French validation of the addiction-like eating behavior scale and its clinical implication
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ORIGINAL ARTICLE
French validation of the addiction‑like eating behavior scale and its clinical implication Maxime Legendre1 · Catherine Bégin1 Received: 11 March 2020 / Accepted: 29 September 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose The first conception of food addiction (FA) as substance addiction, measured by the Yale Food Addiction Scale (YFAS), is controversial. Some proposed that FA would be better conceptualized with a behavioral approach. In accordance with this conceptualization, Ruddock and colleagues published a new self-reported scale for food addiction, the Addictionlike Eating Behavior Scale (AEBS). Overall, preliminary validation of the scale demonstrated good psychometric properties with a community sample. The aim of the present study is twofold, to validate the French–Canadian version of the AEBS with a community sample and to examine how well the instrument fits into a clinical sample with overweight/obesity. Methods A community sample (N = 466) and a clinical sample with overweight/obesity seeking help for their eating difficulties (N = 126) completed an online survey regarding FA, binge eating, dietary restraint, depression, and BMI. Factor analysis, internal consistency, and construct validity were assessed. Results With the community sample, factorial structure, and psychometric properties of the AEBS were replicated. With the clinical sample, proper convergent validity was demonstrated with the YFAS 2.0 and binge eating, and proper divergent validity was demonstrated with dietary restraint. Among the clinical sample, AEBS explain similar variance of BMI and depression level when compared to YFAS 2.0. Conclusion This study provided evidence that the French–Canadian version of the AEBS is a valid measure of food addiction, but it did not permit to establish advantages over YFAS 2.0 with a clinical sample. Clinical implications of the AEBS and FA characteristic are discussed. Level of evidence Level V, cross-sectional, descriptive study. Keywords Addiction-like eating · Eating behaviors · Eating disorders · Food addiction · Obesity · Validation
Introduction High rates of individuals with overweight and obesity among most industrialized countries have forced scholar to concentrate on other explanation and potential interventional target than the “big two” factors (food environment and physical The article is part of the Topical Collection on Food and Addiction. * Catherine Bégin [email protected] Maxime Legendre [email protected] 1
School of Psychology, Pavillon Félix-Antoine-Savard, Laval University, 2325, rue des Bibliothèques, Quebec, QC G1V 0A6, Canada
activity) to understand/treat this epidemic problem [1, 2]. Therefore, the last 2 decades have been marked by increased publications about food addiction (FA) [3], a typology for disorders related to weight and eating [4]. The first conception of FA relied upon substance-use disorder model while highly palatable food was considered as a potential addictive substance like alcohol and drug
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