Cloninger; Food addiction; Impulsivity; Meta-analysis; Personality; Temperament; Urgency; Clinical Psychology; Psychiatry and Mental Health
Abstract :
[en] BACKGROUND: Epidemiological and clinical studies highlighted that food addiction is a clinically relevant phenomenon. A large number of studies investigated its link with personality traits. However, a systematic overview and a meta-analysis of these results is lacking.
METHODS: We systematically searched for studies investigating the link between food addiction and personality traits on several academic databases. For each personality trait, we performed a three-level meta-analysis estimating the strength of its association with food addiction severity. The role of moderators was tested employing meta-regression.
RESULTS: The screening process led to the selection of 37 studies. Most contributions investigate impulsivity or the Cloninger's dimensions with the Impulsive Behavior Scale or the Temperament and Character Inventory respectively. An insufficient number of observations were retrieved to evaluate the association between food addiction severity and some personality traits such as those measured by the five-factor model. The highest effect sizes observed linked food addiction to low levels of self-directedness (r = -0.26), to high levels of both negative (r = 0.33) and positive (r = 0.27) urgency and to attentional impulsiveness (r = 0.31). Age and gender significantly moderated some of the effect sizes.
CONCLUSIONS: More research is needed to increase our knowledge regarding the association between food addiction severity and some personality traits. Results suggested that food addiction may be associated to the same personality traits that characterized addictions and eating disorders (e.g. harm avoidance and impulsivity), also revealing its specificity (i.e. the lack of significant association with reward dependence).
Disciplines :
Theoretical & cognitive psychology
Author, co-author :
Rogier, G ; Saint Camillus International University of Health and Medical Sciences, Via di Sant'Alessandro, 8, 00131, Rome, Italy. Electronic address: guyonne.rogier@unicamillus.org
Ameglio, C; Department of Educational Sciences, University of Genoa, Corso Podestà 2, 16128, Genoa, Italy. Electronic address: chiaraameglio@hotmail.com
Penco, G; Department of Educational Sciences, University of Genoa, Corso Podestà 2, 16128, Genoa, Italy. Electronic address: jonny.penco@gmail.com
Pace, C S ; Department of Educational Sciences, University of Genoa, Corso Podestà 2, 16128, Genoa, Italy. Electronic address: cecilia.pace@unige.it
Muzi, S ; Department of Educational Sciences, University of Genoa, Corso Podestà 2, 16128, Genoa, Italy. Electronic address: stefania.muzi@edu.unige.it
Cornil, Aurélien ; Université de Liège - ULiège > Département de Psychologie > Psychologie clinique de l'adulte
Velotti, P ; Department of Dynamic, Clinical Psychology, and Health studies, University of Rome, Sapienza, Via degli Apuli 1, 00185, Rome, Italy. Electronic address: patrizia.velotti@uniroma1.it
Language :
English
Title :
Food addiction and personality traits: A three-levels meta-analysis of correlational studies.
American Psychological Association, Personality trait. Retrieved at, APA Dictionary of Psychology https://dictionary.apa.org/personality-trait, 2018.
Bechara, A., Van Der Linden, M., Decision-making and impulse control after frontal lobe injuries. Current Opinion in Neurology 18:6 (2005), 734–739, 10.1097/01.wco.0000194141.56429.3c.
Berg, J.M., Latzman, R.D., Bliwise, N.G., Lilienfeld, S.O., Parsing the heterogeneity of impulsivity: A meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychological Assessment 27:4 (2015), 1129–1146, 10.1037/pas0000111.
Beyer, F., García‐García, I., Heinrich, M., Schroeter, M.L., Sacher, J., Luck, T., Witte, A.V., Neuroanatomical correlates of food addiction symptoms and body mass index in the general population. Human Brain Mapping 40:9 (2019), 2747–2758 https://onlinelibrary.wiley.com/doi/10.1002/hbm.24557.
Billieux, J., Impulsivité et psychopathologie: Une approche transdiagnostique [Impulsivity and psychopathology: A transdiagnostic approach]. Revue Francophone de Clinique Comportementale et Cognitive 17:3 (2012), 42–65 https://rfccc.eu/ARTICLES/article17304.pdf.
Borenstein, M., Hedges, L.V., Higgins, J.P., Rothstein, H.R., A basic introduction to fixed-effect and random-effects models for meta-analysis. Research Synthesis Methods 1:2 (2010), 97–111, 10.1002/jrsm.12.
Brewerton, T.D., Dennis, A.B., (eds.) Eating disorders, addictions and substance use disorders: Research, clinical and treatment perspectives, 2014, Springer-Verlag Publishing/Springer Nature, 10.1007/978-3-642-45378-6.
