An examination of the mechanisms and personality traits underlying food addiction among individuals with severe obesity awaiting bariatric surgery

Anne-Sophie Ouellette1, Christopher Rodrigue1, Simone Lemieux2,3, André Tchernof2,4, Laurent Biertho4,5, Catherine Bégin1,3
1School of Psychology, Laval University, Quebec City, Canada
2School of Nutrition, Laval University, Quebec City, Canada
3Institute of Nutrition and Functional Foods Laval University, Quebec City, Canada
4Quebec Heart and Lung Institute, Quebec City, Canada
5Department of Surgery, Laval University, Quebec City, Canada

Tóm tắt

The aetiology underlying addiction has often been investigated to shed more light on the factors contributing to the development and maintenance of various disorders. In the field of addictive eating behaviours, data on the aetiological factors related to food addiction (FA) in the bariatric context remain scarce. The present study aimed to explore mechanisms and variables underlying FA among individuals suffering from severe obesity and awaiting bariatric surgery. Participants (N = 146) were recruited at the Quebec Heart and Lung Institute during their pre-operative visit and were invited to complete questionnaires. Participants with and without FA were compared on reward sensitivity, impulsivity, emotion dysregulation, and personality traits. Findings showed that bariatric candidates with FA (16%) presented more emotion dysregulation, more harm avoidance, and less self-directedness. Further exploration showed that the association between harm avoidance and the number of FA criteria endorsed was mediated by emotion dysregulation, while the association between self-directedness and the number of FA criteria endorsed was mediated by reward sensitivity. These results indicate that an inability to regulate affect by strategies other than eating highly palatable food, in a context where negative affect and long-term goals can hardly be sustained, underlies a diagnostic of FA among bariatric candidates. From a clinical standpoint, the presence of a double vulnerability leading to FA symptomatology could help design better-targeted interventions to maximise weight loss maintenance in the bariatric context. Level V, descriptive study.

