The relationship of dieting severity and bulimic behaviors to alcohol and other drug use in young women.
The relationship of dieting severity and bulimic behaviors to alcohol and other drug use in young women.
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DOI：
10.1016/0899-3289(92)90041-u
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发表时间：
1992-01-01
期刊：
影响因子：
--
通讯作者：
Drewnowski, A
中科院分区：
文献类型：
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作者：
Krahn, D;Kurth, C;Drewnowski, A
神经性贪食症患者经常有酗酒和其他药物滥用的问题。这项研究的目的是评估饮食异常和物质滥用之间的这种关系是否延伸到节食和物质使用的亚阈值水平。1796名女性在大学一年级之前完成了一份评估节食和物质使用(酒精、香烟和大麻)的自填式问卷。根据DSM-III-R神经性暴食症标准和之前在该人群中的研究，受试者被分为非节食者、随意节食者、紧张节食者、重度节食者、处于危险中的节食者或暴食症节食者。评估了节食严重程度类别与饮酒频率和强度以及大麻和香烟使用频率之间的关系。1.6%的女性符合DSM-III-R神经性贪食症标准。这些女性中只有13.8%是非节食者。节食严重程度的增加与酒精、香烟和大麻使用率的增加以及酒精使用的频率和强度的增加呈正相关。暴食症患者和高危节食者在饮酒和吸毒方面相似。在临床人群中注意到的饮食障碍与酒精中毒和其他物质滥用之间的关系以一种连续的、分级的方式延伸到节食和物质使用行为的亚阈值水平。年轻女性与节食相关的态度和行为可能与酒精和药物滥用的易感性增加有关。
Patients with bulimia nervosa frequently have problems with alcoholism and other substance abuse. The goal of this study was to assess whether this relationship between eating abnormalities and substance abuse extends to subthreshold levels of dieting and substance use. A self-administered questionnaire assessing dieting and substance use (alcohol, cigarettes, and marijuana) was completed by 1,796 women prior to their freshman year in college. Using a scale derived from DSM-III-R criteria for bulimia nervosa and previous research in this population, subjects were categorized as nondieters, casual, intense, severe, at-risk or bulimic dieters. The relationship between the dieting-severity category and frequency and intensity of alcohol use and frequency of marijuana and cigarette use was assessed. DSM-III-R criteria for bulimia nervosa were met by 1.6% of the women. Only 13.8% of these women were nondieters. Increasing dieting severity was positively associated with increasing prevalence of alcohol, cigarette, and marijuana use and with increasing frequency and intensity of alcohol use. The bulimic and at-risk dieters were similar in their alcohol and drug use. The relationship between eating disorders and alcoholism and other substance abuse noted in clinical populations extends in a continuous, graded manner to subthreshold levels of dieting and substance use behaviors. Dieting-related attitudes and behaviors in young women may be related to increased susceptibility to alcohol and drug abuse.