Drunkorexia: An Exploratory Investigation of College Students With Alcohol‐Related Infractions

Tuazon, Victor E.; Travis, Sterling P.; Honderich, Eleni Maria; Williams, Amy E.; Menefee, Sarah E. I.; Gressard, Charles F.

doi:10.1002/jocc.12111

Cited by 8 publications

(4 citation statements)

References 27 publications

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“…This perilious pattern may severe negative consequences for physical and mental health: First, drunkorexia appears to be a risk factor for the establishment of cronic problem eating behaviors, such as binging and purging [8], and may lead to the subsequent onset of bulimia (1). Second, drunkorectic behaviors lead to more negative alcohol-related consequences: drunkeness, enhanced by calories restriction, may easily lead to memory blackouts, alcohol poisoning, and engagement in aggressive and risky behaviors [9][10][11]. Third, drunkorexia habits also are a risk factors for the development of alcohol abusive patterns and substance abuse [10,12].…”

Section: Introductionmentioning

confidence: 99%

“…Second, drunkorectic behaviors lead to more negative alcohol-related consequences: drunkeness, enhanced by calories restriction, may easily lead to memory blackouts, alcohol poisoning, and engagement in aggressive and risky behaviors [9][10][11]. Third, drunkorexia habits also are a risk factors for the development of alcohol abusive patterns and substance abuse [10,12]. Available estimates have illustrated the high prevalence of drunkorexia in young adults, and specifically in college students [11,13].…”

Section: Introductionmentioning

confidence: 99%

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Emotion regulation and drunkorexia behaviors among Lebanese adults: the indirect effects of positive and negative metacognition

et al. 2022

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Background Although metacognition processes are a core feature of restrictive eating and alcohol cravings and entail an individual to control both of his/her emotions and thoughts, yet, to our knowledge, a scarcity of research has examined their potential role in drunkorexia as cognitive and emotional predictors. The following study investigates the different associations between two emotion regulation strategies (i.e. emotional suppression and cognitive reappraisal) and drunkorexia behaviors in a sample of Lebanese adults, exploring the possible indirect effects of positive and negative alcohol-related metacognitions. Methods This was a cross-sectional study that enrolled 335 participants (March-July 2021). Results Higher problematic alcohol use (beta = 5.56), higher physical activity index (beta = 0.08), higher expressive suppression (beta = 0.23), higher negative metacognitive beliefs about cognitive harm due to drinking (beta = 0.75) and higher cognitive reappraisal (beta = 0.20) were significantly associated with more drunkorexic behaviors. The positive metacognitive beliefs about cognitive self-regulation significantly mediated the association between cognitive reappraisal and drunkorexia behaviors. Both the positive metacognitive beliefs about cognitive self-regulation and the negative metacognitive beliefs about the uncontrollability of drinking significantly mediated the association between expressive suppression and drunkorexia behaviors. Conclusion This study demonstrated that emotional and metacognitive processes are associated with drunkorexia, addressing as well the mediating effect between deficient emotional regulation and risky behavioral patterns. Overall, our results would speculate that the lack of emotional and cognitive assets might enhance internal distress perceived out of control, leading individuals to indulge in maladaptive behavioral patterns for managing the underlying impairment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Emotion regulation and drunkorexia behaviors among Lebanese adults: the indirect effects of positive and negative metacognition

et al. 2022

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“…In our sample of adolescents stratified for risk of ED and PD, FAD was more strongly associated with alcohol use both in terms of prevalence and in terms of effect sizes. Notably, most of the literature on FAD consequences has examined alcohol-related problems, such as injuries, physical violence and unprotected sexual activity [42,43]. Considering this, we disagree with the proposal to classify FAD as an ED [25].…”

Section: Fad Ed and Audmentioning

confidence: 82%

Food and Alcohol Disturbance in High School Adolescents: Prevalence, Characteristics and Association with Problem Drinking and Eating Disorders

