Food Addiction and Its Relationship to Weight- and Addiction-Related Psychological Parameters in Individuals With Overweight and Obesity

Magdalena Pape, Stephan Herpertz, Stefanie Schroeder, Caroline Seiferth, Tanja Färber, Jörg Wolstein, Sabine Steins-Loeber, Magdalena Pape, Stephan Herpertz, Stefanie Schroeder, Caroline Seiferth, Tanja Färber, Jörg Wolstein, Sabine Steins-Loeber

Abstract

Background and Aims: It is assumed that a relevant subgroup of individuals experiences an addiction-like eating behaviour (Food Addiction), characterized by an impaired control over eating behaviour, emotional eating and food craving. Individuals experiencing Food Addiction partially share common symptomatology with Binge-Eating-Disorder and Bulimia Nervosa. The aim of this study was to investigate the prevalence of Food Addiction, general psychopathology, and associations with weight- and addiction-related constructs in individuals with overweight and obesity, who did not suffer from Binge-Eating-Disorder or Bulimia Nervosa. Methods: N=213 (67.1% female; MBMI=33.35kg/m2, SDBMI=3.79kg/m2) participants who were included in a weight loss program (I-GENDO project) reported BMI and completed questionnaires before the start of the treatment. Food Addiction severity, depressive symptoms, alcohol use disorder, internet use disorder, psychological distress, impulsivity personality trait, impulsive and emotional eating behaviour, food related inhibitory control, weight bias internalization, and self-efficacy were assessed. Results: The prevalence of Food Addiction was 15% with higher, although not statistically significant, prevalence in female (18.2%) compared to male (8.6%) participants. Food Addiction was associated with higher BMI at baseline assessment, low self-esteem, impulsive and emotional eating behaviour, weight bias internalization, and deficits in food-related inhibitory control. In addition, correlations were found between Food Addiction and severity of depressive symptoms, internet use disorder, and psychological distress. Conclusion: A relevant subgroup of participants experiences Food Addiction even when controlling for Binge-Eating-Disorder and Bulimia Nervosa. Future studies are warranted that investigate whether Food Addiction affects treatment success.

Keywords: eating behaviour; eating disorders; food addiction; obesity; overweight; weight loss treatment.

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Copyright © 2021 Pape, Herpertz, Schroeder, Seiferth, Färber, Wolstein and Steins-Loeber.

References

    1. Aiken L. S., West S. G. (1990). Invalidity of true experiments: self-report pretest biases. Eval. Rev. 14, 374–390. doi: 10.1177/0193841X9001400403
    1. Avena N. M., Bocarsly M. E., Rada P., Kim A., Hoebel B. G. (2008). After daily bingeing on a sucrose solution, food deprivation induces anxiety and accumbens dopamine/acetylcholine imbalance. Physiol. Behav. 94, 309–315. doi: 10.1016/j.physbeh.2008.01.008, PMID:
    1. Baldofski S., Rudolph A., Tigges W., Herbig B., Jurowich C., Kaiser S., et al. . (2016). Weight bias internalization, emotion dysregulation, and non-normative eating behaviors in prebariatric patients. Int. J. Eat. Disord. 49, 180–185. doi: 10.1002/eat.22484, PMID:
    1. Bari A., Robbins T. W. (2013). Inhibition and impulsivity: Behavioral and neural basis of response control. Prog. Neurobiol. 108, 44–79. doi: 10.1016/j.pneurobio.2013.06.005, PMID:
