Differential association between food craving,food addiction and eating-related characteristics in persons at risk for eating disorders |
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| Institution: | 1. CHU de Reims, Pôle de Psychiatrie adulte, Hôpital Robert Debré, avenue du Général Koenig, Reims Cedex 51092, France;2. CHU de Reims, Service d''Endocrinologie-Diabète-Nutrition, Hôpital Robert-Debré, avenue du Général Koenig, Reims Cedex 51092, France;3. Université Reims Champagne-Ardenne (URCA), laboratoire C2S (EA 6291), Reims, France;4. CHRU de Tours, Center Spécialisé pour la prise en charge de l''Obésité sévère, 2 boulevard Tonnellé, Tours Cedex 9 37044, France;5. CHRU de Tours, Service de Médecine Interne-Nutrition, 2 boulevard Tonnellé, Tours Cedex 9 37044, France;6. Université François Rabelais de Tours, Inserm U1069, 10 boulevard Tonnellé, Tours Cedex 37032, France;7. CHRU de Tours, Service de Chirurgie Digestive et Endocrinienne, Avenue de la République, Chambray-lès-Tours 37170, France;8. CHRU de Tours, Équipe de Liaison et de Soins en Addictologie & Clinique Psychiatrique Universitaire, 2 boulevard Tonnellé, Tours Cedex 9 37044, France;9. Université François Rabelais de Tours, UMR INSERM U930 «Imagerie et Cerveau», 2 boulevard Tonnellé, Tours Cedex 9 37044, France;10. Université François Rabelais de Tours, EA 2114 «Psychologie des Âges de la Vie», 3 rue des Tanneurs, Tours 37000, France;1. Yale University School of Nursing, Orange, CT, United States;2. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States;3. Yale Stress Center, New Haven, CT, United States;1. Center for Human Growth and Development, University of Michigan, Ann Arbor, MI, United States;2. Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, United States;3. Department of Pediatrics, Medical School, University of Michigan, Ann Arbor, MI, United States;4. Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, MI, United States |
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| Abstract: | IntroductionFood craving is a key feature of eating disorders, but its association with medical and psychological outcome might depend on the type of eating disorder.ObjectivesThis study investigated the factors associated with food craving in individuals at risk for DSM-5 eating disorder.MethodSeventy-six women were recruited from a non-clinical population (n = 372) based on their positive screening (EDDS, QEWP-R) for binge eating disorder (BED; n = 29), anorexia nervosa (AN; n = 28) or bulimia nervosa (BN; n = 19). They completed self-administered questionnaires assessing food craving (FCQ- T-r), Body Mass Index (BMI), eating behaviour (DEBQ), food addiction (YFAS 2.0), and anxiety and depressive symptoms (HADS).ResultsIndividuals at risk for BED or BN had higher food craving than those at risk for AN. Food craving was associated with BMI only in the BED group. Food craving was positively correlated with external eating in all groups, and with emotional eating in the AN and BED groups and correlated with anxiety only in BN. Food addiction prevalence was higher in the BN group than in the AN or BED groups (respectively 94.7%, 46.4% and 65.5%; p < 0.01). In this non-clinical population, we demonstrated that food craving was differentially associated with BMI and eating-related characteristics according to the type of eating disorder.ConclusionThis suggests that food craving is a transdiagnostic dimension that should be differentially targeted depending on the type of eating disorder; future studies should test this hypothesis in clinical populations. |
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| Keywords: | Feeding and eating disorders Food craving Addictive behaviour Impulsive behaviour Food addiction Trouble des conduites alimentaires Addiction à l’alimentation Impulsivité |
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