Drunkorexia: Normative behavior or gateway to alcohol and eating pathology?

Simons, Raluca M.; Hansen, Jamie M.; Simons, Jeffrey S.; Hovrud, Lindsey; Hahn, Austin M.

doi:10.1016/j.addbeh.2020.106577

Cited by 23 publications

(23 citation statements)

References 51 publications

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“…Indeed, FAD is typical of individuals who choose to engage in diet-related behaviors before or after drinking large amounts of alcohol, to compensate for calories consumed through alcoholic beverages for the fear of gaining weight, or to enhance the intoxicating effects of alcohol [ 18 , 21 , 22 ]. Recently, researchers have proven that FAD is predicted by poor body esteem, high sensation seeking [ 23 , 24 ], and drive for thinness [ 25 ], thus suggesting that people may use this at-risk behavior to pursue an idealized body image. Moreover, in recent studies [ 26 ], FAD appeared to be driven by motivations analogous to eating and substance use disorders: applying the Cooper’s alcohol motivation model, researchers found that enhancement and conformity motives were both related with compensatory behaviors, suggesting that young adults may limit their caloric intake on drinking days to comply with social expectations and to be accepted by others [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Food and alcohol disturbance among young adults during the COVID-19 lockdown in Italy: risk and protective factors

et al. 2021

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Purpose The COVID-19 lockdown measures have had a significant impact on risk behaviors as alcohol use and disordered eating. However, little is known about a serious health-risk-behavior named “food and alcohol disturbance” (FAD), characterized by engaging in dysfunctional eating on days of planned alcohol consumption. The aim of the present study was to investigate potential factors that may have put young adults at risk or protected against FAD during the COVID-19 lockdown. Methods A sample of 447 young adults (280 females, 167 males; range 18–26) completed an online survey during the country’s nationwide lockdown composed of self-reported measures assessing FAD behaviors, alcohol consumption, compensatory behaviors, eating and weight concerns, social support, emotion regulation strategies, and living arrangement. Results Our findings showed that FAD was significantly and positively correlated to alcohol consumption, use of laxatives, self-induced vomiting, eating and weight concerns, and expressive suppression, and negatively correlated to social support and living with family. Hierarchical regression analysis revealed that alcohol consumption, eating concern, and expression suppression positively predicted FAD, while social support and living with family were negative predictors. Conclusions Our results suggest that during the COVID-19 lockdown, preoccupation with eating and the use of expressive suppression may have increased vulnerability to FAD; conversely, perceived social support and living with family may have been a source of protection against this dysfunctional behavior. Level of evidence Level V, descriptive study.

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Section: Introductionmentioning

confidence: 99%

Food and alcohol disturbance among young adults during the COVID-19 lockdown in Italy: risk and protective factors

et al. 2021

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“…While some countries have briefly studied the association between drunkorexia with disordered eating and problematic substance abuse [26], other countries, one of which is Lebanon-a middle-income country-have yet to approach investigating this association. Specifically, a previous study conducted in Lebanon concluded that around 28% of the adolescents are at risk of alcohol use disorder, and higher alcohol use disorder was significantly associated with higher cigarette and waterpipe smoking and bullying [27].…”

Section: Introductionmentioning

confidence: 99%

Drunkorexia behaviors and motives, eating attitudes and mental health in Lebanese alcohol drinkers: a path analysis model

et al. 2021

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“…Approximately 40% of American students report binge drinking at least once in a two-week period [4]. Studies [3,4] have shown that the largest amounts of alcohol are consumed by students in their first year of university, making them the largest exposure group. In addition to alcohol abuse, eating disorders are also common among students.…”

Section: Epidemiology and Diagnosis Criteriamentioning

confidence: 99%

“…Students are a group at particular risk of developing drunkorexia, but it is difficult to determine the exact proportion of students with alcohol use disorders [1][2][3]. These behaviours may result from the desire to follow an idealised slim figure and the simultaneous association of alcohol with social situations and celebrations, especially among young adults.…”

Section: Introductionmentioning

confidence: 99%

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Drunkorexia – knowledge review

Paciorek¹,

Górski²,

Grajek³

et al. 2022

Psychiatr Pol

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Zaburzeniom odżywiania często towarzyszy brak umiejętności radzenia sobie z emocjami. Alkoreksja jest zjawiskiem, które występuje głównie wśród grupy studentów. Zaburzenie to charakteryzuje się występowaniem znacznych restrykcji żywieniowych oraz nadmiernej aktywności fizycznej celem możliwości spożycia większej ilości alkoholu bez obawy o przyrost masy ciała. Jej podstawy upatruje się w presji rówieśników, popularyzowaniu szczupłej sylwetki oraz chęci zwiększenia stanu odurzenia. Kobiety częściej zgłaszają występowanie drunkoreksji wraz z występowaniem innych zaburzeń odżywiania. Jak każde zaburzenia odżywiania, alkoreksja może prowadzić do poważnych konsekwencji zdrowotnych, lecz także zwiększenia ryzyka przemocy, napaści na tle seksualnym i wypadków samochodowych. Drunkoreksja wymaga leczenia uzależnienia alkoholu oraz korekty nieodpowiednich nawyków żywieniowych. Alkoreksja jest terminem stosunkowo nowym i wymaga opracowania kryteriów rozpoznania oraz strategii pomocy osobom zmagającym się z tym zaburzeniem. Należy odróżnić alkoreksję od choroby alkoholowej i innych zaburzeń odżywiania. Konieczne jest szerzenie wiedzy na temat tego typu zachowań, ich konsekwencji oraz edukacja w zakresie radzenia sobie ze stresem.

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Drunkorexia: Normative behavior or gateway to alcohol and eating pathology?

Cited by 23 publications

References 51 publications

Food and alcohol disturbance among young adults during the COVID-19 lockdown in Italy: risk and protective factors

Food and alcohol disturbance among young adults during the COVID-19 lockdown in Italy: risk and protective factors

Drunkorexia behaviors and motives, eating attitudes and mental health in Lebanese alcohol drinkers: a path analysis model

Drunkorexia – knowledge review

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