Polycystic ovarian syndrome (PCOS) is a reproductive disorder driven by insulin resistance. Insulin resistance may increase weight gain and increase the rewarding intake of ultra-processed foods (UPFs). Individuals with PCOS may be more susceptible to the reinforcing properties of UPFs, increasing the risk to consume UPFs in addictive-like ways, operationalized by food addiction (FA). Additionally, hormonal birth control, commonly prescribed to women with PCOS, are found to increase food cravings and overeating. This study examined the relationships between PCOS status, FA, and hormonal birth control use. The study sample (N = 365, assigned female at birth) was drawn from Amazon Mechanical Turk, with half of the sample (n = 181) reporting having PCOS and the other half not (n = 184). Participants answered questions about women's reproductive health (i.e., PCOS, hormonal birth control use) and completed the modified Yale Food Addiction Scale 2.0 (mYFAS 2.0). A chi-square test found that 51.9 % of participants with PCOS (M = 6.23, SD = 3.82) met diagnostic criteria for FA (assessed by the mYFAS 2.0) compared to 16.8 % of participants without PCOS (M = 2.47, SD = 3.39). A hierarchical linear regression found independent main effects of PCOS status (β = 0.40, t(352) = 8.61, p < .001) and hormonal birth control use (β = 0.16, t(351) = 3.59, p < .001), to be associated with higher mYFAS symptom count scores. No differences were found between the types of hormonal birth control participants reported taking. The finding suggests that FA is an overlooked, understudied psychological condition impacting these individuals in weight loss treatments. Future studies are needed to understand the relationship between FA and PCOS in clinical samples.

多囊卵巢综合症（PCOS）是一种由胰岛素抵抗引起的生殖疾病。胰岛素抵抗可能会增加体重并增加超加工食品 (UPF) 的有益摄入量。患有 PCOS 的人可能更容易受到 UPF 的强化特性的影响，从而增加以类似成瘾的方式消费 UPF 的风险，这种方式是通过食物成瘾 (FA) 来实现的。此外，通常对患有多囊卵巢综合症的女性开出的激素避孕药，被发现会增加对食物的渴望和暴饮暴食。这项研究探讨了 PCOS 状态、FA 和激素避孕使用之间的关系。研究样本（N  = 365，出生时指定为女性）来自 Amazon Mechanical Turk，其中一半样本 ( n  = 181) 报告患有 PCOS，另一半 ( n  = 184) 则没有。参与者回答了有关女性生殖健康（即多囊卵巢综合症、激素避孕的使用）的问题，并完成了修改后的耶鲁大学食物成瘾量表2.0（mYFAS 2.0）。卡方检验发现，51.9% 的 PCOS 参与者（M = 6.23，SD  = 3.82）符合 FA 诊断标准（由 mYFAS 2.0 评估），而没有 PCOS 的参与者只有 16.8%（M = 2.47，SD  = 3.39） ）。分层线性回归发现 PCOS 状态 (β = 0.40, t (352) = 8.61, p  < .001) 和激素避孕使用 (β = 0.16, t (351) = 3.59, p  < .001)的独立主效应，与较高的 mYFAS 症状计数分数相关。参与者报告服用的激素避孕类型之间没有发现差异。研究结果表明，FA 是一种被忽视、未被充分研究的心理状况，在减肥治疗中影响着这些人。需要进一步的研究来了解临床样本中 FA 和 PCOS 之间的关系。