Horváth Zsolt, Román Nóra, Elekes Zsuzsanna, Griffiths Mark D, Demetrovics Zsolt, Urbán Róbert
Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Addict Behav. 2020 Aug;107:106431. doi: 10.1016/j.addbeh.2020.106431. Epub 2020 Apr 6.
A complex and bidirectional association has been assumed between feeding and eating disorders (FEDs) and alcohol consumption. Previous research has demonstrated that alcohol use among individuals with different forms of FEDs is more frequently motivated by two subtypes of internal drinking motives: coping and enhancement motives. Namely, these individuals might use alcohol primarily to regulate internal states, such as to mitigate negative emotions or enhance positive emotions.
The present study investigated the mediating role of internal drinking motives on the association between risk for FEDs and alcohol consumption over the effects of relevant covariates, such as depressive symptoms or body mass index (BMI).
Hungarian data of the European School Survey Project on Alcohol and Other Drugs (ESPAD) from 2015 were used. The final sample included responses from 5457 adolescents (50% males; mean age: 16.62 years). Validated self-report psychometric instruments assessed the level of alcohol use, depressive symptoms and risk for FEDs, and drinking motives.
Risk for FEDs presented a significant positive relationship with internal drinking motives and alcohol use. In the mediation analysis, a significant indirect effect was identified between risk for FEDs and alcohol use via internal drinking motives among females.
Results demonstrated that risk for FEDs was positively associated with internal drinking motives and alcohol use. An indirect effect of risk for FEDs on alcohol consumption via internal drinking motives was discriminated over the impact of depressive symptoms. However, the latter relationship was only found among females which may highlight the gender differences in the relationship between risk for FEDs and alcohol use.
饮食失调（FEDs）与酒精消费之间存在复杂的双向关联。先前的研究表明，不同形式饮食失调个体的饮酒行为更多地受到两种内在饮酒动机亚型的驱动：应对动机和强化动机。也就是说，这些个体可能主要通过饮酒来调节内心状态，比如减轻负面情绪或增强正面情绪。
本研究调查了内在饮酒动机在饮食失调风险与酒精消费之间的关联中所起的中介作用，同时考虑了相关协变量（如抑郁症状或体重指数（BMI））的影响。
使用了2015年欧洲酒精及其他药物学校调查项目（ESPAD）匈牙利的数据。最终样本包括5457名青少年的回复（50%为男性；平均年龄：16.62岁）。经过验证的自我报告心理测量工具评估了酒精使用水平、抑郁症状、饮食失调风险和饮酒动机。
饮食失调风险与内在饮酒动机和酒精使用呈显著正相关。在中介分析中，发现女性中饮食失调风险与酒精使用之间通过内在饮酒动机存在显著的间接效应。
结果表明，饮食失调风险与内在饮酒动机和酒精使用呈正相关。饮食失调风险通过内在饮酒动机对酒精消费的间接效应在抑郁症状的影响之上得以区分。然而，后一种关系仅在女性中发现，这可能凸显了饮食失调风险与酒精使用之间关系的性别差异。