    1. Beitscher-Campbell H., Blum K., Febo M., Madigan M. A., Giordano J., Badgaiyan R. D., et al. . (2016). Pilot clinical observations between food and drug seeking derived from fifty cases attending an eating disorder clinic. J. Behav. Addict. 5, 533–541. doi: 10.1556/2006.5.2016.055, PMID:
    1. Blaine B., Rodman J. (2007). Responses to weight loss treatment among obese individuals with and without BED: A matched-study meta-analysis. Eat. Weight Disord. 12, 54–60. doi: 10.1007/BF03327579, PMID:
    1. Boerma T., Hosseinpoor A. R., Verdes E., Chatterji S. (2016). A global assessment of the gender gap in self-reported health with survey data from 59 countries. BMC Public Health 16:675. doi: 10.1186/s12889-016-3352-y, PMID:
    1. Bourdier L., Orri M., Carre A., Gearhardt A. N., Romo L., Dantzer C., et al. . (2018). Are emotionally driven and addictive-like eating behaviors the missing links between psychological distress and greater body weight? Appetite 120, 536–546. doi: 10.1016/j.appet.2017.10.013, PMID:
    1. Burger K. S., Stice E. (2012). Frequent ice cream consumption is associated with reduced striatal response to receipt of an ice cream–based milkshake. Am. J. Clin. Nutr. 95, 810–817. doi: 10.3945/ajcn.111.027003, PMID:
    1. Burmeister J. M., Hinman N., Koball A., Hoffmann D. A., Carels R. A. (2013). Food addiction in adults seeking weight loss treatment. Implications for psychosocial health and weight loss. Appetite 60, 103–110. doi: 10.1016/j.appet.2012.09.013, PMID:
    1. Burrows T., Kay-Lambkin F., Pursey K., Skinner J., Dayas C. (2018). Food addiction and associations with mental health symptoms: a systematic review with meta-analysis. J. Hum. Nutr. Diet. 31, 544–572. doi: 10.1111/jhn.12532, PMID:
    1. Burrows T., Skinner J., McKenna R., Rollo M. (2017). Food addiction, binge eating disorder, and obesity: is there a relationship? Behav. Sci. 7:54. doi: 10.3390/bs7030054, PMID:
    1. Cassin S. E., Buchman D. Z., Leung S. E., Kantarovich K., Hawa A., Carter A., et al. . (2019). Ethical, stigma, and policy implications of food addiction: a scoping review. Nutrients 11:710. doi: 10.3390/nu11040710, PMID:
    1. Chalk M. B. (2004). Obesity: addressing a multifactorial disease. Case Manager 15, 47–49. doi: 10.1016/j.casemgr.2004.09.001, PMID:
    1. Chao A. M., Wadden T. A., Tronieri J. S., Pearl R. L., Alamuddin N., Bakizada Z. M., et al. . (2019). Effects of addictive-like eating behaviors on weight loss with behavioral obesity treatment. J. Behav. Med. 42, 246–255. doi: 10.1007/s10865-018-9958-z, PMID:
    1. Chu D.-T., Nguyet N. T. M., Nga V. T., Lien N. V. T., Vo D. D., Lien N., et al. . (2019). An update on obesity: mental consequences and psychological interventions. Diabetes Metab. Syndr. Clin. Res. Rev. 13, 155–160. doi: 10.1016/j.dsx.2018.07.015, PMID:
    1. Churchill S., Jessop D. C. (2011). Reflective and non-reflective antecedents of health-related behaviour: exploring the relative contributions of impulsivity and implicit self-control to the prediction of dietary behaviour. Br. J. Health Psychol. 16, 257–272. doi: 10.1348/135910710X498688, PMID:
    1. Clark S. M., Saules K. K. (2013). Validation of the Yale Food Addiction Scale among a weight-loss surgery population. Eat. Behav. 14, 216–219. doi: 10.1016/j.eatbeh.2013.01.002, PMID:
    1. Conigrave K. M., Hall W. D., Saunders J. B. (1995). The AUDIT questionnaire: choosing a cut-off score. Alcohol use disorder identification test. Addiction 90, 1349–1356. doi: 10.1111/j.1360-0443.1995.tb03552.x