Tài liệu tham khảo

Dawe S, Gullo MJ, Loxton NJ (2004) Reward drive and rash impulsiveness as dimensionsof impulsivity: implications for substance misuse. Addict Behav 29:1389–1405. doi:10.1016/j.addbeh.2004.06.004 Moeller FG, Dougherty DM, Barratt ES, Schmitz JM, Swann AC, Grabowski J (2001) The impact of impulsivity on cocaine use and retention in treatment. J Subst Abuse Treat 21:193–198. doi:10.1016/S0740-5472(01)00202-1 Alessi SM, Petry NM (2003) Pathological gambling severity is associated with impulsivity in a delay discounting procedure. Behav Process 64:345–354. doi:10.1016/S0376-6357(03)00150-5 Genovese JE, Wallace D (2007) Reward sensitivity and substance abuse in middle school and high school students. J Genet Psychol 168:465–469. doi:10.3200/GNTP.168.4.465-469 Gaher RM, Hahn AM, Shishido H, Simons JS, Gaster S (2015) Associations between sensitivity to punishment, sensitivity to reward, and gambling. Addict Behav 42:180–184. doi:10.1016/j.addbeh.2014.11.014 Fox HC, Axelrod SR, Paliwal P, Sleeper J, Sinha R (2007) Difficulties in emotion regulation and impulse control during cocaine abstinence. Drug Alcohol Depend 89:298–301. doi:10.1016/j.drugalcdep.2006.12.026 Fox HC, Hong KA, Sinha R (2008) Difficulties in emotion regulation and impulse control in recently abstinent alcoholics compared with social drinkers. Addict Behav 33:388–394. doi:10.1016/j.addbeh.2007.10.002 Williams AD, Grisham JR, Erskine A, Cassedy E (2012) Deficits in emotion regulation associated with pathological gambling. Br J Clin Psychol 51:223–238. doi:10.1111/j.2044-8260.2011.02022.x Cloninger CR, Svrakic DM, Przybeck TR (1993) A psychobiological model of temperament and character. Arch Gen Psychiatry 50:975–990. doi:10.1001/archpsyc.1993.01820240059008 Milivojevic D, Milovanovic SD, Jovanovic M, Svrakic DM, Svrakic NM, Svrakic SM, Cloninger CR (2012) Temperament and character modify risk of drug addiction and influence choice of drugs. Am J Addict 21:462–467. doi:10.1001/archpsyc.1993.01820240059008 Hosák L, Preiss M, Halíř M, Čermáková E, Csémy L (2004) Temperament and character inventory (TCI) personality profile in metamphetamine abusers: a controlled study. Eur Psychiatry 19:193–195. doi:10.1016/j.eurpsy.2004.04.003 Nordin C, Nylander PO (2007) Temperament and character in pathological gambling. J Gambl Stud 23:113–120. doi:10.1007/s10899-006-9049-x Galanti K, Gluck ME, Geliebter A (2007) Test meal intake in obese binge eaters in relation to impulsivity and compulsivity. Int J Eat Disord 40:727–732. doi:10.1002/eat.20441 Franken IH, Muris P (2005) Individual differences in reward sensitivity are related to food craving and relative body weight in healthy women. Appetite 45:198–201. doi:10.1016/j.appet.2005.04.004 Davis C, Patte K, Levitan R, Reid C, Tweed S, Curtis C (2007) From motivation to behaviour: a model of reward sensitivity, overeating, and food preferences in the risk profile for obesity. Appetite 48:12–19. doi:10.1016/j.appet.2006.05.016 Eichen DM, Chen E, Boutelle KN, McCloskey MS (2017) Behavioral evidence of emotion dysregulation in binge eaters. Appetite 111:1–6. doi:10.1016/j.appet.2016.12.021 Gianini LM, White MA, Masheb RM (2013) Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eat Behav 14:309–313. doi:10.1016/j.eatbeh.2013.05.008 Sullivan S, Cloninger CR, Przybeck TR, Klein S (2007) Personality characteristics in obesity and relationship with successful weight loss. Int J Obes 31:669–674. doi:10.1038/sj.ijo.0803464 Fassino S, Leombruni P, Pierò A, Daga GA, Amianto F, Rovera G, Rovera GG (2002) Temperament and character in obese women with and without binge eating disorder. Compr Psychiatry 43:431–437. doi:10.1053/comp.2002.35906 Dawe S, Loxton NJ (2004) The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehav Rev 28:343–351. doi:10.1016/j.neubiorev.2004.03.007 Davis C, Carter JC (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 American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders fourth edition text revision (DSM-IV-TR). American Psychiatric Association, Arlington, VA Gearhardt AN, Corbin WR, Brownell KD (2009) Preliminary validation of the Yale food addiction scale. Appetite 52:430–436. doi:10.1016/j.appet.2008.12.003 Murphy CM, Stojek MK, MacKillop J (2013) Interrelationships among impulsive