Abstinence-based treatment of comorbid eating disorders and ultra-processed food addiction
Datos Bibliográficos
| ID | 15526113 |
|---|---|
| Autores | Susan Peirce Thompson (University of Rochester, autor de correspondencia), M Joy Jacobs (University of California San Diego), David A Wiss (0000-0003-1788-7368, The Recovery Center) |
| Año | 2025 |
| Volumen | 16 |
| Páginas | 1586490-1586490 |
| Fecha de publicación | 2025-07-08 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Frontiers in Psychiatry (JOURNAL) |
| Identificadores de la revista | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Editorial | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2025.1586490 |
| PMID | 40698052 |
| OpenAlex | W4412100333 |
| Idioma | EN |
| Citas recibidas | 1 |
| Referencias citadas | 82 |
While not officially recognized as a clinical diagnosis, ultra-processed food addiction (UPFA) is an increasingly observed phenomenon that frequently co-occurs with eating disorders (EDs). Yet, treatment remains both understudied and controversial. Many challenges exist when treating patients with comorbid UPFA/ED, particularly in the context of the polarizing debate between abstinence-based and moderation-based approaches to nutrition intervention. We present three vignettes illustrating diverse trajectories of recovery when an abstinence-based approach is explored by a patient presenting with ED symptoms. Ultimately, some patients will recover with abstinence, while others may be harmed and fare better with a moderation-based approach. This dichotomy appears difficult for many patients and clinicians to navigate, particularly since integrative middle-ground approaches remain less characterized. Patients deserve individualized treatment plans from open-minded, experienced clinicians who can comprehensively assess genetic vulnerability; upbringing; and current neurobiological, psychological, and social/cultural presentation. We argue for a nuanced, multidisciplinary approach that may combine elements of both abstinence and moderation, tailored to the patient's specific needs, emphasizing the importance of cross-disciplinary collaboration. More research is needed to develop evidence-based, patient-centered treatment options for UPFA in the context of other food- and body-related pathology
Abstinence · Addiction · Binge eating · Eating disorders · Food addiction · Psychiatry · Psychotherapist · Eating Disorders and Behaviors · Medicine · Psychology · Sexuality, Behavior, and Technology
Which Foods May Be Addictive? The Roles of Processing, Fat Content, and Glycemic Load
Evidence for sugar addiction
Development of the Yale Food Addiction Scale Version 2.0.
Food cue reactivity and craving predict eating and weight gain
“Eating addiction”, rather than “food addiction”, better captures addictive-like eating behavior
Six-year follow-up of an abstinence-based, food addiction recovery approach to weight management
Low carbohydrate and psychoeducational programs show promise for the treatment of ultra-processed food addiction
Hard stop
Toward consensus
Overeaters Anonymous
Very-Low-Calorie Ketogenic Diet
Specific theoretical considerations and future research directions for evaluating addictive-like eating as a substance-based, food addiction
Compulsive overeating as an addiction disorder. A review of theory and evidence
Moving beyond the “eating addiction” versus “food addiction” debate
A commentary on the “eating addiction” versus “food addiction” perspectives on addictive-like food consumption
A three-arm randomised controlled trial of a telehealth intervention targeting improvement in addictive eating for Australian adults (the TRACE program)
Dopamine genetic risk is related to food addiction and body mass through reduced reward-related ventral striatum activity
Attentional bias for food cues in binge eating disorder
| Obras citantes distintas | 1 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2026 - 2026 (1) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |