Centre for Research in Eating and Weight Disorders (CREW), Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.
South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Monks Orchard Road, Beckenham, Kent BR3 3BC, UK.
Nutrients. 2024 Mar 4;16(5):732. doi: 10.3390/nu16050732.
While individuals with Bulimia Nervosa (BN) and Binge Eating Disorder (BED) often present with a higher rate of Alcohol Use Disorder (AUD) than the general population, it is unclear whether this extends to AN. This cross-sectional study examined differences in alcohol-related behaviours, measured using the Alcohol Use Identification Test (AUDIT), between AN participants ( = 58), recovered AN (rec-AN) participants ( = 25), and healthy controls ( = 57). Statistical models controlled for age and ethnicity. The relationship between alcohol-related behaviours with ED psychopathology and with depression was also assessed. The findings indicated that acute AN participants were not at greater risk of AUD than healthy controls. However, rec-AN participants displayed greater total audit scores than those with acute AN, and more alcohol-related behaviours than healthy controls. Acute AN participants consumed significantly less alcohol than both the healthy control group and rec-AN group. No associations were found between ED psychopathology and alcohol-related behaviours in the AN group or rec-AN. This highlights alcohol as a potential coping mechanism following AN recovery. Clinicians should consider assessments for AUD and targeted interventions aimed at encouraging healthy coping mechanisms in this group. Future studies should look at alcohol use as a moderating factor for AN recovery.
尽管神经性贪食症(BN)和暴食症(BED)患者的酒精使用障碍(AUD)发生率通常高于普通人群,但目前尚不清楚这是否也适用于神经性厌食症(AN)。本横断面研究使用酒精使用识别测试(AUDIT)评估了 AN 患者(n=58)、恢复的 AN 患者(rec-AN,n=25)和健康对照组(n=57)之间与酒精相关的行为差异。统计模型控制了年龄和种族。还评估了与 ED 病理和与抑郁相关的酒精相关行为之间的关系。研究结果表明,急性 AN 患者 AUD 的风险并不高于健康对照组。然而,rec-AN 参与者的总 AUDIT 评分高于急性 AN 参与者,且表现出更多的与酒精相关的行为。急性 AN 参与者的饮酒量明显低于健康对照组和 rec-AN 组。在 AN 组或 rec-AN 组中,均未发现 ED 病理与酒精相关行为之间存在关联。这突显了酒精作为 AN 康复后潜在的应对机制。临床医生应考虑对 AUD 进行评估,并针对该群体鼓励健康应对机制的进行针对性干预。未来的研究应关注酒精使用作为 AN 恢复的调节因素。