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Personality Dimensions Associated with Food Addiction in a Sample of Pre-operative Bariatric Surgery Patients from Turkey

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Abstract

Food addiction (FA) has been discussed as a potential contributing factor to the multifactorial aetiology of obesity, and an increasing number of studies have been conducted in recent years to understand this construct. Our aim was to determine the prevalence of FA in a Turkish group of pre-operative bariatric surgery patients and examine the relationship between body mass index, FA and personality traits. In this cross-sectional study, adult pre-operative bariatric surgery patients (n = 140) were evaluated for the presence of FA and related clinical factors. FA and personality traits were assessed using the Turkish versions of the Yale Food Addiction Scale (YFAS) and Temperament and Character Inventory (TCI). 47.1% of the sample was found to show signs of food addiction, as assessed by the YFAS. The mean FA symptom count of the whole sample was 3.92 ± 1.71 out of 7. We found that participants with FA had significantly higher TCI harm avoidance scores and self-transcendence total scores than those without FA (p = 0.04, p = 0.03; respectively), whereas their self-directedness scores and resourcefulness sub-scale scores were significantly lower (p = 0.03, p < 0.01; respectively). In conclusion, lower self-directedness and higher harm avoidance are the major personality traits associated with FA in pre-operative bariatric surgery patients.

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References

  • Abiles, V., Rodriguez-Ruiz, S., Abiles, J., Mellado, C., Garcia, A., Perez de la Cruz, A., & Fernandez-Santaella, M. C. (2010). Psychological characteristics of morbidly obese candidates for bariatric surgery. Obesity Surgery, 20, 161–167.

    Article  CAS  Google Scholar 

  • Akvardar, Y., Arkar, H., Akdede, B. B., Gül, S., Sari, Ö., & Tunca, Z. (2005). Alkol Kullanim Bozukluklarinda Kışılık Özellıklerı. [Personality features of patients with alcohol use disorders.]. Bağimlik Dergisi, 6, 53–59.

    Google Scholar 

  • Bagnjuk, J., Konig, H. H., & Hajek, A. (2019). Personality traits and obesity. Int J Environ Res Public Health 16.

  • Bordignon, S., Aparicio, M. J. G., Bertoletti, J., & Trentini, C. M. (2017). Personality characteristics and bariatric surgery outcomes: A systematic review. Trends Psychiatry Psychother, 39, 124–134.

    Article  Google Scholar 

  • Brewerton, T. D. (2017). Food addiction as a proxy for eating disorder and obesity severity, trauma history, PTSD symptoms, and comorbidity. Eating and Weight Disorders, 22, 241–247.

    Article  Google Scholar 

  • Brode, C. S., & Mitchell, J. E. (2019). Problematic eating behaviors and eating disorders associated with bariatric surgery. Psychiatric Clinics of North America, 42, 287–297.

    Article  Google Scholar 

  • Brunault, P., Ducluzeau, P. H., Bourbao-Tournois, C., Delbachian, I., Couet, C., Reveillere, C., & Ballon, N. (2016). Food addiction in bariatric surgery candidates: Prevalence and risk factors. Obesity Surgery, 26, 1650–1653.

    Article  Google Scholar 

  • Brunault, P., Ducluzeau, P. H., Courtois, R., Bourbao-Tournois, C., Delbachian, I., Reveillere, C., & Ballon, N. (2018). Food addiction is associated with higher neuroticism, lower conscientiousness, higher impulsivity, but lower extraversion in obese patient candidates for bariatric surgery. Substance Use and Misuse, 53, 1919–1923.

    Article  Google Scholar 

  • Burrows, T., Hides, L., Brown, R., Dayas, C. V., & Kay-Lambkin, F. (2017). Differences in Dietary Preferences, Personality and Mental Health in Australian Adults with and without Food Addiction. Nutrients, 9(3), 285. https://doi.org/10.3390/nu9030285.

