The association between cumulative adverse childhood experiences and ultra-processed food addiction is moderated by substance use disorder history among adults seeking outpatient nutrition counseling
Dados Bibliográficos
| ID | 15529116 |
|---|---|
| Autores | David A Wiss (0000-0003-1788-7368, University of California, Los Angeles, autor correspondente), Carol Tran (University of Southern California), Celine D Tran, Erica M LaFata (0000-0002-8505-6366, Drexel University) |
| Ano | 2025 |
| Volume | 16 |
| Páginas | 1543923-1543923 |
| Data de publicação | 2025-03-27 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Frontiers in Psychiatry (JOURNAL) |
| Identificadores do periódico | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Editora | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2025.1543923 |
| PMID | 40212842 |
| OpenAlex | W4408896393 |
| Idioma | EN |
| Citações recebidas | 1 |
| Referências citadas | 106 |
Adverse childhood experiences (ACEs), such as childhood maltreatment and household dysfunction, are positively linked to substance use disorders (SUD), weight loss efforts, and maladaptive eating behaviors, including ultra-processed food addiction (UPFA) and eating disorder (ED) symptoms. However, the differential association of ACEs with UPFA by lifetime SUD history and ACEs with EDs by weight suppression- the discrepancy between an individual's highest and current weight/BMI in adulthood- have not been examined. Using logistic regression and marginal effects analysis, this cross-sectional study aimed to assess (1) cumulative ACEs as a risk factor for screening positive for UPFA and EDs, (2) lifetime SUD history as a moderator of the ACE-UPFA relationship, and (3) weight suppression as a moderator of the ACE-ED relationship. Among 287 adults presenting to a private practice offering nutrition counseling for EDs and SUD recovery, the presence of 4 or more ACEs (compared to <4 ACEs) significantly increased the odds of UPFA-positive screens (OR=1.99; CI=1.19-3.35; p=0.01) but not ED-positive screens (OR=1.36; CI=0.80-2.30, p=0.25). Additionally, the interaction between ACEs and SUD was significant to the UPFA outcome (p<0.01). Those with a self-reported lifetime history of SUD exhibited an increased probability of UPFA-positive screens in the presence of 4 or more ACEs. Meanwhile, the probability of UPFA-positive screens remained unchanged among those who did not report a lifetime SUD history. Cumulative ACEs did not significantly predict ED-positive screens, and the ACE-weight suppression interaction did not meet the threshold for significance. Overall findings underscore the cross-vulnerability between addictive behaviors and the potential importance of integrating nutrition interventions in addiction treatment for those with ACEs
Addiction · Adverse Childhood Experiences · Logistic regression · Mental health · Moderation · Odds · Odds ratio · Psychiatry · Substance abuse · Child Nutrition and Feeding Issues · Clinical Psychology · Demography · Eating Disorders and Behaviors · Medicine · Obesity, Physical Activity, Diet · Psychology · Internal Medicine
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| Obras citantes distintas | 1 |
|---|---|
| Citações por ano | 1 |
| Intervalo de citações | 2025 - 2025 (1) |
| Velocidade de citação | recent |
| Altamente citado | Não |
| Tipos de citação | Neutras: 1 |