Yale Food Addiction Scale

The Yale Food Addiction Scale (YFAS) is a 25-point questionnaire, based on DSM-IV codes for substance dependence criteria, to assess food addiction in individuals. The scale was released in 2009 by Yale University's Rudd Center for Food Policy and Obesity. The Yale Food Addiction Scale (YFAS) is a 25-point questionnaire, based on DSM-IV codes for substance dependence criteria, to assess food addiction in individuals. The scale was released in 2009 by Yale University's Rudd Center for Food Policy and Obesity. It was found that the brain mechanisms in people with food addiction were similar to those in people with substance dependence, such as drug addicts. While there is currently no official diagnosis of 'food addiction', the YFAS was created to identify persons who exhibited symptoms of dependency towards certain food. Foods most notably identified by YFAS to cause food addiction were those high in fat and high in sugar. A self-reported standardized tool was created by a Yale researcher, Ashley Gearhardt, to determine those individuals at high risk for food addiction, regardless of weight. The term food addiction remains a controversial topic. The concept of food addiction addresses a person’s behavioral and neurophysiological changes with certain foods that closely resemble findings found in persons with substance dependence. The term became especially popular in the second half of the twentieth century, driven by the “obesity epidemic”. Earlier studies suggest that food addiction, similar to that of drug addiction, mainly exert their actions through the dopamine and opiate pathways. Using Functional magnetic resonance imaging (fMRI) subjects regardless of Body mass index(BMI), with high food addiction score compared to those with lower scores, showed significant differences in brain activity. Furthermore, a study conducted by the Scripps Research Institute found that rats fed a high-fat palatable diet for extended periods, overstimulated the brain’s reward system, similar to brain activity in drug addiction. To address the need for a standardized tool to identify persons with food addiction behaviors, psychologist Ashley Gearhardt, along with her colleagues William R. Corbin and Kelly D. Brownell, developed the Yale Food Addiction Scale while completing her graduate research at Yale University as a clinical psychology doctoral student. Gearhardt and colleagues formatted their questionnaire to be based upon content of the Diagnostic and Statistical Manual of Mental Disorders IV “text revision” for substance dependence and was reviewed by experts in the fields of addiction, obesity, and eating pathology for revision. YFAS contains 25 self-reported questions in dichotomous and Likert-type format. In the original scale, two items were included to determine the foods that triggered dependence. When filling out the questionnaire, subjects are asked to refer to the past 12 months of behaviors. The questions fall under seven specific substance dependence criteria as defined by the DSM-IV, as well as clinically significant impairment. The seven criteria per the instruction sheet for the YFAS are: Food addiction is recognized when an individual meets at least three of the above symptom criteria and scores for clinically significant impairment or distress. A German version is available and a French version was utilized in a food addiction study targeting overweight and obese women.