    Article  Google Scholar 

  • Cella, S., Fei, L., D’Amico, R., Giardiello, C., Allaria, A., & Cotrufo, P. (2019). Binge eating disorder and related features in bariatric surgery candidates. Open Med (wars), 14, 407–415.

    Article  Google Scholar 

  • Chao, A. M., Shaw, J. A., Pearl, R. L., Alamuddin, N., Hopkins, C. M., Bakizada, Z. M., Berkowitz, R. I., & Wadden, T. A. (2017). Prevalence and psychosocial correlates of food addiction in persons with obesity seeking weight reduction. Comprehensive Psychiatry, 73, 97–104.

    Article  Google Scholar 

  • Clark, S. M., & Saules, K. K. (2013). Validation of the Yale Food Addiction Scale among a weight-loss surgery population. Eating Behaviors, 14, 216–219.

    Article  Google Scholar 

  • Cloninger, C. R., Przybeck, T. R., Svrakic, D. M., & Wetzel, R. D. (1994). The temperament and character inventory (TCI): A guide to its development and use. Washington University.

    Google Scholar 

  • Dalle Grave, R., Calugi, S., El Ghoch, M., Marzocchi, R., & Marchesini, G. (2014). Personality traits in obesity associated with binge eating and/or night eating. Current Obesity Reports, 3, 120–126.

    Article  Google Scholar 

  • Dalle Grave, R., Calugi, S., & El Ghoch, M. (2018). Are personality characteristics as measured by the Temperament and Character Inventory (TCI) associated with obesity treatment outcomes? A systematic review. Current Obesity Reports, 7, 27–36.

    Article  Google Scholar 

  • Eichen, D. M., Lent, M. R., Goldbacher, E., & Foster, G. D. (2013). Exploration of “food addiction” in overweight and obese treatment-seeking adults. Appetite, 67, 22–24.

    Article  Google Scholar 

  • Erem, C. (2015). Prevalence of overweight and obesity in Turkey. IJC Metabolic & Endocrine, 8, 38–41.

    Article  Google Scholar 

  • Fernandez-Aranda, F., Karwautz, A., & Treasure, J. (2018). Food addiction: A transdiagnostic construct of increasing interest. European Eating Disorders Review, 26, 536–540.

    Article  Google Scholar 

  • Finlayson, G. (2017). Food addiction and obesity: Unnecessary medicalization of hedonic overeating. Nature Reviews. Endocrinology, 13, 493–498.

    Article  Google Scholar 

  • Gearhardt, A. N., Corbin, W. R., & Brownell, K. D. (2009). Preliminary validation of the Yale Food Addiction Scale. Appetite, 52, 430–436.

    Article  Google Scholar 

  • Gearhardt, A. N., White, M. A., Masheb, R. M., Morgan, P. T., Crosby, R. D., & Grilo, C. M. (2012). An examination of the food addiction construct in obese patients with binge eating disorder. International Journal of Eating Disorders, 45, 657–663.

    Article  Google Scholar 

  • Gearhardt, A. N., Corbin, W. R., & Brownell, K. D. (2016). Development of the Yale Food Addiction Scale Version 2.0. Psychology of Addictive Behaviors, 30, 113–121.

    Article  Google Scholar 

  • Granero, R., Jimenez-Murcia, S., Gearhardt, A. N., Aguera, Z., Aymami, N., Gomez-Pena, M., Lozano-Madrid, M., Mallorqui-Bague, N., Mestre-Bach, G., Neto-Antao, M. I., Riesco, N., Sanchez, I., Steward, T., Soriano-Mas, C., Vintro-Alcaraz, C., Menchon, J. M., Casanueva, F. F., Dieguez, C., & Fernandez-Aranda, F. (2018). Validation of the Spanish Version of the Yale Food Addiction Scale 2.0 (YFAS 2.0) and clinical correlates in a sample of eating disorder, gambling disorder, and healthy control participants. Front Psychiatry, 9, 208.

