Evidence map›Paper›PMID 42002817›Full record

ArticleJournal of eating disorders2026

Disentangling food addiction-related symptom profiles in anorexia nervosa: a latent class analysis and clinical implications.

Matteo Aloi, Marianna Rania, Elvira Anna Carbone, Renato de Filippis, Ettore D'Onofrio, Lavinia Rotella, Daria Quirino, Antonino Carcione, Cristina Segura-Garcia

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Article in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Matteo AloiDepartment of Clinical and Experimental Medicine, University of Messina, Via Consolare Valeria, Messina, 98125, Italy. matteo.aloi@unime.it.
Marianna RaniaOutpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Renato Dulbecco", Catanzaro, Italy.
Elvira Anna CarboneOutpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Renato Dulbecco", Catanzaro, Italy.
Renato de FilippisDepartment of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy.
Ettore D'OnofrioOutpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Renato Dulbecco", Catanzaro, Italy.
Lavinia RotellaOutpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Renato Dulbecco", Catanzaro, Italy.
Daria QuirinoDepartment of Medical and Surgical Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy.
Antonino CarcioneThird Centre of Cognitive Psychotherapy, Italian School of Cognitive Psychotherapy (SICC), Rome, Italy.
Cristina Segura-GarciaOutpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Renato Dulbecco", Catanzaro, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe construct of Food Addiction (FA) has generated growing interest in the context of Anorexia Nervosa (AN), especially for its potential clinical implications. While AN is traditionally associated with restrictive eating patterns, recent findings suggest that FA symptoms may also be present in this population, complicating the clinical picture. This study aimed to explore FA symptomatology in individuals with AN using a person-centered approach and to identify psychological variables associated with different FA profiles.

methodsA sample of 202 individuals with a diagnosis of AN (including AN-R, AN-BP, and Atypical AN) completed the YFAS 2.0. A Latent Class Analysis (LCA) was performed to identify subgroups based on FA symptoms. Chi-square tests assessed associations between latent classes and AN subtypes. Binary logistic regressions explored psychological predictors of class membership, including eating psychopathology (EDE-Q), depressive symptoms (BDI-II), emotion dysregulation (DERS), and metacognitive abilities (MSAS).

resultsLCA identified three latent classes: Class 1 (Addicted, 11.4%), characterized by high endorsement of FA symptoms; Class 2 (High-Risk, 33.7%), displaying moderate FA symptom severity; and Class 3 (Non-Addicted, 54.9%), showing minimal FA symptomatology. No significant association emerged between class membership and AN diagnostic subtype (χ²(4) = 3.085, p=.544). Logistic regressions revealed that impulsivity significantly predicted membership in the Addicted class (OR = 4.119, p<.05), while membership in the Non-Addicted class was associated with lower eating psychopathology, better metacognitive skills, and reduced impulsivity. Belonging to the High-Risk class was predicted by higher eating concern (OR = 2.618, p<.05), lower metacognition (OR=0.566, p<.05) and greater difficulties with emotional awareness (OR = 1.62; p<.01).

conclusionsThese findings highlight the presence of distinct FA profiles within AN, independent of traditional diagnostic categories. The Addicted and High-Risk classes showed greater psychopathology and dysregulation. Notably, the High-Risk group also exhibited impaired metacognition, suggesting potential vulnerability despite moderate symptom expression. In contrast, the Non-Addicted class showed a more adaptive profile. LCA may support the development of personalized treatment strategies by targeting FA-related features, including interventions to improve emotion regulation and metacognitive functioning.

Indexed as

Anorexia nervosaEating disordersFood addictionPerson-approachTreatment

Identifiers

PMID42002817
PMCPMC13231685

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.