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Drunkorexia: A new term and diagnostic criteria.
Carly Thompson-Memmer1, Tavis Glassman1, Aaron Diehr2
1The University of Toledo , Toledo , Ohio , USA.
Journal of American College Health : J of ACH
|October 5, 2018
Summary
Individuals restricting calories or exercising excessively to offset alcohol intake may have eating and substance abuse disorders. A new classification and term, "alcoholimia," are proposed for better diagnosis and treatment.
Area of Science:
- Psychiatry
- Addiction Medicine
- Nutritional Science
Background:
- The behavior of restricting caloric intake and/or exercising excessively to compensate for alcohol consumption is increasingly recognized.
- The colloquial term "drunkorexia" is used in both academic and popular contexts, but lacks a formal diagnostic definition.
- This behavior often co-occurs with eating disorders, substance abuse disorders, or both, complicating diagnosis and treatment.
Purpose of the Study:
- To highlight the diagnostic and treatment challenges associated with "drunkorexia."
- To propose classifying this behavior as a subcategory of Other Specified Feeding and Eating Disorders (OSFED) to improve insurance coverage.
- To advocate for a consistent definition and a more medically appropriate term, such as "alcoholimia," to advance research and clinical practice.
Main Methods:
- Literature review and analysis of existing research on "drunkorexia."
- Examination of diagnostic criteria for eating disorders and substance abuse disorders.
- Discussion of potential benefits of reclassification under OSFED for patient care and insurance reimbursement.
Main Results:
- The lack of a formal diagnosis hinders effective treatment and insurance coverage for affected individuals.
- Classifying the behavior under OSFED could facilitate access to necessary medical and psychological interventions.
- A standardized definition and a new medical term are crucial for advancing clinical understanding and public health initiatives.
Conclusions:
- "Drunkorexia" represents a complex interplay of disordered eating and substance misuse that requires specific clinical attention.
- Reclassifying this behavior under Other Specified Feeding and Eating Disorders (OSFED) and adopting a term like "alcoholimia" are vital steps toward improved patient outcomes.
- Further research and consensus are needed to establish clear diagnostic guidelines and effective treatment protocols for this condition.
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