  • Ivezaj, V., Wiedemann, A. A., & Grilo, C. M. (2017). Food addiction and bariatric surgery: A systematic review of the literature. Obesity Reviews, 18, 1386–1397.

    Article  CAS  Google Scholar 

  • Jumbe, S., Hamlet, C., & Meyrick, J. (2017). Psychological aspects of bariatric surgery as a treatment for obesity. Current Obesity Reports, 6, 71–78.

    Article  Google Scholar 

  • Köse, S., Sayar, K., Ak, I., Aydin, N., Kalelioğlu, Ü., Kirpinar, I., Reeves, R. A., Przybeck, T. R., & Cloninger, C. R. (2004). Mizaç ve Karakter Evanteri (Türkçe TCI): Geçerlik, Güvenirliği ve Faktör Yapisi. [Turkish version of the Temperament and Character Inventory (TCI): Reliability, validity, and factorial structure.]. Klinik Psikofarmakoloji Bülteni / Bulletin of Clinical Psychopharmacology, 14, 107–131.

    Google Scholar 

  • Long, C. G., Blundell, J. E., & Finlayson, G. (2015). A systematic review of the application and correlates of YFAS-diagnosed “food addiction” in humans: Are eating-related “addictions” a cause for concern or empty concepts? Obesity Facts, 8, 386–401.

    Article  Google Scholar 

  • Meule, A., Heckel, D., & Kubler, A. (2012). Factor structure and item analysis of the Yale Food Addiction Scale in obese candidates for bariatric surgery. European Eating Disorders Review, 20, 419–422.

    Article  Google Scholar 

  • Meule, A., Heckel, D., Jurowich, C. F., Vogele, C., & Kubler, A. (2014). Correlates of food addiction in obese individuals seeking bariatric surgery. Clin Obes, 4, 228–236.

    CAS  Google Scholar 

  • Miller-Matero, L. R., 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. Eating and Weight Disorders, 19, 377–382.

    Article  Google Scholar 

  • Monteleone, A. M., Cascino, G., Solmi, M., Pirozzi, R., Tolone, S., Terracciano, G., Parisi, S., Cimino, M., Monteleone, P., Maj, M., & Docimo, L. (2019). A network analysis of psychological, personality and eating characteristics of people seeking bariatric surgery: Identification of key variables and their prognostic value. Journal of Psychosomatic Research, 120, 81–89.

    Article  Google Scholar 

  • Muller, A., Leukefeld, C., Hase, C., Gruner-Labitzke, K., Mall, J. W., Kohler, H., & de Zwaan, M. (2018). Food addiction and other addictive behaviours in bariatric surgery candidates. European Eating Disorders Review, 26, 585–596.

    Article  Google Scholar 

  • Murphy, C. M., Stojek, M. K., & MacKillop, J. (2014). Interrelationships among impulsive personality traits, food addiction, and Body Mass Index. Appetite, 73, 45–50.

    Article  Google Scholar 

  • Ouellette, A. S., Rodrigue, C., Lemieux, S., Tchernof, A., Biertho, L., & Begin, C. (2017). An examination of the mechanisms and personality traits underlying food addiction among individuals with severe obesity awaiting bariatric surgery. Eating and Weight Disorders, 22, 633–640.

    Article  Google Scholar 

  • Pedram, P., Wadden, D., Amini, P., Gulliver, W., Randell, E., Cahill, F., Vasdev, S., Goodridge, A., Carter, J. C., Zhai, G., Ji, Y., & Sun, G. (2013). Food addiction: Its prevalence and significant association with obesity in the general population. PLoS One, 8, e74832.

    Article  CAS  Google Scholar 

  • Piccinni, A., Bucchi, R., Fini, C., Vanelli, F., Mauri, M., Stallone, T., Cavallo, E. D., & Claudio, C. (2020). Food addiction and psychiatric comorbidities: A review of current evidence. Eat Weight Disord.