    1. Davis C. (2015). The epidemiology and genetics of binge eating disorder (BED). CNS Spectr. 20, 522–529. doi: 10.1017/S1092852915000462, PMID:
    1. Davis C., Carter J. C. (2009). Compulsive overeating as an addiction disorder. A review of theory and evidence. Appetite 53, 1–8. doi: 10.1016/j.appet.2009.05.018, PMID:
    1. Davis C., Loxton N. J., Levitan R. D., Kaplan A. S., Carter J. C., Kennedy J. L. (2013). ‘Food addiction’and its association with a dopaminergic multilocus genetic profile. Physiol. Behav. 118, 63–69. doi: 10.1016/j.physbeh.2013.05.014, PMID:
    1. De Vries S.-K., Meule A. (2016). Food addiction and bulimia nervosa: new data based on the Yale Food Addiction Scale 2.0. Eur. Eat. Disord. Rev. 24, 518–522. doi: 10.1002/erv.2470, PMID:
    1. Derogatis L. R., Fitzpatrick M. (2004). “The SCL-90-R, the brief symptom inventory (BSI), and the BSI-18,” in The Use of Psychological Testing for Treatment Planning and Outcomes Assessment: Instruments for Adults. ed. Maruish M. E. (Lawrence Erlbaum Associates Publishers; ), 1–41.
    1. Dybek I., Bischof G., Grothues J., Reinhardt S., Meyer C., Hapke U., et al. . (2006). The reliability and validity of the alcohol use disorders identification test (AUDIT) in a German general practice population sample. J. Stud. Alcohol 67, 473–481. doi: 10.15288/jsa.2006.67.473, PMID:
    1. Eichen D. M., Lent M. R., Goldbacher E., Foster G. D. (2013). Exploration of “food addiction” in overweight and obese treatment-seeking adults. Appetite 67, 22–24. doi: 10.1016/j.appet.2013.03.008, PMID:
    1. Fichter M. M., Quadflieg N., Gierk B., Voderholzer U., Heuser J. (2015). The Munich eating and feeding disorder questionnaire (Munich ED-quest) DSM-5/ICD-10: validity, reliability, sensitivity to change and norms. Eur. Eat. Disord. Rev. 23, 229–240. doi: 10.1002/erv.2348, PMID:
    1. Fielding-Singh P., Patel M. L., King A. C., Gardner C. D. (2019). Baseline psychosocial and demographic factors associated with study attrition and 12-month weight gain in the DIETFITS trial. Obesity 27, 1997–2004. doi: 10.1002/oby.22650, PMID:
    1. García-García I., Horstmann A., Jurado M. A., Garolera M., Chaudhry S. J., Margulies D. S., et al. . (2014). Reward processing in obesity, substance addiction and non-substance addiction. Obes. Rev. 15, 853–869. doi: 10.1111/obr.12221, PMID:
    1. Gearhardt A. N., Boswell R. G., White M. A. (2014). The association of “food addiction” with disordered eating and body mass index. Eat. Behav. 15, 427–433. doi: 10.1016/j.eatbeh.2014.05.001, PMID:
    1. Gearhardt A. N., Corbin W. R., Brownell K. D. (2009). Preliminary validation of the Yale food addiction scale. Appetite 52, 430–436. doi: 10.1016/j.appet.2008.12.003, PMID:
    1. Gearhardt A. N., Corbin W. R., Brownell K. D. (2016). Development of the Yale Food Addiction Scale Version 2.0. Psychol. Addict. Behav. 30:113. doi: 10.1037/adb0000136, PMID:
    1. Gearhardt A. N., Hebebrand J. (2021). The concept of “food addiction” helps inform the understanding of overeating and obesity: YES. Am. J. Clin. Nutr. 113, 263–267. doi: 10.1093/ajcn/nqaa343, PMID:
    1. Gearhardt A. N., White M. A., Masheb R. M., Grilo C. M. (2013). An examination of food addiction in a racially diverse sample of obese patients with binge eating disorder in primary care settings. Compr. Psychiatry 54, 500–505. doi: 10.1016/j.comppsych.2012.12.009, PMID:
