title: Eating-related Psychopathology and Food Addiction in Adolescent Psychiatric Inpatients.
abstract: Our aims were to investigate the relationship between food addiction and mental disorders including eating disorders (ED), eating-related psychopathology and body mass index-standard deviation score in a sample of adolescent psychiatric inpatients.
  
  
  
  Food addiction was assessed with the Yale Food Addiction Scale (YFAS). Eating-related psychopathology was measured with the Three-Factor Eating Questionnaire (TFEQ). Psychiatric diagnoses were assessed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. The sample consisted of n = 242 adolescent psychiatric inpatients, of which n = 37 (15.3%) met criteria for an ED. Multiple regression analysis was used to examine the association between YFAS symptom count, TFEQ scales and ED controlling for age and gender.
  
  
  
  Food addiction frequency was 16.5%, and the mean YFAS symptom count was 2.39 (SD: 1.60). In patients with food addiction, TFEQ scale scores were significantly higher than patients without food addiction. Frequency of ED was 42.9% in patients with and 9.9% in patients without food addiction. The TFEQ subscales disinhibition and hunger as well as diagnosis of ED were associated with YFAS symptom count.
  
  
  
  Food addiction in adolescent psychiatric inpatients occurs with rates higher than those seen in community samples of children, adolescents and adults. Food addiction might be associated with eating styles related to susceptibility to hunger and feelings of loss of control. The implications of high-YFAS scores in restricting-type anorexia nervosa warrant further investigations to explore which and how the respective items are interpreted in this ED subgroup. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
authors.affiliation: Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School (MHH), Hannover, Germany.|Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, LVR Klinikum, Universitätsklinikum Essen (AöR), Essen, Germany.
authors.forename: Özgür
authors.identifier: 0000-0002-6006-6955
authors.initials: Ö
authors.lastname: Albayrak
authors.affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, LVR Klinikum, Universitätsklinikum Essen (AöR), Essen, Germany.
authors.forename: Manuel
authors.initials: M
authors.lastname: Föcker
authors.affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, LVR Klinikum, Universitätsklinikum Essen (AöR), Essen, Germany.
authors.forename: Josephine
authors.initials: J
authors.lastname: Kliewer
authors.affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, LVR Klinikum, Universitätsklinikum Essen (AöR), Essen, Germany.
authors.forename: Simon
authors.initials: S
authors.lastname: Esber
authors.affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, LVR Klinikum, Universitätsklinikum Essen (AöR), Essen, Germany.
authors.forename: Triinu
authors.initials: T
authors.lastname: Peters
authors.affiliation: Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School (MHH), Hannover, Germany.
authors.forename: Martina
authors.initials: M
authors.lastname: de Zwaan
authors.affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, LVR Klinikum, Universitätsklinikum Essen (AöR), Essen, Germany.
authors.forename: Johannes
authors.initials: J
authors.lastname: Hebebrand
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D001068:Feeding and Eating Disorders / Q000453:epidemiology*; D005260:Female; D000073932:Food Addiction / Q000453:epidemiology*; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy
keywords: YFAS; addictive-like eating; eating disorders; food addiction