Pinna,

Suprani,

Paribello

et al. 2024

IJERPH

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Food and alcohol disturbance (FAD) is characterized by the association of alcohol use with compensatory behaviors such as restricting calories, physical activity and purging. Despite not being part of the current nosography, research has grown in the past 10 years, mostly on college students’ samples. In this study, we aim to describe the prevalence, characteristics and association of FAD with problem drinking (PD) and eating disorder risk (EDR) in a sample of Italian high school students. Participants were 900 high school students (53.6% males; mean age = 16.22) that were administered standardized questionnaires. Students who screened positive for PD, EDR and both were, respectively, 17.3%, 5.9% and 1.3%. Approximately one out four students reported FAD behaviors, mostly to control weight and by restricting calories, with higher prevalence and severity among those who screened positive for PD. Purging behaviors were rare overall (15.5%), but significantly more frequent in participants who screened positive for both PD and EDR (41.7%). FAD was more strongly associated with alcohol use severity than with ED symptom severity across all subgroups. FAD behaviors appear to be common in the Italian high school population and more strongly associated with PD. Future studies should investigate FAD’s impact on adolescents’ functioning and possible early interventions.

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“…Alcohol is absorbed into the bloodstream through the stomach lining (Hahn, Norberg, & Jones, 1997), thus reduced caloric intake before drinking would inevitably exacerbate these effects, increasing the body’s vulnerability to the consequences of Drunkorexia. With this considered, it is not surprising that research has shown students who engage in Drunkorexia behaviours to be at a higher risk of experiencing negative alcohol‐related consequences compared to non‐Drunkorexia groups (Tuazon et al., 2019). A link between engagement in Drunkorexia behaviours and binge‐drinking (consuming a large amount of alcohol in a short space of time; NHS, 2019) has also been made (Knight et al., 2017).…”

Section: Introductionmentioning

confidence: 99%

“… because I'm so drunk at the time, the last thing I'm going to think about is calories”: Strengthening the argument for Drunkorexia as a food and alcohol disturbance, evidence from a qualitative study

Vogt

Harper

Griffin

2022

British J Health Psychol

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Objectives. Drunkorexia are inappropriate compensatory behaviours in response to alcohol consumption (restricting food intake, excessive exercise, and purging). Past (predominantly quantitative) research shows that Drunkorexia is prevalent in 18-26year-olds, and has significant negative health-related consequences. There is a debate whether Drunkorexia constitutes an eating or substance disorder, or a Food and Alcohol Disturbance (FAD). To further explore this, and understand underlying motivators, this study utilized qualitative methods.Design. Qualitative interviews with ten participants (aged 18-26).Methods. Interviews were analysed with Thematic Analysis.Results. Three themes were developed: (1) Appearance concerns as motivators, (2) Drunkorexia behaviours to get value for money, and (3) "It's just a pattern. . . something I've always done": Drunkorexia as a routine. Results show that Drunkorexia is driven by appearance-related concerns, such as, wanting to look better/slimmer, engaged in, in relation to an event, such as going out drinking, and carried out despite negative healthrelated consequences. However, disregard for compensatory behaviours once drunk was also described, culminating in the consumption of high-calorie food. This suggests that Drunkorexia is not a persistent pattern of maladaptive behaviour as found in eating or substance use disorders. Wanting value for money (i.e., feeling the maximum intoxication) was described as another reason for Drunkorexia engagement; thus showing that participants consider compensatory behaviours part of their routine of going out drinking.Conclusions. These result support the view of Drunkorexia as a FAD, rather than an eating or substance use disorder, and show that 18-26-year-olds are an at-risk group for Drunkorexia and its negative health-related consequences.

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Drunkorexia: An Exploratory Investigation of College Students With Alcohol‐Related Infractions

Cited by 8 publications

References 27 publications

Emotion regulation and drunkorexia behaviors among Lebanese adults: the indirect effects of positive and negative metacognition

Emotion regulation and drunkorexia behaviors among Lebanese adults: the indirect effects of positive and negative metacognition

Food and Alcohol Disturbance in High School Adolescents: Prevalence, Characteristics and Association with Problem Drinking and Eating Disorders

“… because I'm so drunk at the time, the last thing I'm going to think about is calories”: Strengthening the argument for Drunkorexia as a food and alcohol disturbance, evidence from a qualitative study

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