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Updated: Jun 19, 2025

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The Food Addiction Clinical Treatment (FACT) Manual: A Harm Reduction Treatment Approach.

Erin L O'Hea1, Shenelle A Edwards-Hampton2, Dana L Beall Brown3

  • 1Department of Psychology, Stonehill College, North Easton, MA 02357, USA.

Behavioral Sciences (Basel, Switzerland)
|July 27, 2024
PubMed
Summary

The Food Addiction Clinical Treatment (FACT) manual offers a new harm-reduction approach for food addiction, showing positive initial results. This intervention addresses both addiction and disordered eating features, with further research needed for validation.

Keywords:
clinical treatmentcognitive behavioral therapyfood addictionharm reduction

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Area of Science:

  • Behavioral Neuroscience
  • Clinical Psychology
  • Addiction Medicine

Background:

  • Food addiction shares neurobiological mechanisms with substance addiction.
  • Existing treatments for food addiction conflict, with some advocating abstinence and others moderation.
  • There's a need for specialized interventions for food addiction.

Purpose of the Study:

  • Introduce the Food Addiction Clinical Treatment (FACT) manual.
  • Demonstrate the feasibility of the FACT manual in severe food addiction cases.
  • Discuss future research directions for food addiction treatment.

Main Methods:

  • Development of the empirically supported harm-reduction FACT manual.
  • Feasibility assessment of the FACT manual with participants exhibiting severe food addiction.
  • Exploration of the manual's application to addiction and disordered eating features.

Main Results:

  • The FACT manual demonstrated positive outcomes in a sample of participants with severe food addiction.
  • The intervention showed minimal negative adverse effects.
  • Preliminary evidence suggests the FACT manual's efficacy.

Conclusions:

  • The FACT manual presents a viable harm-reduction model for food addiction treatment.
  • Further validation through randomized controlled trials and longer follow-up is recommended.
  • The FACT manual may offer a unique approach to managing food addiction and associated disordered eating.