Department of Developmental and Social Psychology, Sapienza University of Rome, via dei Marsi 78, 00185, Rome, Italy.
Department of Human Sciences, European University of Rome, Rome, Italy.
Eat Weight Disord. 2021 Apr;26(3):797-806. doi: 10.1007/s40519-020-00912-9. Epub 2020 Apr 30.
Although drunkorexia seems to represent a new form of eating disorder, it shares several features with traditional eating disorders. However, very little is known about the association between drunkorexia and a widely studied correlate of eating disorders, such as psychological distress and about mechanisms underlying this association. The present study aimed to investigate the relation between symptoms of anxiety and depression and drunkorexia, and to explore the role of emotional dysregulation as moderator of this relationship.
The sample was composed of 402 adolescents (222 females, 180 males; range 15-21) who completed self-reported measures: Drunkorexia Motives and Behaviors Scale, which assesses different behaviors and motivations associated with drunkorexia, Emotional dysregulation scale from the Eating Disorder Inventory-3, reflecting difficulties regulating emotions, and Anxiety and Depression scales from the Symptom CheckList-90 Revised, assessing general signs of anxious and depressive symptoms.
Anxious symptomatology resulted a significant statistical predictor of drunkorexia behaviors (β = .28, p = .001). Furthermore, emotional dysregulation moderated the relation between anxiety and drunkorexia; specifically, a positive relation was found both at medium levels (β = .22, p = .007) and at higher levels of emotional dysregulation (β = .38, p = .000), whereas at lower levels of emotional dysregulation, this association became nonsignificant.
Findings suggest that adolescents who experience both elevated anxiety and emotional dysregulation may be more likely to turn to drunkorexia to reduce their unregulated negative affect in the absence of more adaptive emotion regulation strategies. Implications for intervention and prevention programs are discussed.
Level V, descriptive study.
尽管狂食酗酒似乎代表了一种新的饮食失调形式，但它与传统的饮食失调有几个共同特征。然而，人们对狂食酗酒与饮食失调的一个广泛研究相关因素（如心理困扰）之间的关联知之甚少，也不清楚这种关联的潜在机制。本研究旨在调查焦虑和抑郁症状与狂食酗酒之间的关系，并探讨情绪调节障碍在这种关系中的调节作用。
该样本由 402 名青少年（222 名女性，180 名男性；年龄范围 15-21 岁）组成，他们完成了自我报告的测量：狂食酗酒动机和行为量表，评估与狂食酗酒相关的不同行为和动机；饮食失调问卷-3 的情绪调节量表，反映调节情绪的困难；症状清单-90 修订版的焦虑和抑郁量表，评估焦虑和抑郁的一般症状。
焦虑症状是狂食酗酒行为的一个显著统计学预测因子（β=0.28，p=0.001）。此外，情绪调节障碍调节了焦虑与狂食酗酒之间的关系；具体来说，在情绪调节障碍的中等水平（β=0.22，p=0.007）和较高水平（β=0.38，p=0.000）时，发现两者之间存在正相关，而在情绪调节障碍较低水平时，这种关联变得不显著。
研究结果表明，同时经历焦虑和情绪调节障碍的青少年，在缺乏更有效的情绪调节策略的情况下，可能更倾向于通过狂食酗酒来减轻他们无法调节的负面情绪。讨论了干预和预防计划的意义。
五级，描述性研究。