    1. Gearhardt A. N., White M. A., Masheb R. M., Morgan P. T., Crosby R. D., Grilo C. M. (2012). An examination of the food addiction construct in obese patients with binge eating disorder. Int. J. Eat. Disord. 45, 657–663. doi: 10.1002/eat.20957, PMID:
    1. Gearhardt A. N., Yokum S., Orr P. T., Stice E., Corbin W. R., Brownell K. D. (2011). Neural correlates of food addiction. Arch. Gen. Psychiatry 68, 808–816. doi: 10.1001/archgenpsychiatry.2011.32, PMID:
    1. Grosshans M., Vollmert C., Vollstädt-Klein S., Tost H., Leber S., Bach P., et al. . (2012). Association of leptin with food cue–induced activation in human reward pathways. Arch. Gen. Psychiatry 69, 529–537. doi: 10.1001/archgenpsychiatry.2011.1586, PMID:
    1. Hauck C., Weiß A., Schulte E. M., Meule A., Ellrott T. (2017). Prevalence of ‘food addiction’ as measured with the Yale Food Addiction Scale 2.0 in a representative German sample and its association with sex, age and weight categories. Obes. Facts 10, 12–24. doi: 10.1159/000456013, PMID:
    1. Hebebrand J., Gearhardt A. N. (2021). The concept of “food addiction” helps inform the understanding of overeating and obesity: NO. Am. J. Clin. Nutr. 113, 268–273. doi: 10.1093/ajcn/nqaa344, PMID:
    1. Herpertz S., Burgmer R., Stang A., de Zwaan M., Wolf A. M., Chen-Stute A., et al. . (2006). Prevalence of mental disorders in normal-weight and obese individuals with and without weight loss treatment in a German urban population. J. Psychosom. Res. 61, 95–103. doi: 10.1016/j.jpsychores.2005.10.003, PMID:
    1. Hilbert A., Baldofski S., Zenger M., Löwe B., Kersting A., Braehler E. (2014). Weight bias internalization scale: psychometric properties and population norms. PLoS One 9:e86303. doi: 10.1371/journal.pone.0086303, PMID:
    1. Hilbert A., Tuschen-Caffier B. (2016). Eating Disorder Examination-Questionnaire: Deutschsprachige Übersetzung [Eating Disorder Examination-Questionnaire: German version]. Dgvt-Verlag: Tübingen, Germany.
    1. Hinz A., Schumacher J., Albani C., Schmid G., Brähler E. (2006). Bevölkerungsrepräsentative Normierung der Skala zur Allgemeinen Selbstwirksamkeitserwartung. Diagnostica 52, 26–32. doi: 10.1026/0012-1924.52.1.26
    1. Hofmann W., Friese M., Strack F. (2009). Impulse and self-control from a dual-systems perspective. Perspect. Psychol. Sci. 4, 162–176. doi: 10.1111/j.1745-6924.2009.01116.x, PMID:
    1. Hübner C., Baldofski S., Zenger M., Tigges W., Herbig B., Jurowich C., et al. . (2015). Influences of general self-efficacy and weight bias internalization on physical activity in bariatric surgery candidates. Surg. Obes. Relat. Dis. 11, 1371–1376. doi: 10.1016/j.soard.2014.11.013, PMID:
    1. Jeffery R. W., Epstein L. H., Wilson G. T., Drewnowski A., Stunkard A. J., Wing R. R. (2000). Long-term maintenance of weight loss: current status. Health Psychol. 19:5. doi: 10.1037/0278-6133.19.Suppl1.5, PMID:
    1. Jensen M. D., Ryan D. H. (2014). New obesity guidelines: promise and potential. JAMA 311, 23–24. doi: 10.1001/jama.2013.282546, PMID:
    1. Jerusalem M., Schwarzer R. (2003). SWE-Skala zur Allgemeinen Selbstwirksamkeitserwartung. Psychology. doi: 10.23668/psycharchives.307
    1. Kroenke K., Spitzer R. L., Williams J. B. (2001). The PHQ-9: validity of a brief depression severity measure. J. Gen. Intern. Med. 16, 606–613. doi: 10.1046/j.1525-1497.2001.016009606.x, PMID:
