Gadalla T, Piran N
Faculty of Social Work, University of Toronto, Toronto, Canada.
Arch Womens Ment Health. 2007;10(4):133-40. doi: 10.1007/s00737-007-0184-x. Epub 2007 May 29.
This meta analysis involved 41 studies published between January of 1985 and May of 2006, which examined the co-occurrence of eating disorders (ED) and alcohol use disorders (AUD) in women. Studies were reviewed and a quantitative synthesis of their results was carried out via the calculation of standardised effect sizes. Direction and strength of the relationships between AUD and specific disordered eating patterns were examined. Heterogeneity of reported results was also assessed and examined. Only 4 out of 41 studies reported negative associations between ED and AUD. The magnitude of the associations between eating-disordered patterns and AUD ranged from small to medium size and were statistically significant for any ED, bulimia nervosa (BN)/bulimic behavior, purging, binge eating disorder (BED) and eating disorders not otherwise specified (EDNOS). No association was found between anorexia nervosa (AN) and AUD. The magnitude of the association between BN and AUD was the most divergent across studies and those between each of BED and dietary restriction and AUD were the most consistent across studies. Reported associations of different patterns of disordered eating and AUD were generally weakest and most divergent when participants were recruited from clinical settings and strongest and most homogeneous when participants were recruited from student populations.
这项荟萃分析涉及1985年1月至2006年5月期间发表的41项研究，这些研究调查了女性饮食失调（ED）和酒精使用障碍（AUD）的共现情况。对研究进行了综述，并通过计算标准化效应量对其结果进行了定量综合。研究了AUD与特定饮食失调模式之间关系的方向和强度。还评估和检验了报告结果的异质性。41项研究中只有4项报告了ED与AUD之间的负相关。饮食失调模式与AUD之间关联的大小范围从小到中，对于任何ED、神经性贪食症（BN）/贪食行为、清除行为、暴饮暴食障碍（BED）和未另行指定的饮食失调（EDNOS）均具有统计学意义。未发现神经性厌食症（AN）与AUD之间存在关联。BN与AUD之间关联的大小在各项研究中差异最大，而BED与饮食限制各自与AUD之间的关联在各项研究中最为一致。当从临床环境招募参与者时，报告的不同饮食失调模式与AUD之间的关联通常最弱且差异最大，而当从学生群体招募参与者时，关联最强且最具同质性。
