PDF(Pubmed)
Abstract：
Food addiction, or ultra-processed food addiction (UPFA), has emerged as a reliable and validated clinical entity that is especially common in individuals seeking treatment for eating disorders (EDs), substance use disorders (SUDs) and co-occurring psychiatric disorders (including mood, anxiety and trauma-related disorders). The clinical science of UPFA has relied on the development and proven reliability of the Yale Food Addiction Scale (YFAS), or subsequent versions, e.g., the modified YFAS 2.0 (mYFAS2.0), as well as neurobiological advances in understanding hedonic eating. Despite its emergence as a valid and reliable clinical entity with important clinical implications, the best treatment approaches remain elusive. To address this gap, we have developed and described a standardized assessment and treatment protocol for patients being treated in a residential program serving patients with psychiatric multi-morbidity. Patients who meet mYFAS2.0 criteria are offered one of three possible approaches: (1) treatment as usual (TAU), using standard ED treatment dietary approaches; (2) harm reduction (HR), offering support in decreasing consumption of all UPFs or particular identified UPFs; and (3) abstinence-based (AB), offering support in abstaining completely from UPFs or particular UPFs. Changes in mYFAS2.0 scores and other clinical measures of common psychiatric comorbidities are compared between admission and discharge.
摘要：
食物成瘾,或超加工食品成瘾(UPFA)，已成为可靠且经过验证的临床实体，在寻求饮食失调（ED）治疗的个体中尤其常见，物质使用障碍(SUDs)和共存的精神疾病(包括情绪，焦虑和创伤相关疾病)。UPFA的临床科学依赖于耶鲁食品成瘾量表（YFAS）的开发和证明的可靠性，或后续版本，例如，修改后的YFAS2.0(mYFAS2.0)，以及神经生物学在理解享乐主义饮食方面的进步。尽管它作为一个有效和可靠的临床实体出现，具有重要的临床意义，最好的治疗方法仍然难以捉摸。为了解决这个差距，我们已经制定并描述了一种标准化的评估和治疗方案,该方案适用于在住院项目中接受治疗的患者,该项目为患有精神病多重性疾病的患者提供服务.符合mYFAS2.0标准的患者提供三种可能的方法之一：（1）照常治疗（TAU），使用标准的ED治疗饮食方法；(2)减少危害(HR)，在减少所有UPFs或特定识别的UPFs的消耗方面提供支持；以及(3)基于禁欲的(AB)，支持完全放弃UPFs或特定的UPFs。在入院和出院之间比较了mYFAS2.0评分和其他常见精神病合并症的临床指标的变化。