    1. Lent M. R., Eichen D. M., Goldbacher E., Wadden T. A., Foster G. D. (2014). Relationship of food addiction to weight loss and attrition during obesity treatment. Obesity 22, 52–55. doi: 10.1002/oby.20512, PMID:
    1. Linde J. A., Jeffery R. W., Levy R. L., Sherwood N. E., Utter J., Pronk N. P., et al. . (2004). Binge eating disorder, weight control self-efficacy, and depression in overweight men and women. Int. J. Obes. 28, 418–425. doi: 10.1038/sj.ijo.0802570, PMID:
    1. Loeber S., Grosshans M., Korucuoglu O., Vollmert C., Vollstädt-Klein S., Schneider S., et al. . (2012). Impairment of inhibitory control in response to food-associated cues and attentional bias of obese participants and normal-weight controls. Int. J. Obes. 36, 1334–1339. doi: 10.1038/ijo.2011.184, PMID:
    1. Loeber S., Rustemeier M., Paslakis G., Pietrowsky R., Müller A., Herpertz S. (2018). Mood and restrained eating moderate food-associated response inhibition in obese individuals with binge eating disorder. Psychiatry Res. 264, 346–353. doi: 10.1016/j.psychres.2018.03.081, PMID:
    1. Löwe B., Spitzer R. L., Zipfel S., Herzog W. (2002). Gesundheitsfragebogen für Patienten (PHQ-D). Komplettversion und Kurzform. Karlsruhe: Pfizer GmbH.
    1. Marmet S., Studer J., Wicki M., Bertholet N., Khazaal Y., Gmel G. (2019). Unique versus shared associations between self-reported behavioral addictions and substance use disorders and mental health problems: a commonality analysis in a large sample of young Swiss men. J. Behav. Addict. 8, 664–677. doi: 10.1556/2006.8.2019.70, PMID:
    1. Meule A. (2015). Focus: addiction: back by popular demand: a narrative review on the history of food addiction research. Yale J. Biol. Med. 88:295 PMID:
    1. Meule A. (2017). Verlangen nach Süßem: Eine Evaluation der Suchtperspektive auf Zucker- und Süßstoffkonsum. Pädiatr. Pädol. 52, 156–161. doi: 10.1007/s00608-017-0489-6
    1. Meule A. (2019a). A critical examination of the practical implications derived from the food addiction concept. Curr. Obes. Rep. 8, 11–17. doi: 10.1007/s13679-019-0326-2, PMID:
    1. Meule A. (2019b). “An addiction perspective on eating disorders and obesity,” in Eating Disorders and Obesity in Children and Adolescents. eds. Hebebrand J., Herpertz-Dahlmann B. (Amsterdam: Elsevier; ), 99–104.
    1. Meule A., Hermann T., Kübler A. (2015). Food addiction in overweight and obese adolescents seeking weight-loss treatment. Eur. Eat. Disord. Rev. 23, 193–198. doi: 10.1002/erv.2355, PMID:
    1. Meule A., Müller A., Gearhardt A. N., Blechert J. (2017). German version of the Yale food addiction scale 2.0: prevalence and correlates of ‘food addiction’ in students and obese individuals. Appetite 115, 54–61. doi: 10.1016/j.appet.2016.10.003, PMID:
    1. Meule A., Vögele C., Kübler A. (2011). Psychometrische Evaluation der deutschen Barratt Impulsiveness Scale–Kurzversion (BIS-15). Diagnostica 57, 126–133. doi: 10.1026/0012-1924/a000042
    1. Meule A., von Rezori V., Blechert J. (2014). Food addiction and bulimia nervosa. Eur. Eat. Disord. Rev. 22, 331–337. doi: 10.1002/erv.2306, PMID:
    1. Minhas M., Murphy C. M., Balodis I. M., Samokhvalov A. V., MacKillop J. (2021). Food addiction in a large community sample of Canadian adults: prevalence and relationship with obesity, body composition, quality of life and impulsivity. Addiction doi: 10.1111/add.15446, PMID: [Epub ahead of print].