  • Rodrigue, C., Ouellette, A. S., Lemieux, S., Tchernof, A., Biertho, L., & Begin, C. (2018). Executive functioning and psychological symptoms in food addiction: A study among individuals with severe obesity. Eating and Weight Disorders, 23, 469–478.

    Article  Google Scholar 

  • Romer Thomsen, K., Callesen, M. B., Hesse, M., Kvamme, T. L., Pedersen, M. M., Pedersen, M. U., & Voon, V. (2018). Impulsivity traits and addiction-related behaviors in youth. Journal of Behavioral Addictions, 7, 317–330.

    Article  Google Scholar 

  • Royal, S., Wnuk, S., Warwick, K., Hawa, R., & Sockalingam, S. (2015). Night eating and loss of control over eating in bariatric surgery candidates. Journal of Clinical Psychology in Medical Settings, 22, 14–19.

    Article  Google Scholar 

  • Santas, F., & Santas, G. (2018). Obesity among Women in Turkey. Iranian Journal of Public Health, 47, 682–688.

    Google Scholar 

  • Schulte, E. M., Avena, N. M., Gearhardt, A. N., (2015a). Which foods may be addictive? The roles of processing, fat content, and glycemic load. PLOS ONE 10, e0117959.

  • Schulte, E. M., Joyner, M. A., Potenza, M. N., Grilo, C. M., & Gearhardt, A. N. (2015b). Current considerations regarding food addiction. Current Psychiatry Reports, 17, 563.

    Article  Google Scholar 

  • Sevincer, G., Konuk, N., Bozkurt, S., Saracli, O., & Coskun, H. (2015). Psychometric properties of the Turkish version of the Yale Food Addiction Scale among bariatric surgery patients. Anatolian Journal of Psychiatry, 16, 44.

    Article  Google Scholar 

  • Steingrimsson, S., Carlsen, H. K., Lundström, E., Lundström, S., & Nilsson, T. (2020). Problematic alcohol and drug use is associated with low self-directedness and cooperativeness. European Addiction Research.

  • Vainik, U., Neseliler, S., Konstabel, K., Fellows, L. K., & Dagher, A. (2015). Eating traits questionnaires as a continuum of a single concept. Uncontrolled Eating. Appetite, 90, 229–239.

    Article  Google Scholar 

  • van den Akker, K., Stewart, K., Antoniou, E. E., Palmberg, A., & Jansen, A. (2014). Food cue reactivity, obesity, and impulsivity: Are they associated? Current Addiction Reports, 1, 301–308.

    Article  Google Scholar 

  • Wolz, I., Granero, R., & Fernandez-Aranda, F. (2017). A comprehensive model of food addiction in patients with binge-eating symptomatology: The essential role of negative urgency. Comprehensive Psychiatry, 74, 118–124.

    Article  Google Scholar 

  • Wolz, I., Hilker, I., Granero, R., Jiménez-Murcia, S., Gearhardt, A. N., Dieguez, C., et al. (2016). “Food Addiction” in Patients with Eating Disorders is Associated with Negative Urgency and Difficulties to Focus on Long-Term Goals. Front Psychol., 7, 61. https://doi.org/10.3389/fpsyg.2016.00061.

    Article  Google Scholar 

  • Ziauddeen, H., & Fletcher, P. C. (2013). Is food addiction a valid and useful concept? Obesity Reviews, 14, 19–28.

    Article  CAS  Google Scholar 

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Correspondence to Ekin Sönmez Güngör.

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Ethical Statement

Ethical approval for the study was received from Marmara University School of Medicine Local Ethical Committee.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Çelebi, C., Sönmez Güngör, E. & Akvardar, Y. Personality Dimensions Associated with Food Addiction in a Sample of Pre-operative Bariatric Surgery Patients from Turkey. Int J Ment Health Addiction 21, 605–616 (2023). https://doi.org/10.1007/s11469-021-00663-3

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