standing eating disorders: early insights and implications.Journal of eating disorders · 2026Article
- Network structure of non-suicidal self-injury, alcohol and food addiction, and motivation in bus drivers.Frontiers in psychiatry · 2026Article
- Food addiction in behavioral addictions: a network approach.Frontiers in psychology · 2026Article
- Anthropometric, Nutritional, and Lifestyle Factors Involved in Predicting Food Addiction: An Agnostic Machine Learning Approach.Diseases (Basel, Switzerland) · 2025Article
- Prescription and Nonprescription Drug Use Among People With Eating Disorders.JAMA network open · 2025Article
- Exploring Food Addiction Across Several Behavioral Addictions: Analysis of Clinical Relevance.Nutrients · 2025Article
- The Role of Food Addiction and Lifetime Substance Use on Eating Disorder Treatment Outcomes.Nutrients · 2023Article
- Value-based decision-making network functional connectivity correlates with substance use and delay discounting behaviour among young adults.NeuroImage. Clinical · 2023Article
- Article
- Clinical Considerations of Ultra-processed Food Addiction Across Weight Classes: an Eating Disorder Treatment and Care Perspective.Current addiction reports · 2022Review
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsFood 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.
methodsThe 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.
resultsPatients 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
conclusionsOverall, 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 self-directedness. 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.
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