personality traits, food addiction and body mass index. Appetite 73:45–50. doi:10.1016/j.appet.2013.10.008 Loxton NJ, Tipman RJ (2016) Reward sensitivity and food addiction in women. Appetite 115:28–35. doi:10.1016/j.appet.2016.10.022 Gearhardt AN, White MA, Masheb RM, Morgan PT, Crosby RD, Grilo CM (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 Bégin C, St-Louis MÈ, Turmel S, Tousignant B, Marion LP, Ferland F, Blanchette-Martin N, Gagnon-Girouard MP (2012) Does food addiction distinguish a specific subgroup of overweight/obese overeating women? Health (London) 4:1492–1499. doi:10.4236/health.2012.412A214 Wolz I, Hilker I, Granero R, Jiménez-Murcia S, Gearhardt AN, Dieguez C, Casanueva FF, Crujeiras AB, Menchon JM, Fernández-Aranda F (2016) “Food addiction” in patients with eating disorders is associated with negative urgency and difficulties to focus on long-term goals. Front Psychol 7:1–10. doi:10.3389/fpsyg.2016.00061 Koball AM, Clark MM, Collazo-Clavell M, Kellogg T, Ames G, Ebbert J, Grothe KB (2016) The relationship among food addiction, negative mood, and eating-disordered behaviors in patients seeking to have bariatric surgery. Surg Obes Relat Dis 12:165–170. doi:10.1016/j.soard.2015.04.009 Clark SM, Saules KK (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 Pepino MY, Stein RI, Eagon JC, Klein S (2014) Bariatric surgery-induced weight loss causes remission of food addiction in extreme obesity. Obesity 22:1792–1798. doi:10.1002/oby.20797 Miller-Matero LR, Armstrong R, McCulloch K, Hyde-Nolan M, Eshelman A, Genaw J (2014) To eat or not to eat; is that really the question? An evaluation of problematic eating behaviors and mental health among bariatric surgery candidates. Eat Weight Disord 19:377–382. doi:10.1007/s40519-014-0118-3 Meule A, Heckel D, Jurowich CF, Vogele C, Kubler A (2014) Correlates of food addiction in obese individuals seeking bariatric surgery. Clin Obes 4:228–236. doi:10.1111/cob.12065 Brunault P, Ducluzeau PH, Bourbao-Tournois C, Delbachian I, Couet C, Réveillère C, Ballon N (2016) Food addiction in bariatric surgery candidates: prevalence and risk factors. Obes Surg 26:1650–1653. doi:10.1007/s11695-016-2189-x Torrubia R, Avila C, Moltó J, Caseras X (2001) The sensitivity to punishment and sensitivity to reward questionnaire (SPSRQ) as a measure of Gray’s anxiety and impulsivity dimensions. Personal Individ Differ 31:837–862. doi:10.3389/fpsyg.2010.00239 Gray JA (1981) A critique of Eysenck’s theory of personality. In: Eysenck HJ (ed) A model for personality. Springer, New York, pp 246–276 O’Connor RM, Colder CR, Hawk LW (2004) Confirmatory factor analysis of the Sensitivity to Punishment and Sensitivity to Reward Questionnaire. Personal Individ Differ 37:985–1002. doi:10.1016/j.paid.2003.11.008 Caci H, Deschaux O, Baylé FJ (2007) Psychometric properties of the French versions of the BIS/BAS scales and the SPSRQ. Personal Individ Differ 42:987–998. doi:10.1016/j.paid.2006.09.008 Steinberg L, Sharp C, Stanford MS, Tharp AT (2013) New tricks for an old measure: the development of the Barratt impulsiveness scale-brief (BIS-brief). Psychol Assess 25:216–226. doi:10.1037/a0030550 Barratt ES (1959) Anxiety and impulsiveness related to psychomotor efficiency. Percept Mot Skills 9:191–198. doi:10.2466/PMS.9.3.191-198 Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 26:41–54. doi:10.1007/s10862-008-9102-4 Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. The Guilford Press, New York, NY Preacher KJ, Hayes AF (2004) SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Method Instrum Comput 36:717–731. doi:10.3758/BF03206553 Kozak AT, Davis J, Brown R, Grabowski M (2016) Are overeating and food addiction related to distress tolerance? An examination of residents with obesity from a US metropolitan area. Obes Res Clin Pract. doi:10.1016/j.orcp.2016.09.010 Litwin R, Goldbacher EM, Cardaciotto L, Gambrel LE (2016) Negative emotions and emotional eating: the mediating role of experiential avoidance. Eat Weight Disord 22:97–104. doi:10.1007/s40519-016-0301-9 Wolz I, Granero R, Fernández-Aranda F (2017) A comprehensive model of food addiction in patients with binge-eating symptomatology: the essential role of negative urgency. Compr Psychiatry 74:118–124. doi:10.1016/j.comppsych.2017.01.012