Bucher, M.A., Suzuki, T., Samuel, D.B., A meta-analytic review of personality traits and their associations with mental health treatment outcomes. Clinical Psychology Review 70 (2019), 51–63, 10.1016/j.cpr.2019.04.002.
Cheung, M.W., MetaSEM: An R package for meta-analysis using structural equation modeling. Frontiers in Psychology, 5, 2015, 1521, 10.3389/fpsyg.2014.01521.
Cloninger, C.R., Svrakic, D.M., Przybeck, T.R., A psychobiological model of temperament and character. Archives of General Psychiatry 50:12 (1993), 975–990, 10.1001/archpsyc.1993.01820240059008.
Cooper, H., Hedges, L.V., (eds.) The handbook of research synthesis, 1994, Russell Sage Foundation https://archive.org/details/handbookofresear0000unse_y0t1.
Coskunpinar, A., Dir, A.L., Cyders, M.A., Multidimensionality in impulsivity and alcohol use: a meta-analysis using the UPPS model of impulsivity. Alcoholism, Clinical and Experimental Research 37:9 (2013), 1441–1450, 10.1111/acer.12131.
Costa, P.T., McCrae, R.R., The five-factor model of personality and its relevance to personality disorders. Journal of Personality Disorders 6:4 (1992), 343–359, 10.1521/pedi.1992.6.4.343.
d'Acremont, M., Van der Linden, M., How is impulsivity related to depression in adolescence? Evidence from a French validation of the cognitive emotion regulation questionnaire. Journal of Adolescence 30:2 (2007), 271–282, 10.1016/j.adolescence.2006.02.007.
Dash, G.F., Slutske, W.S., Martin, N.G., Statham, D.J., Agrawal, A., Lynskey, M.T., Big Five personality traits and alcohol, nicotine, cannabis, and gambling disorder comorbidity. Psychology of Addictive Behaviors 33:4 (2019, Jun), 420–429, 10.1037/adb0000468 (Epub 2019 May 16. PMID: 31094546; PMCID: PMC7269105).
di Giacomo, E., Aliberti, F., Pescatore, F., Santorelli, M., Pessina, R., Placenti, V., Clerici, M., Disentangling binge eating disorder and food addiction: A systematic review and meta-analysis. Eating and Weight Disorders 27:6 (2022), 1963–1970, 10.1007/s40519-021-01354-7.
dos Santos, R.M., Santos, T.L.P., de Oliveira, I.D., Relation of food addiction in overweight/obesity, depression and impulsivity: A systematic review and meta-analysis. Health Science Journal, 14(5), 2020, 737, 10.36648/1791-809X.14.5.737.
Dufresne, L., Bussières, E.L., Bédard, A., Gingras, N., Blanchette-Sarrasin, A., Bégin, C. PhD, Personality traits in adolescents with eating disorder: A meta-analytic review. The International Journal of Eating Disorders 53:2 (2020), 157–173, 10.1002/eat.23183.
Duval, S., Tweedie, R., Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics 56:2 (2000), 455–463, 10.1111/j.0006-341x.2000.00455.x.
Egger, M., Davey Smith, G., Schneider, M., Minder, C., Bias in meta-analysis detected by a simple, graphical test. BMJ (Clinical Research Ed.) 315:7109 (1997), 629–634, 10.1136/bmj.315.7109.629.
El Archi, S., Brunault, P., De Luca, A., Cortese, S., Hankard, R., Bourbao-Tournois, C., Barrault, S., Do emotion dysregulation, alexithymia and personality dimensions explain the association between attention-deficit/hyperactivity disorder and binge eating among bariatric surgery candidates?. Frontiers in Psychology, 12, 2021, 745857, 10.3389/fpsyg.2021.745857.
Etxandi, M., Baenas, I., Munguía, L., Mestre-Bach, G., Granero, R., Gómez-Peña, M., Jiménez-Murcia, S., Clinical features of gambling disorder patients with and without food addiction: Gender-related considerations. Journal of Gambling Studies 38:3 (2022), 843–862, 10.1007/s10899-021-10071-w.
Farstad, S.M., McGeown, L.M., von Ranson, K.M., Eating disorders and personality, 2004–2016: A systematic review and meta-analysis. Clinical Psychology Review 46 (2016), 91–105, 10.1016/j.cpr.2016.04.005.
Fischer, S., Smith, G.T., Cyders, M.A., Another look at impulsivity: A meta-analytic review comparing specific dispositions to rash action in their relationship to bulimic symptoms. Clinical Psychology Review 28:8 (2008), 1413–1425, 10.1016/j.cpr.2008.09.001.
