{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T06:27:11Z","timestamp":1786602431162,"version":"build-2736575974"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Addictive-like eating behaviours related to ultra-processed foods have gained increasing research and clinical attention. The Yale Food Addiction Scale (YFAS) is the most widely used measure of food addiction. It was primarily designed as research tool, so its length and scoring complexity may limit routine clinical use. CRAVED is a brief six-item screening tool developed to assess core addiction-related eating behaviours using a simple yes\/no response format.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to provide a preliminary psychometric evaluation of CRAVED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional secondary analysis was conducted using anonymised baseline data from 117 adults enrolled in a community-based intervention for addictive-like eating behaviours. Participants completed CRAVED, YFAS 2.0, and the Binge Eating Scale (BES). Analyses examined internal consistency, construct validity, logistic regression, receiver operating characteristic (ROC) performance, and agreement with YFAS diagnostic classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      CRAVED scores were positively associated with YFAS symptom scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.55,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and BES scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.56,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Higher CRAVED scores significantly predicted YFAS-defined food addiction. ROC analysis demonstrated acceptable discrimination (AUC\u202f=\u202f0.75, 95% CI 0.64\u20130.85). A threshold of \u22653 showed high sensitivity for identifying YFAS-positive cases. CRAVED scores were significantly higher among participants meeting YFAS criteria and increased across binge eating severity groups. Internal consistency was modest (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u202f=\u202f0.58, McDonald\u2019s\n                      <jats:italic>\u03c9<\/jats:italic>\n                      \u202f=\u202f0.68), consistent with the brief multidomain binary structure of the tool.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings provide preliminary support for CRAVED as a brief and clinically feasible screening tool for addictive-like eating behaviours. CRAVED may be useful for rapid identification in healthcare and community settings, although it should not be considered a standalone diagnostic instrument. Further validation in larger and more diverse samples is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1871164","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T05:32:57Z","timestamp":1786599177000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Validating CRAVED: a brief screening instrument for ultra-processed food addiction"],"prefix":"10.3389","volume":"14","author":[{"given":"Ellen","family":"Bennett","sequence":"first","affiliation":[{"name":"Centre for Healthcare and Community Transformation, Coventry University","place":["Coventry, United Kingdom"]},{"name":"Public Health Collaboration","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein M","family":"Magdi","sequence":"additional","affiliation":[{"name":"The Collaborative Health Community Foundation","place":["Oxford, United Kingdom"]},{"name":"North London NHS Foundation Trust","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiachra","family":"McEnaney","sequence":"additional","affiliation":[{"name":"The Collaborative Health Community Foundation","place":["Oxford, United Kingdom"]},{"name":"School of Biomedical Sciences, University of Leeds","place":["Leeds, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Lycett","sequence":"additional","affiliation":[{"name":"Centre for Healthcare and Community Transformation, Coventry University","place":["Coventry, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jen","family":"Unwin","sequence":"additional","affiliation":[{"name":"The Collaborative Health Community Foundation","place":["Oxford, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1621742","DOI":"10.3389\/fpsyt.2025.1621742","article-title":"The battle over \"food addiction\"","volume":"16","author":"Lustig","year":"2025","journal-title":"Front Psych"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1542905","DOI":"10.3389\/fpsyt.2025.1542905","article-title":"Toward consensus: using the Delphi method to form an international expert consensus statement on ultra-processed food addiction","volume":"16","author":"Unwin","year":"","journal-title":"Front Psych"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1002\/erv.2878","article-title":"Prevalence of food addiction determined by the Yale food addiction scale and associated factors: a systematic review with meta-analysis","volume":"30","author":"Praxedes","year":"2022","journal-title":"Eur Eat Disord Rev"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1037\/adb0000136","article-title":"Development of the Yale food addiction scale version 2.0","volume":"30","author":"Gearhardt","year":"2016","journal-title":"Psychol Addict Behav"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1016\/j.clnu.2023.03.014","article-title":"Food addiction is strongly associated with type 2 diabetes","volume":"42","author":"Horsager","year":"2023","journal-title":"Clin Nutr"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/s40337-025-01242-w","article-title":"The relationship between food addiction, eating attitudes, and psychiatric symptoms with metabolic control in adolescents with type 1 diabetes mellitus","volume":"13","author":"Ozdemir","year":"2025","journal-title":"J Eat Disord"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1002\/eat.70033","article-title":"Unique and shared symptoms across food addiction and binge-eating measures: a content analysis","volume":"59","author":"Graver","year":"2026","journal-title":"Int J Eat Disord"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1005523","DOI":"10.3389\/fpsyt.2022.1005523","article-title":"Low carbohydrate and psychoeducational programs show promise for the treatment of ultra-processed food addiction","volume":"13","author":"Unwin","year":"2022","journal-title":"Front Psych"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1556988","DOI":"10.3389\/fpsyt.2025.1556988","article-title":"Low carbohydrate and psychoeducational programs show promise for the treatment of ultra-processed food addiction: 12-month follow-up","volume":"16","author":"Unwin","year":"","journal-title":"Front 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Psych"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.jclinepi.2006.03.012","article-title":"Quality criteria were proposed for measurement properties of health status questionnaires","volume":"60","author":"Terwee","year":"2007","journal-title":"J Clin Epidemiol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"107127","DOI":"10.1016\/j.appet.2023.107127","article-title":"Independent associations of food addiction and binge eating measures with real-time eating behaviors and contextual factors: an exploratory ecological momentary assessment study","volume":"192","author":"Kalan","year":"2024","journal-title":"Appetite"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1037\/0021-9010.88.5.879","article-title":"Common method biases in behavioral research: a critical review of the literature and recommended remedies","volume":"88","author":"Podsakoff","year":"2003","journal-title":"J Appl 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