Relationships between alexithymia and food addiction: The Finnish version of Yale Food Addiction Scale and preliminary test of its psychometric properties

BackgroundIt has long been suggested that addictive behaviors are associated with alexithymia, a personality trait characterized by difficulties in emotional awareness and expression. However, little is known about the role of alexithymia in food addiction.ObjectivesThe aim of this study was to inve...

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Main Authors: Ru Li, Jani Kajanoja, Jetro J. Tuulari, Linnea Karlsson, Hasse Karlsson, Max Karukivi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1067872/full
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author Ru Li
Ru Li
Jani Kajanoja
Jani Kajanoja
Jani Kajanoja
Jetro J. Tuulari
Jetro J. Tuulari
Jetro J. Tuulari
Linnea Karlsson
Linnea Karlsson
Linnea Karlsson
Hasse Karlsson
Hasse Karlsson
Hasse Karlsson
Max Karukivi
Max Karukivi
author_facet Ru Li
Ru Li
Jani Kajanoja
Jani Kajanoja
Jani Kajanoja
Jetro J. Tuulari
Jetro J. Tuulari
Jetro J. Tuulari
Linnea Karlsson
Linnea Karlsson
Linnea Karlsson
Hasse Karlsson
Hasse Karlsson
Hasse Karlsson
Max Karukivi
Max Karukivi
author_sort Ru Li
collection DOAJ
description BackgroundIt has long been suggested that addictive behaviors are associated with alexithymia, a personality trait characterized by difficulties in emotional awareness and expression. However, little is known about the role of alexithymia in food addiction.ObjectivesThe aim of this study was to investigate the relationship between alexithymia and food addiction. As part of the study, the validity of the Finnish version of Yale Food Addiction Scale (YFAS-F) was also investigated.MethodsThe sample consisted of 360 parents from the FinnBrain Birth Cohort Study. The structural validity of the YFAS-F was evaluated by confirmatory factor analysis (CFA). Exploratory factor analysis (EFA) was used to explore the structure when proposed models were not supported by CFA. The associations of alexithymia as measured by the 20-item Toronto Alexithymia Scale and food addiction were examined using regression analyses followed by structural equation modeling.ResultsHigher alexithymia was associated with more food addiction by conducting linear regression analysis (B = 0.013, p = 0.011) and structural equation modeling (β = 0.24, p < 0.001). Furthermore, a single-factor model for the 8 criteria of the YFAS-F was supported by CFA and showed acceptable internal reliability (KR-20 = 0.72), and a three-factor solution for the 20 items of the scale was suggested by EFA with good internal reliability (McDonald’s ω = 0.91 for the YFAS-F, 0.91 for component 1, 0.87 for component 2, and Spearman-Brown coefficient = 0.89 for component 3).ConclusionThe current study determined a significant relationship between alexithymia and food addiction, which suggests alexithymia as a relevant factor for food addiction and may provide clinical implications for interventions. Moreover, the YFAS-F appeared to be a valid and reliable tool to evaluate food addiction in our Finnish general population sample. Further studies on the psychometric properties of the YFAS-F in more diverse populations are recommended.
