Zhang Aimee, Fisher Aaron J, Bailey Jakki O, Kass Andrea E, Wilfley Denise E, Taylor C Barr
Department of Psychiatry, Stanford University Medical Center, Stanford, California.
Int J Eat Disord. 2015 Apr;48(3):333-6. doi: 10.1002/eat.22365. Epub 2014 Oct 31.
Heavy episodic drinking (HED) is a serious problem among college women at high-risk for developing eating disorders (EDs). The main objectives of this study are to determine the relationship of the self-rating of the effects of alcohol (SRE) questionnaire and HED over time, and to determine the effects of relationship breakups on HED among college-aged women at high-risk for EDs.
Data collected from 163 participants in a randomized controlled trial evaluating the effectiveness of an ED prevention program were used in the analyses. Measures included the SRE, obtained at baseline, and self-reports of the number of HED episodes and relationship breakups each month for the past 12 months.
Generalized linear mixed-effect regression models with Poisson distribution were conducted to test the effects of several variables on reported HED episodes over 12 months. Analyses demonstrated that SRE scores and the presence of a breakup predicted increased HED over time.
The SRE may be useful in identifying individuals at risk of or with EDs who are at increased risk of HED. Furthermore, relationship breakups predict HED. Findings from the current study could be used to inform clinical interventions for this population.
重度间歇性饮酒(HED)是有饮食失调(ED)高风险的大学女生中的一个严重问题。本研究的主要目的是确定酒精影响自评(SRE)问卷与HED随时间的关系,并确定恋爱关系破裂对有ED高风险的大学适龄女性的HED的影响。
分析中使用了从163名参与评估ED预防项目有效性的随机对照试验的参与者收集的数据。测量指标包括在基线时获得的SRE,以及过去12个月中每月HED发作次数和恋爱关系破裂的自我报告。
采用具有泊松分布的广义线性混合效应回归模型来测试几个变量对12个月内报告的HED发作次数的影响。分析表明,SRE分数和恋爱关系破裂预示着随着时间推移HED会增加。
SRE可能有助于识别有ED风险或患有ED且HED风险增加的个体。此外,恋爱关系破裂预示着HED。本研究的结果可用于为该人群的临床干预提供信息。