Characterizing alcohol-related disordered eating behaviors in adults with binge eating.
Characterizing alcohol-related disordered eating behaviors in adults with binge eating.
复制标题
描述成人暴食症中与酒精相关的饮食失调行为。
DOI：
10.1007/s40519-022-01475-7
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Juarascio,AdrienneS
中科院分区：
文献类型：
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作者：
Wilkinson,MeganL;Boyajian,LauraE;Juarascio,AdrienneS
目的酒精相关的饮食失调行为（ADEB;即，在饮酒之前或之后进行饮食限制或过度运动以避免体重增加）与负面的心理社会和医疗后果有关。以前的研究主要研究社区样本中的ADEB。具有临床意义的暴饮暴食的个体也可能参与ADEB，因为酒精使用率高，体重控制行为不当。目前的研究旨在描述患病率和心理相关因素（即，体重和形状的关注，酒精消费，暴饮暴食的频率）的ADEB在临床显着的暴饮暴食的个人。MethodsParticipants是166个寻求治疗的个人谁从事每周一次暴饮暴食在过去的三个月。参与者完成了临床访谈，以评估饮食失调症状和自我报告的酒精消费模式和ADEB engagement.ResultsOver四分之一的参与者认可至少一个ADEB在过去的三个月内的措施。在控制饮食失调诊断后，支持ADEB的参与者报告的饮酒量高于饮酒但不支持ADEB的参与者。在过去三个月内，ADEB的频率更高，与支持ADEB的人对体重和体型的关注程度更高有关。ADEBs和ADEBs频率的存在与暴饮暴食frequency.ConclusionResults表明，临床医生治疗暴饮暴食谁喝酒的人应屏幕ADEBs和评估如何ADEBs可能有助于个人的饮食病理。未来的研究应该评估饮酒和ADEB参与之间的时间关系，并研究BN频谱样本中的ADEB。
PurposeAlcohol-related disordered eating behaviors (ADEBs; i.e., engagement in dietary restriction or excessive exercise before or after drinking alcohol to avoid weight gain) are associated with negative psychosocial and medical consequences. Previous research has primarily studied ADEBs among community samples. Individuals with clinically significant binge eating may also engage in ADEBs given high rates of alcohol use and inappropriate weight-control behaviors. The current study aimed to characterize the prevalence and psychological correlates (i.e., weight and shape concerns, alcohol consumption, binge eating frequency) of ADEBs among individuals with clinically significant binge eating.MethodsParticipants were 166 treatment-seeking individuals who engaged in once weekly binge eating over the past three months. Participants completed a clinical interview to assess eating disorder symptoms and self-report measures of alcohol consumption patterns and ADEBs engagement.ResultsOver one-fourth of participants endorsed at least one ADEBs in the past three months. Participants who endorsed ADEBs reported greater alcohol consumption than participants who drank alcohol but did not endorse ADEBs, after controlling for eating disorder diagnosis. Greater frequency of ADEBs was related to higher weight and shape concerns among individuals who endorsed ADEBs in the past three months. Presence of ADEBs and ADEBs frequency were not related to binge eating frequency.ConclusionResults suggest that clinicians treating individuals with binge eating who drink alcohol should screen for ADEBs and assess how ADEBs may contribute to an individual’s eating pathology. Future research should assess the temporal relationship between alcohol use and ADEBs engagement, and study ADEBs in BN-spectrum samples.Level of evidenceLevel V, descriptive studies.