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spelling doaj.art-348d982ec86c42a79851047bc31734f52023-01-19T08:42:46ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-01-011410.3389/fpsyg.2023.10678721067872Relationships between alexithymia and food addiction: The Finnish version of Yale Food Addiction Scale and preliminary test of its psychometric propertiesRu Li0Ru Li1Jani Kajanoja2Jani Kajanoja3Jani Kajanoja4Jetro J. Tuulari5Jetro J. Tuulari6Jetro J. Tuulari7Linnea Karlsson8Linnea Karlsson9Linnea Karlsson10Hasse Karlsson11Hasse Karlsson12Hasse Karlsson13Max Karukivi14Max Karukivi15Department of Psychiatry, Turku University Hospital, University of Turku, Turku, FinlandDepartment of Clinical Medicine, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, FinlandDepartment of Psychiatry, Turku University Hospital, University of Turku, Turku, FinlandDepartment of Clinical Medicine, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, FinlandDepartment of Psychiatry, Satakunta Hospital District, Pori, FinlandDepartment of Psychiatry, Turku University Hospital, University of Turku, Turku, FinlandDepartment of Clinical Medicine, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, FinlandTurku Collegium for Science, Medicine and Technology, TCSMT, University of Turku, Turku, FinlandDepartment of Clinical Medicine, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, FinlandCenter for Population Health Research, Turku University Hospital, University of Turku, Turku, FinlandDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital, University of Turku, Turku, FinlandDepartment of Psychiatry, Turku University Hospital, University of Turku, Turku, FinlandDepartment of Clinical Medicine, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, FinlandCenter for Population Health Research, Turku University Hospital, University of Turku, Turku, FinlandDepartment of Clinical Medicine, FinnBrain Birth Cohort Study, Turku Brain and Mind Center, University of Turku, Turku, FinlandDepartment of Adolescent Psychiatry, Turku University Hospital, University of Turku, Turku, FinlandBackgroundIt has long been suggested that addictive behaviors are associated with alexithymia, a personality trait characterized by difficulties in emotional awareness and expression. However, little is known about the role of alexithymia in food addiction.ObjectivesThe aim of this study was to investigate the relationship between alexithymia and food addiction. As part of the study, the validity of the Finnish version of Yale Food Addiction Scale (YFAS-F) was also investigated.MethodsThe sample consisted of 360 parents from the FinnBrain Birth Cohort Study. The structural validity of the YFAS-F was evaluated by confirmatory factor analysis (CFA). Exploratory factor analysis (EFA) was used to explore the structure when proposed models were not supported by CFA. The associations of alexithymia as measured by the 20-item Toronto Alexithymia Scale and food addiction were examined using regression analyses followed by structural equation modeling.ResultsHigher alexithymia was associated with more food addiction by conducting linear regression analysis (B = 0.013, p = 0.011) and structural equation modeling (β = 0.24, p < 0.001). Furthermore, a single-factor model for the 8 criteria of the YFAS-F was supported by CFA and showed acceptable internal reliability (KR-20 = 0.72), and a three-factor solution for the 20 items of the scale was suggested by EFA with good internal reliability (McDonald’s ω = 0.91 for the YFAS-F, 0.91 for component 1, 0.87 for component 2, and Spearman-Brown coefficient = 0.89 for component 3).ConclusionThe current study determined a significant relationship between alexithymia and food addiction, which suggests alexithymia as a relevant factor for food addiction and may provide clinical implications for interventions. Moreover, the YFAS-F appeared to be a valid and reliable tool to evaluate food addiction in our Finnish general population sample. Further studies on the psychometric properties of the YFAS-F in more diverse populations are recommended.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1067872/fullalexithymiafood addictionYale Food Addiction Scalepsychometric propertiesfactor analysisstructural equation modeling
spellingShingle Ru Li
Ru Li
Jani Kajanoja
Jani Kajanoja
Jani Kajanoja
Jetro J. Tuulari
Jetro J. Tuulari
Jetro J. Tuulari
Linnea Karlsson
Linnea Karlsson
Linnea Karlsson
Hasse Karlsson
Hasse Karlsson
Hasse Karlsson
Max Karukivi
Max Karukivi
Relationships between alexithymia and food addiction: The Finnish version of Yale Food Addiction Scale and preliminary test of its psychometric properties
Frontiers in Psychology
alexithymia
food addiction
Yale Food Addiction Scale
psychometric properties
factor analysis
structural equation modeling
title Relationships between alexithymia and food addiction: The Finnish version of Yale Food Addiction Scale and preliminary test of its psychometric properties
title_full Relationships between alexithymia and food addiction: The Finnish version of Yale Food Addiction Scale and preliminary test of its psychometric properties
title_fullStr Relationships between alexithymia and food addiction: The Finnish version of Yale Food Addiction Scale and preliminary test of its psychometric properties
title_full_unstemmed Relationships between alexithymia and food addiction: The Finnish version of Yale Food Addiction Scale and preliminary test of its psychometric properties
title_short Relationships between alexithymia and food addiction: The Finnish version of Yale Food Addiction Scale and preliminary test of its psychometric properties
title_sort relationships between alexithymia and food addiction the finnish version of yale food addiction scale and preliminary test of its psychometric properties
topic alexithymia
food addiction
Yale Food Addiction Scale
psychometric properties
factor analysis
structural equation modeling
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1067872/full
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