Department of Public Health, University of Helsinki, Helsinki, Finland.
Eat Weight Disord. 2022 Mar;27(2):589-595. doi: 10.1007/s40519-021-01193-6. Epub 2021 Apr 26.
The association of bulimic symptoms with sensation seeking is uncertain; however, both behaviors have been linked to alcohol problems. We assessed in a longitudinal, community-based setting whether sensation seeking in adolescence is associated with bulimic symptoms in early adulthood, also accounting for alcohol problems.
Finnish men (N = 2000) and women (N = 2467) born between 1974-1979 completed Zuckerman's sensation seeking scale (SSS) at age 18. Alcohol problems (Malmö-modified Michigan alcoholism screening test (Mm-MAST) and bulimic symptoms [eating disorder inventory-2, bulimia subscale (EDI-Bulimia), population and clinical scoring systems] were defined at age 22-27. We examined relationships between SSS, Mm-MAST, and EDI-Bulimia using Pearson's correlation coefficient (r) and linear regression.
Alcohol problems were moderately correlated with sensation seeking and bulimic symptoms (population scoring) among women and men (r = 0.21-0.31). The correlation between sensation seeking and bulimic symptoms (population scoring) was weak among men (r = 0.06, p = 0.006) and even weaker and non-significant among women (r = 0.03, p = 0.214). Adjustment for alcohol problems removed the association between sensation seeking and bulimic symptoms among men. Furthermore, there were no significant correlations between sensation seeking and bulimic symptoms when assessing EDI-Bulimia clinical scoring.
Sensation seeking and bulimic symptoms were not associated among women. The association between sensation seeking and bulimic symptoms among men was entirely attributable to increased alcohol problems among those with higher sensation seeking. While this association may be important on the population level, its clinical significance may be minor.
Level III, well-designed cohort study.
暴食症状与寻求刺激之间的关联尚不确定；然而，这两种行为都与酒精问题有关。我们在一个基于社区的纵向研究中评估了青少年时期的寻求刺激是否与成年早期的暴食症状有关，同时也考虑了酒精问题。
1974-1979 年间出生的芬兰男性（N=2000）和女性（N=2467）在 18 岁时完成了 Zuckerman 的寻求刺激量表（SSS）。酒精问题（Malmö 改良密歇根酒精筛查测试（Mm-MAST）和暴食症状[饮食障碍清单-2，暴食分量表（EDI-Bulimia），人群和临床评分系统]在 22-27 岁时定义。我们使用 Pearson 相关系数（r）和线性回归来检查 SSS、Mm-MAST 和 EDI-Bulimia 之间的关系。
酒精问题与女性和男性的寻求刺激和暴食症状（人群评分）中度相关（r=0.21-0.31）。男性中寻求刺激和暴食症状（人群评分）之间的相关性较弱（r=0.06，p=0.006），女性中相关性更弱且无统计学意义（r=0.03，p=0.214）。调整酒精问题后，男性中寻求刺激与暴食症状之间的关联消失了。此外，在评估 EDI-Bulimia 临床评分时，寻求刺激与暴食症状之间没有显著相关性。
女性中寻求刺激和暴食症状之间没有关联。男性中寻求刺激和暴食症状之间的关联完全归因于寻求刺激较高者的酒精问题增加。虽然这种关联在人群水平上可能很重要，但它的临床意义可能很小。
三级，精心设计的队列研究。
