Horvath Sarah A, Shorey Ryan C, Racine Sarah E
Department of Psychology, Ohio University, United States of America.
Department of Psychology, University of Wisconsin, Milwaukee, United States of America.
Eat Behav. 2020 Aug;38:101409. doi: 10.1016/j.eatbeh.2020.101409. Epub 2020 Jun 20.
Disordered eating behaviors (e.g., binge eating, food restriction, self-induced vomiting, and laxative use) as well as alcohol use and related issues are prevalent in undergraduate students and are often comorbid with one another. Recently, the unique combination of these behaviors, termed food and alcohol disturbance (FAD), has received empirical attention. FAD involves compensatory behaviors performed in preparation for, or in response to, alcohol use in order to counteract calories consumed from alcohol and/or to increase intoxication. Research on FAD is sparse; in particular, there is a lack of consensus regarding potential gender differences in FAD and a lack of knowledge concerning psychological correlates of these behaviors. Emotion dysregulation is a transdiagnostic correlate of psychopathology, including disordered eating and alcohol use, and therefore may relate to FAD. The present study used a cross-sectional design to examine associations between emotion dysregulation and FAD, as well as gender differences in this relationship, in a sample of male and female undergraduate students (N = 417; 51.8% female). There were no gender differences in FAD, and the associations between emotion dysregulation and FAD did not vary among men and women. FAD was positively associated with emotion dysregulation at the bivariate level, but emotion dysregulation was not uniquely associated with FAD after accounting for disordered eating, alcohol use and problems, and body mass index. Future research should extend the current findings by examining temporal associations between emotions, emotion dysregulation, and FAD.
饮食紊乱行为（如暴饮暴食、节食、自我催吐和使用泻药）以及饮酒及相关问题在本科生中很普遍，且常常相互并存。最近，这些行为的独特组合，即饮食与酒精紊乱（FAD），已受到实证研究的关注。FAD包括为饮酒做准备或对饮酒做出反应而采取的代偿行为，以抵消酒精摄入的热量和/或增加醉酒程度。关于FAD的研究很少；特别是，对于FAD中潜在的性别差异缺乏共识，并且对这些行为的心理关联也缺乏了解。情绪调节障碍是精神病理学的一种跨诊断关联因素，包括饮食紊乱和饮酒行为，因此可能与FAD有关。本研究采用横断面设计，在一组男女本科生样本（N = 417；51.8%为女性）中，检验情绪调节障碍与FAD之间的关联，以及这种关系中的性别差异。FAD不存在性别差异，情绪调节障碍与FAD之间的关联在男性和女性中也没有差异。在双变量水平上，FAD与情绪调节障碍呈正相关，但在考虑饮食紊乱、饮酒及相关问题和体重指数后，情绪调节障碍与FAD并非唯一相关。未来的研究应通过检验情绪、情绪调节障碍和FAD之间的时间关联来扩展当前的研究结果。
