"Drunkorexia" is a term that has been used to describe behaviors such as restricting food intake in anticipation of alcohol consumption to offset total caloric intake, and/or to enhance the intoxicating effect of alcohol consumption. Scattered studies over the past few years have indicated the potential problematic nature of the intersection of these behaviors, yet there remain significant gaps in the operationalization of the construct, limiting research progress. In this article, we articulate limitations of the current research, including problems with the definition of the construct and a lack of theoretical guidance. We suggest a broader and more accurate phrase to guide future work with this phenomenon: Food and alcohol disturbance (FAD). Additionally, we suggest adapting Fairburn's transdiagnostic theoretical model for FAD. It is hoped these changes might provide a roadmap for future work in this area on risk factors and adaptations of current preventive and treatment approaches to focus on this emerging form of eating disturbance.
Recent findings suggest that men engage in appearance-based conversations, but little is known about the consequences of these discussions and whether certain populations may be at a greater risk of negative outcomes. Males who self-identify as athletes may be particularly likely to engage in body-focused conversations. The current study explored associations between body talk, athletic identity, and eating disorder symptomology in two samples of undergraduate men. Participants reported the degree to which they identified as an athlete, the frequency with which they engaged in muscle-and fat-focused appearance conversations, and eating disorder symptoms. Controlling for age and body mass index, more frequent body talk was associated with an increased number of eating disorder symptoms. Athletic identity did not emerge as a moderator. Follow-up analyses suggested that "fat talk" was more strongly associated with eating disorder symptoms than "muscle talk." The current findings suggest that engaging in appearance-focused conversations related to body fat, but not muscularity, may be associated with eating disorder symptoms in men, regardless of athletic identity.
While research consistently supports the negative impact of thinness pressures on body image, this work has primarily utilized White samples in the United States, limiting generalizability to other ethnicities. Further, limited research has examined ethnic differences in thinness pressures from distinct sociocultural influences. This study examined distinct sources of thinness pressures in 598 White, 135 Black, and 131 Hispanic college women in the United States. Mean levels of thinness pressures significantly differed across ethnicity, with Black women generally reporting the lowest levels of each pressure. Additionally, distinct sources of thinness pressures were more highly related to negative outcomes within ethnic groups. For White women, each source was salient for disordered eating. For Black women, family pressure was particularly salient for appearance evaluation. For Hispanic women, family pressure was particularly salient for disordered eating and appearance evaluation. Findings suggest possible ethnic differences in the relative salience of some pressures over others.
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