Abstract

Background and Objectives

Hedonic hunger (HH) occurs when individuals are driven to consume highly palatable food for pleasure, rather than to satisfy a caloric need. Currently, the Diagnostic and Statistical Manual of Mental Disorders, 5^th edition (DSM-5) does not recognize HH as a use disorder. Previous research has noted physiological, neurobiological, and treatment similarities between HH, binge eating behavior and substance use, leading to the speculation of the existence of food addiction (FA). The purpose of the current review was to explore the literature on the developmental similarities between substance use, HH, binge eating behavior, and other use disorders to provide more evidence for the recognition of FA as an official use disorder, to add to the evidence in favor of a developmental model of use disorders, and to inform the development of interventions that target modifiable symptoms associated with use disorders.

Methods

We provide a narrative review of the literature on developmental factors associated with both HH and substance use.

Results & Discussion

Adverse childhood experiences and attachment have been previously linked to both substance use and maladaptive eating behaviors. Adverse childhood experiences are linked with insecure attachment and emotion dysregulation, which is linked with compulsive behaviors and substance use. Clinical and research implications are discussed in terms of a developmental model of use disorders and the formal recognition of FA in the next edition of the DSM.

中文翻译：

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将使用障碍的发展模型应用于享乐性饥饿：叙述性评论

摘要

背景和目标

享乐饥饿 (HH) 发生在个体被驱使食用高度可口的食物以获得快乐而不是满足热量需求时。目前，《精神疾病诊断与统计手册》第 5^版版本 (DSM-5) 不承认 HH 是一种使用障碍。先前的研究已经注意到 HH、暴食行为和物质使用之间的生理、神经生物学和治疗相似性，导致推测存在食物成瘾 (FA)。本综述的目的是探索关于物质使用、HH、暴食行为和其他使用障碍之间发育相似性的文献，为将 FA 识别为官方使用障碍提供更多证据，增加证据支持使用障碍的发展模型，并为针对与使用障碍相关的可改变症状的干预措施的开发提供信息。

方法

我们对与 HH 和物质使用相关的发展因素的文献进行了叙述性回顾。

结果与讨论

以前的不良童年经历和依恋与物质使用和适应不良的饮食行为有关。不良的童年经历与不安全的依恋和情绪失调有关，这与强迫行为和物质使用有关。在下一版 DSM 中，根据使用障碍的发展模型和对 FA 的正式认可，讨论了临床和研究意义。