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      Psychosocial Correlates of Food Addiction and Its Association with Quality of Life in a Non-Clinical Adolescent Sample

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          Abstract

          Background: Most studies related to food addiction have focused on assessing food addiction among adult populations. However, evidence in adolescents has been limited. The aim of this study was to investigate the prevalence of food addiction in a non-clinical adolescent sample. Psychosocial correlations of food addiction and associations with different quality of life dimensions were also tested. Methods: The sample included 593 Chinese adolescents (51.9% female; age range: 13–17 years). All participants provided sociodemographic information and completed questionnaires regarding food addiction, depression, self-esteem, loneliness, psychosocial problems, and quality of life (QoL). Results: The prevalence of food addiction was 6.91% in our sample. A multivariable logistic regression indicated that food addiction was associated with depression (AOR = 2.58; 95% CI: 1.32–5.05), low self-esteem (AOR = 2.75; 95% CI: 1.31–5.78), and loneliness (AOR = 2.30; 95% CI: 1.14–4.65). After multivariable adjustments for sociodemographic and psychological variables, food addiction was associated with lower overall QoL and psychosocial health of QoL. Conclusions: Food addiction may be common among Chinese adolescents. Food addiction was associated with depression, low self-esteem, and loneliness. Lastly, food addiction was also associated with lower overall QoL and psychosocial health of QoL. Future public health programs and interventions consider targeting the factors associated with food addiction to increase healthy eating behaviors among adolescents.

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          Most cited references32

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          Preliminary validation of the Yale Food Addiction Scale.

          Previous research has found similarities between addiction to psychoactive substances and excessive food consumption. Further exploration is needed to evaluate the concept of "food addiction," as there is currently a lack of psychometrically validated measurement tools in this area. The current study represents a preliminary exploration of the Yale Food Addiction Scale (YFAS), designed to identify those exhibiting signs of addiction towards certain types of foods (e.g., high fat and high sugar). Survey data were collected from 353 respondents from a stratified random sample of young adults. In addition to the YFAS, the survey assessed eating pathology, alcohol consumption and other health behaviors. The YFAS exhibited adequate internal reliability, and showed good convergent validity with measures of similar constructs and good discriminant validity relative to related but dissimilar constructs. Additionally, the YFAS predicted binge-eating behavior above and beyond existing measures of eating pathology, demonstrating incremental validity. The YFAS is a sound tool for identifying eating patterns that are similar to behaviors seen in classic areas of addiction. Further evaluation of the scale is needed, especially due to a low response rate of 24.5% and a non-clinical sample, but confirmation of the reliability and validity of the scale has the potential to facilitate empirical research on the concept of "food addiction".
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            Adolescent neurodevelopment.

            The purpose of this article is to outline notable alterations occurring in the adolescent brain, and to consider potential ramifications of these developmental transformations for public policy and programs involving adolescents. Developmental changes in the adolescent brain obtained from human imaging work are reviewed, along with results of basic science studies. Adolescent brain transformations include both progressive and regressive changes that are regionally specific and serve to refine brain functional connectivity. Along with still-maturing inhibitory control systems that can be overcome under emotional circumstances, the adolescent brain is associated with sometimes elevated activation of reward-relevant brain regions, whereas sensitivity to aversive stimuli may be attenuated. At this time, the developmental shift from greater brain plasticity early in life to the relative stability of the mature brain is still tilted more toward plasticity than seen in adulthood, perhaps providing an opportunity for some experience-influenced sculpting of the adolescent brain. Normal developmental transformations in brain reward/aversive systems, areas critical for inhibitory control, and regions activated by emotional, exciting, and stressful stimuli may promote some normative degree of adolescent risk taking. These findings have a number of potential implications for public policies and programs focused on adolescent health and well-being. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
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              An examination of the food addiction construct in obese patients with binge eating disorder.

              This study examined the psychometric properties of the Yale food addiction scale (YFAS) in obese patients with binge eating disorder (BED) and explored its association with measures of eating disorder and associated psychopathology. Eighty-one obese treatment-seeking BED patients were given the YFAS, structured interviews to assess psychiatric disorders and eating disorder psychopathology, and other pathology measures. Confirmatory factor analysis revealed a one-factor solution with an excellent fit. Classification of "food addiction" was met by 57% of BED patients. Patients classified as meeting YFAS "food addiction" criteria had significantly higher levels of depression, negative affect, emotion dysregulation, eating disorder psychopathology, and lower self-esteem. YFAS scores were also significant predictors of binge eating frequency above and beyond other measures. The subset of BED patients classified as having YFAS "food addiction" appear to represent a more disturbed variant characterized by greater eating disorder psychopathology and associated pathology. Copyright © 2011 Wiley Periodicals, Inc.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                28 June 2018
                July 2018
                : 10
                : 7
                : 837
                Affiliations
                [1 ]School of Public Health, China Medical University, Shenyang 110122, China; zyzhao@ 123456cmu.edu.cn (Z.Z.); ynma@ 123456cmu.edu.cn (Y.M.); yanshuohan@ 123456cmu.edu.cn (Y.H.); yliu0568@ 123456cmu.edu.cn (Y.L.); shzhen@ 123456cmu.edu.cn (S.Z.)
                [2 ]Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN 46202, USA; kemyang@ 123456iu.edu
                Author notes
                [* ]Correspondence: dlwen@ 123456cmu.edu.cn
                Article
                nutrients-10-00837
                10.3390/nu10070837
                6073620
                29958382
                98bf145c-fd44-47a4-ad4c-c86f7325186e
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 06 June 2018
                : 26 June 2018
                Categories
                Article

                Nutrition & Dietetics
                adolescent,food addiction,psychosocial factors,quality of life
                Nutrition & Dietetics
                adolescent, food addiction, psychosocial factors, quality of life

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