Fontanari, M., Amato, A.L., Dri, M., Nicoletti, F., Moia, A., De Lorenzo, A., Food addiction: umbrella review della letteratura più recente. Noos 27:1 (2021), 37–54, 10.1722/3653.36343.
Garcia, D., Lester, N., Cloninger, K.M., Cloninger, C.R., Cooperativeness. Zeigler-Hill, V., Shackelford, T., (eds.) Encyclopedia of personality and individual differences, 2017, Springer, Cham, 10.1007/978-3-319-28099-8_2268-1.
Gearhardt, A.N., Corbin, W.R., Brownell, K.D., Food addiction: An examination of the diagnostic criteria for dependence. Journal of Addiction Medicine 3:1 (2009), 1–7, 10.1097/ADM.0b013e318193c993.
Gilmartin, T., Gurvich, C., Sharp, G., The relationship between disordered eating behaviour and the five factor model personality dimensions: A systematic review. Journal of Clinical Psychology 78:9 (2022), 1657–1670, 10.1002/jclp.23337.
Gordon, E.L., Ariel-Donges, A.H., Bauman, V., Merlo, L.J., What is the evidence for “food addiction?” A systematic review. Nutrients, 10(4), 2018, 477, 10.3390/nu10040477.
Hebebrand, J., Albayrak, Ö., Adan, R., Antel, J., Dieguez, C., de Jong, J., Dickson, S.L., “Eating addiction”, rather than “food addiction”, better captures addictive-like eating behavior. Neuroscience and Biobehavioral Reviews 47 (2014), 295–306, 10.1016/j.neubiorev.2014.08.016.
Hedges, L.V., Pigott, T.D., The power of statistical tests in meta-analysis. Psychological Methods 6:3 (2001), 203–217, 10.1037/1082-989X.6.3.203.
Howard, M.O., Kivlahan, D., Walker, R.D., Cloninger's tridimensional theory of personality and psychopathology: Applications to substance use disorders. Journal of Studies on Alcohol 58:1 (1997), 48–66, 10.15288/jsa.1997.58.48.
Hussenoeder, F.S., Conrad, I., Löbner, M., Engel, C., Reyes, N., Yahiaoui‐Doktor, M., Riedel‐Heller, S.G., The different areas of chronic stress and food addiction: Results from the LIFE‐Adult‐Study. Stress and Health, 40(3), 2024, e3348, 10.1002/smi.3348.
Kampman, O., Viikki, M., Järventausta, K., Leinonen, E., Meta-analysis of anxiety disorders and temperament. Neuropsychobiology 69:3 (2014), 175–186, 10.1159/000360738.
Kavanagh, D.J., Andrade, J., May, J., Imaginary relish and exquisite torture: The elaborated intrusion theory of desire. Psychological Review 112:2 (2005), 446–467, 10.1037/0033-295X.112.2.446.
Kircaburun, K., Ünübol, H., Sayar, G.H., Stavropoulos, V., Griffiths, M.D., Measurement, prevalence, and psychological risk factors associated with addictive food consumption: Development of a new food addiction scale and evidence from a national largescale sample. Journal of Behavioral Addictions 9:3 (2020), 836–852, 10.1556/2006.2020.00052.
Köck, P., Walter, M., Personality disorder and substance use disorder—An update. Mental Health and Prevention 12 (2018), 82–89, 10.1016/j.mhp.2018.10.003.
Komasi, S., Rezaei, F., Hemmati, A., Rahmani, K., Amianto, F., Miettunen, J., Comprehensive meta-analysis of associations between temperament and character traits in Cloninger's psychobiological theory and mental disorders. The Journal of International Medical Research, 50(1), 2022, 3000605211070766, 10.1177/03000605211070766.
Kotov, R., Gamez, W., Schmidt, F., Watson, D., Linking “big” personality traits to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological Bulletin 136:5 (2010), 768–821, 10.1037/a0020327.
Maclaren, V.V., Fugelsang, J.A., Harrigan, K.A., Dixon, M.J., The personality of pathological gamblers: a meta-analysis. Clinical Psychology Review 31:6 (2011), 1057–1067, 10.1016/j.cpr.2011.02.002.
Manzoor, N., Molins, F., Serrano, M.Á., Interoception moderates the relation between alexithymia and risky-choices in a framing task: A proposal of two-stage model of decision-making. International Journal of Psychophysiology : Official Journal of the International Organization of Psychophysiology 162 (2021), 1–7, 10.1016/j.ijpsycho.2021.01.002.
Martinotti, G., Andreoli, S., Giametta, E., Poli, V., Bria, P., Janiri, L., The dimensional assessment of personality in pathologic and social gamblers: The role of novelty seeking and self-transcendence. Comprehensive Psychiatry 47:5 (2006), 350–356, 10.1016/j.comppsych.2005.12.005.
