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Binge drinking in women at risk for developing eating disorders
Anna Khaylis1, Mickey Trockel, C Barr Taylor
1Department of Psychiatry, Stanford Medical Center, Stanford, California 94305, USA. akhaylis@pgsp.edu
The International Journal of Eating Disorders
|December 31, 2008
Summary
College women at high risk for eating disorders exhibit high rates of binge drinking, which is linked to dieting and unhealthy coping mechanisms. Interventions should address both concerns.
Area of Science:
- Psychiatry
- Clinical Psychology
- Public Health
Background:
- Eating disorders (ED) and binge drinking are significant public health concerns among college-age women.
- A notable overlap exists between disordered eating behaviors and substance use, particularly alcohol.
Purpose of the Study:
- To investigate the prevalence of binge drinking in college women at high risk for ED.
- To identify longitudinal factors associated with binge drinking in this population.
Main Methods:
- A cohort of 480 college-age women at high risk for ED (BMI 18-32) was followed for 4 years.
- Annual assessments were conducted to track binge drinking and related behaviors.
Main Results:
- High rates of binge drinking were reported consistently throughout the college years.
- Binge drinking positively correlated with dietary restraint, substance coping, denial coping, and stressful life events.
Conclusions:
- Binge drinking is highly prevalent in college women at high risk for ED.
- Dieting and maladaptive coping strategies are associated with problematic alcohol use.
- Interventions for women with body image concerns must integrate strategies for problematic alcohol use.
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