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Food addiction in anorexia nervosa: Implications for the understanding of crossover diagnosis

dc.contributor.authorSanchez, Isabel
dc.contributor.authorLucas, Ignacio
dc.contributor.authorMunguía, Lucero
dc.contributor.authorCamacho-Barcia, Lucia
dc.contributor.authorGiménez, Mónica
dc.contributor.authorSánchez-González, Jessica
dc.contributor.authorGranero, Roser
dc.contributor.authorSolé-Morata, Neus
dc.contributor.authorGearhardt, Ashley N.
dc.contributor.authorDiéguez, Carlos
dc.contributor.authorJiménez-Murcia, Susana
dc.contributor.authorFernández-Aranda, Fernando
dc.date.accessioned2022-04-08T18:05:54Z
dc.date.available2023-06-08 14:05:52en
dc.date.available2022-04-08T18:05:54Z
dc.date.issued2022-05
dc.identifier.citationSanchez, Isabel; Lucas, Ignacio; Munguía, Lucero ; Camacho-Barcia, Lucia ; Giménez, Mónica ; Sánchez-González, Jessica ; Granero, Roser; Solé-Morata, Neus ; Gearhardt, Ashley N.; Diéguez, Carlos ; Jiménez-Murcia, Susana ; Fernández-Aranda, Fernando (2022). "Food addiction in anorexia nervosa: Implications for the understanding of crossover diagnosis." European Eating Disorders Review 30(3): 278-288.
dc.identifier.issn1072-4133
dc.identifier.issn1099-0968
dc.identifier.urihttps://hdl.handle.net/2027.42/172054
dc.description.abstractObjectiveFood addiction (FA) construct was introduced to reflect abnormal eating patterns that resemble behavioural ones found in substance use disorders. FA has been barely explored in anorexia nervosa (AN). This study evaluated FA occurrence and associated factors in a sample of patients with AN, distinguishing between restrictive and binge–purging subtypes and focussing on the influence of FA in the crossover diagnosis between them.MethodA sample of 116 patients with AN admitted for treatment seeking at an Bellvitge Hospital Eating Disorders Unit were included (72 restrictive [AN‐R]; 44 binge‐purge AN [AN‐BP]), and eating‐related, personality and psychopathological variables were assessed. Most participants were women (92.2%), mean age 27.1 years old (SD = 10.5).ResultsFA was more prevalent in patients with AN‐BP compared to the AN‐R group (75.0% and 54.2%, respectively). The patients with AN‐R FA+, presented more similar ED symptomatology, general psychopathology and personality traits, with the AN‐BP patients, than with the AN‐R FA‐.ConclusionsPatients with AN‐R FA+, exhibit more similarities with the AN‐BP subgroup than with the AN‐R FA‐. Thus, it is possible to hypothesise that the presence of FA might be an indicator of the possible crossover from AN‐R to AN‐BP.HighlightsPatients with anorexia nervosa – restrictive subtype (AN‐R) and patients with anorexia nervosa – bulimic‐purgative subtype (AN‐BP) present a prevalence of food addiction (FA) of 54% and 75%, respectively.Patients with AN‐R FA+ have more clinical and personality similarities with AN‐BP than with AN‐R FA−.The presence of FA could be associated with the possible crossover from AN‐R to AN‐BP.
dc.publisherAmerican Psychiatric Association
dc.publisherWiley Periodicals, Inc.
dc.subject.otherfood addiction
dc.subject.otheranorexia nervosa
dc.subject.otherbinge–purge anorexia nervosa
dc.subject.othercrossover diagnosis
dc.subject.otherrestrictive anorexia nervosa
dc.titleFood addiction in anorexia nervosa: Implications for the understanding of crossover diagnosis
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelNeurosciences
dc.subject.hlbsecondlevelPsychology
dc.subject.hlbsecondlevelPsychiatry
dc.subject.hlbsecondlevelWomen’s and Gender Studies
dc.subject.hlbtoplevelHealth Sciences
dc.subject.hlbtoplevelHumanities
dc.subject.hlbtoplevelSocial Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172054/1/erv2897.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172054/2/erv2897_am.pdf
dc.identifier.doi10.1002/erv.2897
dc.identifier.sourceEuropean Eating Disorders Review
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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