    1. Mobbs O., Crépin C., Thiéry C., Golay A., Van der Linden M. (2010). Obesity and the four facets of impulsivity. Patient Educ. Couns. 79, 372–377. doi: 10.1016/j.pec.2010.03.003, PMID:
    1. Mole T. B., Irvine M. A., Worbe Y., Collins P., Mitchell S. P., Bolton S., et al. . (2015). Impulsivity in disorders of food and drug misuse. Psychol. Med. 45, 771–782. doi: 10.1017/S0033291714001834, PMID:
    1. Müller K. W., Glaesmer H., Brähler E., Woelfling K., Beutel M. E. (2014). Prevalence of internet addiction in the general population: results from a German population-based survey. Behav. Inform. Technol. 33, 757–766. doi: 10.1080/0144929X.2013.810778
    1. Murphy C. M., Stojek M. K., MacKillop J. (2014). Interrelationships among impulsive personality traits, food addiction, and body mass index. Appetite 73, 45–50. doi: 10.1016/j.appet.2013.10.008, PMID:
    1. Nagl M., Hilbert A., de Zwaan M., Braehler E., Kersting A. (2016). The German version of the Dutch eating behavior questionnaire: psychometric properties, measurement invariance, and population-based norms. PLoS One 11:e0162510. doi: 10.1371/journal.pone.0162510, PMID:
    1. Naish K. R., MacKillop J., Balodis I. M. (2018). The concept of food addiction: A review of the current evidence. Curr. Behav. Neurosci. Rep. 5, 281–294. doi: 10.1007/s40473-018-0169-2
    1. Novelle M. G., Diéguez C. (2018). Food addiction and binge eating: lessons learned from animal models. Nutrients 10, 71. doi: 10.3390/nu10010071, PMID:
    1. Parylak S. L., Koob G. F., Zorrilla E. P. (2011). The dark side of food addiction. Physiol. Behav. 104, 149–156. doi: 10.1016/j.physbeh.2011.04.063, PMID:
    1. Pearl R. L., Wadden T. A., Chao A. M., Walsh O., Alamuddin N., Berkowitz R. I., et al. . (2019). Weight bias internalization and long-term weight loss in patients with obesity. Ann. Behav. Med. 53, 782–787. doi: 10.1093/abm/kay084, PMID:
    1. Pedram P., Wadden D., Amini P., Gulliver W., Randell E., Cahill F., et al. . (2013). Food addiction: its prevalence and significant association with obesity in the general population. PLoS One 8:e74832. doi: 10.1371/journal.pone.0074832, PMID:
    1. Preuss H., Leister L., Pinnow M., Legenbauer T. (2019). Inhibitory control pathway to disinhibited eating: a matter of perspective? Appetite 141:104297. doi: 10.1016/j.appet.2019.05.028, PMID:
