Binge drinking is a widespread alcohol consumption pattern commonly engaged by youth. Here, we present the first systematic review of emotional processes in relation to binge drinking. Capitalizing on a theoretical model describing three emotional processing steps (emotional appraisal/identification, emotional response, emotional regulation) and following PRISMA guidelines, we considered all identified human studies exploring emotional abilities among binge drinkers. A literature search was conducted in PubMed, Scopus, and PsychINFO, and a standardized methodological quality assessment was performed for each study. The main findings offered by the 43 studies included are: 1) regarding emotional appraisal/identification, binge drinking is related to heightened negative emotional states, including greater severity of depressive and anxiety symptoms, and have difficulties in recognizing emotional cues expressed by others; 2) regarding emotional response, binge drinkers exhibit diminished emotional response compared with non-binge drinkers; 3) regarding emotional regulation, no experimental data currently support impaired emotion regulation in binge drinking. Variability in the identification and measurement of binge drinking habits across studies limits conclusions. Nevertheless, current findings establish the relevance of emotional processes in binge drinking and set the stage for new research perspectives to identify the nature and extent of emotional impairments in the onset and maintenance of excessive alcohol use.

酗酒是年轻人普遍参与的一种普遍的酒精消费模式。在这里，我们首次对与酗酒相关的情绪过程进行了系统回顾。利用描述三个情绪处理步骤（情绪评估/识别、情绪反应、情绪调节）的理论模型并遵循 PRISMA 指南，我们考虑了所有已确定的探索酗酒者情绪能力的人类研究。在 PubMed、Scopus 和 PsychINFO 中进行了文献检索，并对每项研究进行了标准化的方法学质量评估。包括的 43 项研究提供的主要发现是：1) 关于情绪评估/识别，酗酒与消极情绪状态加剧有关，包括更严重的抑郁和焦虑症状，难以识别他人表达的情绪暗示；2) 关于情绪反应，与非酗酒者相比，暴饮暴食者的情绪反应减弱；3）关于情绪调节，目前没有实验数据支持暴饮暴食时情绪调节受损。跨研究对狂饮习惯的识别和测量的差异限制了结论。尽管如此，目前的研究结果证实了情绪过程与酗酒的相关性，并为新的研究视角奠定了基础，以确定过度饮酒的开始和维持过程中情绪障碍的性质和程度。与非酗酒者相比，酗酒者表现出情绪反应减弱；3）关于情绪调节，目前没有实验数据支持暴饮暴食时情绪调节受损。跨研究对狂饮习惯的识别和测量的差异限制了结论。尽管如此，目前的研究结果证实了情绪过程与酗酒的相关性，并为新的研究视角奠定了基础，以确定过度饮酒的开始和维持过程中情绪障碍的性质和程度。与非酗酒者相比，酗酒者表现出情绪反应减弱；3）关于情绪调节，目前没有实验数据支持暴饮暴食时情绪调节受损。跨研究对狂饮习惯的识别和测量的差异限制了结论。尽管如此，目前的研究结果证实了情绪过程与酗酒的相关性，并为新的研究视角奠定了基础，以确定过度饮酒的开始和维持过程中情绪障碍的性质和程度。