Meule, A., Gearhardt, A.N., Food addiction in the light of DSM-5. Nutrients 6:9 (2014), 3653–3671, 10.3390/nu6093653.
Miettunen, J., Raevuori, A., A meta-analysis of temperament in axis I psychiatric disorders. Comprehensive Psychiatry 53:2 (2012), 152–166, 10.1016/j.comppsych.2011.03.008.
Nunes-Neto, P.R., Köhler, C.A., Schuch, F.B., Quevedo, J., Solmi, M., Murru, A., Carvalho, A.F., Psychometric properties of the modified Yale Food Addiction Scale 2.0 in a large Brazilian sample. Brazilian Journal of Psychiatry 40 (2018), 444–448, 10.1590/1516-4446-2017-2432.
Pace, C.S., Muzi, S., Calugi, S., Dalle Grave, R., Attachment representations and alexithymia in community adolescents with binge-eating attitudes. Eating and Weight Disorders: EWD 26:2 (2021), 689–693, 10.1007/s40519-020-00897-5.
Patton, J.H., Stanford, M.S., Barratt, E.S., Factor structure of the Barratt Impulsiveness Scale. Journal of Clinical Psychology 51:6 (1995), 768–774, 10.1002/1097-4679(199511)51:6<768::aid-jclp2270510607>3.0.co;2-1.
Ratković, D., Knežević, V., Dickov, A., Fedrigolli, E., Čomić, M., Comparison of binge-eating disorder and food addiction. The Journal of International Medical Research, 51(4), 2023, 3000605231171016, 10.1177/03000605231171016.
Rogier, G., Velotti, P., Zavattini, E.G.C., Gioco d'azzardo ed antisocialità: Riflessioni su un'emergenza sociale [Gambling and antisocial behavior: Considerations about a social urgency]. Giornale Italiano di Psicologia 44:2 (2017), 219–245 https://www.rivisteweb.it/doi/10.1448/87328.
Rose, M.H., Nadler, E.P., Mackey, E.R., Impulse control in negative mood states, emotional eating, and food addiction are associated with lower quality of life in adolescents with severe obesity. Journal of Pediatric Psychology 43:4 (2018), 443–451, 10.1093/jpepsy/jsx127.
Ruddock, H.K., Christiansen, P., Halford, J.C.G., Hardman, C.A., The development and validation of the Addiction-like Eating Behaviour Scale. International Journal of Obesity (2005) 41:11 (2017), 1710–1717, 10.1038/ijo.2017.158.
Russo, C., Barni, D., Zagrean, I., Lulli, M.A., Vecchi, G., Danioni, F., The resilient recovery from substance addiction: The role of self-transcendence values and hope. Mediterranean Journal of Clinical Psychology, 9(1), 2021, 10.6092/2282-1619/mjcp-2902.
Schacter, D.L., Addis, D.R., The cognitive neuroscience of constructive memory: Remembering the past and imagining the future. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences 362:1481 (2007), 773–786, 10.1098/rstb.2007.2087.
Schulte, E.M., Avena, N.M., Gearhardt, A.N., Which foods may be addictive? The roles of processing, fat content, and glycemic load. PLoS One, 10(2), 2015, e0117959, 10.1371/journal.pone.0117959.
Skinner, J., Jebeile, H., Burrows, T., Food addiction and mental health in adolescents: A systematic review. The Lancet. Child & Adolescent Health 5:10 (2021), 751–766, 10.1016/S2352-4642(21)00126-7.
Thørrisen, M.M., Sadeghi, T., The ten-item personality inventory (TIPI): A scoping review of versions, translations and psychometric properties. Frontiers in Psychology, 14, 2023, 1202953, 10.3389/fpsyg.2023.1202953.
Velotti, P., Rogier, G., An exploratory study of the role played by hedonic dysregulation in gambling disorder. International Gambling Studies 21:1 (2021), 1–16, 10.1080/14459795.2020.1784977.
Villano, I., Ilardi, C.R., Arena, S., Scuotto, C., Gleijeses, M.G., Messina, G., Messina, A., Monda, V., Monda, M., Iavarone, A., Chieffi, S., La Marra, M., Obese subjects without eating disorders experience binge episodes also independently of emotional eating and personality traits among university students of southern Italy. Brain Sciences, 11(9), 2021, 1145, 10.3390/brainsci11091145.
Whiteside, S.P., Lynam, D.R., The Five Factor Model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and Individual Differences 30:4 (2001), 669–689, 10.1016/S0191-8869(00)00064-7.