    1. Pudel V., Westenhöfer J. (1989). Fragebogen zum Eßverhalten (FEV) Hogrefe. Göttingen, Germany.
    1. Puhl R. M., Heuer C. A. (2009). The stigma of obesity: a review and update. Obesity 17, 941–964. doi: 10.1038/oby.2008.636, PMID:
    1. Pursey K. M., Stanwell P., Gearhardt A. N., Collins C. E., Burrows T. L. (2014). The prevalence of food addiction as assessed by the Yale Food Addiction Scale: a systematic review. Nutrients 6, 4552–4590. doi: 10.3390/nu6104552, PMID:
    1. Ross Middleton K. M., Patidar S. M., Perri M. G. (2012). The impact of extended care on the long-term maintenance of weight loss: a systematic review and meta-analysis. Obes. Rev. 13, 509–517. doi: 10.1111/j.1467-789X.2011.00972.x, PMID:
    1. Saunders J. B., Aasland O. G., Babor T. F., De la Fuente J. R., Grant M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 88, 791–804. doi: 10.1111/j.1360-0443.1993.tb02093.x, PMID:
    1. Schulte E. M., Wadden T. A., Allison K. C. (2020). An evaluation of food addiction as a distinct psychiatric disorder. Int. J. Eat. Disord. 53, 1610–1622. doi: 10.1002/eat.23350, PMID:
    1. Spitzer C., Hammer S., Löwe B., Grabe H. J., Barnow S., Rose M., et al. . (2011). Die Kurzform des Brief Symptom Inventory (BSI-18): Erste Befunde zu den psychometrischen Kennwerten der deutschen Version. Fortschr. Neurol. Psychiatr. Grenzgeb. 79, 517–523. doi: 10.1055/s-0031-1281602, PMID:
    1. Swinburn B., Egger G., Raza F. (1999). Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev. Med. 29, 563–570. doi: 10.1006/pmed.1999.0585, PMID:
    1. Tinghino B., Lugoboni F., Amatulli A., Biasin C., Araldi M. B., Cantiero D., et al. . (2020). The FODRAT study (FOod addiction, DRugs, alcohol and tobacco): first data on food addiction prevalence among patients with addiction to drugs, tobacco and alcohol. Eat. Weight Disord. 26, 449–455. doi: 10.1007/s40519-020-00865-z, PMID:
    1. Traversy G., Chaput J.-P. (2015). Alcohol consumption and obesity: an update. Curr. Obes. Rep. 4, 122–130. doi: 10.1007/s13679-014-0129-4, PMID:
    1. Van Strien T., Frijters J. E., Bergers G. P., Defares P. B. (1986). The Dutch eating behavior questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int. J. Eat. Disord. 5, 295–315. doi: 10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>;2-T
    1. Vandelanotte C., Sugiyama T., Gardiner P., Owen N. (2009). Associations of leisure-time internet and computer use with overweight and obesity, physical activity and sedentary behaviors: cross-sectional study. J. Med. Internet Res. 11:e28. doi: 10.2196/jmir.1084, PMID:
    1. VanderBroek-Stice L., Stojek M. K., Beach S. R., MacKillop J. (2017). Multidimensional assessment of impulsivity in relation to obesity and food addiction. Appetite 112, 59–68. doi: 10.1016/j.appet.2017.01.009, PMID:
    1. Vidmar A. P., Wee C. P., Salvy S. J. (2021). Food addiction, executive function and mood in adolescents with obesity seeking treatment. Appetite 159:105049. doi: 10.1016/j.appet.2020.105049, PMID:
    1. Wölfling K., Beutel M. E., Müller K. W. (2016). “OSV-S—Skala zum Onlinesuchtverhalten,” in Diagnostische Verfahren in der Psychotherapie (Diagnostik für Klinik und Praxis) (Göttingen, Germany: Hogrefe; ), 362–366.
    1. Yildirim M. S., Sevincer G. M., Kandeger A., Afacan C. (2018). Investigation of the relationship between risk of internet addiction, food addiction, and self-esteem in high school students. Düşünen Adam 31:187. doi: 10.5350/DAJPN2018310206
    1. Young K. S. (1996). Internet addiction the emergence of a new clinical disorder. CyberPsychol. Behav. 1, 237–244. doi: 10.1089/cpb.1998.1.237

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