Psychological characteristics and eating attitudes in adolescents with drunkorexia behavior: an exploratory study
Drunkorexia represents an emerging phenomenon that is still understudied especially among adolescents. The present study aimed to investigate the relation between drunkorexia and psychological characteristics relevant and commonly associated with existing forms of eating disorders.
The sample was composed of 849 adolescents (513 boys, 334 girls, 2 unknown; range 14–22) who completed a survey composed of Compensatory Eating and Behaviors in Response to Alcohol Consumption Scale and Psychological scales of the Eating Disorders Inventory-3.
Our findings highlighted that drunkorexia was associated with low self-esteem, personal alienation, interoceptive deficits, emotional dysregulation, and asceticism. Hierarchical multiple regression analysis indicated that difficulties with emotion regulation and ascetic tendencies were significant predictors of drunkorexia among adolescents.
Our findings suggest the importance for programs preventing drunkorexia to be focused on training adolescents in using more adaptive strategies to manage emotions and accepting both emotional and physical signals without feeling guilty or threatened.
Level of evidence
Level V, descriptive study.
KeywordsDrunkorexia Adolescence Psychological characteristics Emotion dysregulation Asceticism
This study was not funded.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no competing interests.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Approval from the Research Ethics Board of Department of Developmental and Social Psychology, Sapienza University of Rome was obtained before data were collected for the current study.
Participants gave their informed consent to take part to the study, and for underage students below 18 years written informed consents were also obtained from parents.
- 1.Burke SC, Cremeens J, Vail-Smith K, Woolsey C (2010) Drunkorexia: calorie restriction prior to alcohol consumption among college freshman. J Alcohol Drug Educ 54(2):17–34Google Scholar
- 11.Babiaz S, Ward RM, Brinkman C (2013) Examination of drunkorexia, excessive exercising, and extreme drinking. J Young Investig 25(4):52–56Google Scholar
- 16.Ward RM, Galante M, Trivedi R, Kahrs J (2015) An examination of drunkorexia, greek affiliation, and alcohol consumption. J Alcohol Drug Educ 59(3):48–66Google Scholar
- 21.Lupi M, Acciavatti T, Santacroce R, Cinosi E, Martinotti G, Di Giannantonio M (2015) “Drunkorexia”: a pilot study in an italian sample”. Res Adv Psychiatry 2(1):28–32Google Scholar
- 27.Lafrance Robinson A, Kosmerly S, Mansfield-Green S, Lafrance G (2014) Disordered eating behaviours in an undergraduate sample: associations among gender, body mass index, and difficulties in emotion regulation. Can J Behav Sci 46(3):320–326Google Scholar
- 33.Mauler BI, Hamm AO, Weike AI, Tuschen-Caffier B (2006) Affect regulation and food intake in bulimia nervosa: emotional responding to food cues after deprivation and subsequent eating. J Abnorm Psychol 115(3):567–579Google Scholar
- 44.Stice E (2002) Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull 128(5):825–848Google Scholar
- 45.Ventura LM, Randall ET, Shapiro JB, Kirsch AC, Conley CS, Bohnert AM (2018) Looking good and making it seem easy: a prospective study of effortless perfectionism, body image, and BMI in unhealthy weight control behaviors among female adolescents and young adults. Emerg Adulthood 6(5): 327–335. https://doi.org/10.1177/2167696817737007 Google Scholar
- 50.Stice E, Presnell K, Spangler D (2002) Risk factors for binge eating onset in adolescent girls: a 2-year prospective investigation. Health Psychol 21(2):131–138Google Scholar
- 51.Vohs KD, Bardone AM, Joiner TE Jr, Abramson LY (1999) Perfectionism, perceived weight status, and self-esteem interact to predict bulimic symptoms: a model of bulimic symptom development. J Abnorm Psychol 108(4):695Google Scholar
- 54.Corrington G (1986) Anorexia, asceticism, and autonomy: self-control as liberation and transcendence. J Femi Stud Relig 2(2):51–61. https://www.jstor.org/stable/25002041
- 55.Fassino S, Pierò A, Gramaglia C, Daga GA, Gandione M, Rovera GG, Bartocci G (2006) Clinical, psychological, and personality correlates of asceticism in anorexia nervosa: from saint anorexia to pathologic perfectionism. Transcult Psychiatry 43(4):600–614. https://doi.org/10.1177/1363461506070785 Google Scholar
- 57.Garner DM (2004) The Eating Disorder Inventory-3: professional manual. Psychological Assessment Resources, OdessaGoogle Scholar
- 61.van der Ham T, van Strien DC, Van Engeland H (1994) A four-year prospective follow-up study of 49 eating-disordered adolescents: differences in course of illness. Acta Psychiatr Scand 90(3):229–235. https://doi.org/10.1111/j.1600-0447.1994.tb01582.x Google Scholar
- 67.Giannini M, Pannicchia L, Dalle Grave R, Muratori F, Viglione V (eds) (2008) EDI-3. Eating Disorder Inventory—3. Manuale. Organizzazioni Speciali, FirenzeGoogle Scholar
- 68.Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, HillsdaleGoogle Scholar
- 69.Coakes SJ (2005) SPPS version 12.0 for windows: analysis without anguish. Wiley, QueenslandGoogle Scholar
- 70.Tabachnick BG, Fidell LS, Osterlind SJ (2001) Using multivariate statistics, 4th edn. Allyn and Bacon, BostonGoogle Scholar
- 71.Fitzgibbon ML, Spring B, Avellone ME, Blackman LR, Pingitore R, Stolley MR (1998) Correlates of binge eating in Hispanic, Black, and White women. Int J Eat Disord 24(1):43–52Google Scholar
- 78.Nolen-Hoeksema S (2012) Emotion regulation and psychopathology: the role of gender. Annu Rev Clin Psychol 8:161–187. https://doi.org/10.1146/annurev-clinpsy-032511-143109 Google Scholar
- 80.Herman CP, Polivy J (2004) The self-regulation of eating: theoretical and practical problems. In: Baumeister RF, Vohs KD (eds) Handbook of self-regulation: research, theory, and applications. Guilford Press, New York, pp 492–508Google Scholar