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An Ecological Momentary Assessment Examination of the Transdiagnostic Model of Food and Alcohol Disturbance
Journal of Psychopathology and Behavioral Assessment ( IF 1.3 ) Pub Date : 2021-06-25 , DOI: 10.1007/s10862-021-09908-w
Tyler B. Mason , Ross D. Crosby , Robert Dvorak , Scott G. Engel , Stephen A. Wonderlich , Kathryn E. Smith

Food and alcohol disturbance (FAD) proposes that individuals restrain or restrict food intake before, during, or after drinking in order to minimize weight gain and/or increase intoxication. Yet, research has yet to examine the potential functional associations between these behaviors within the FAD model. To examine the underlying tenets of FAD, this paper reports on two ecological momentary assessment (EMA) studies, which measuresd momentary restriction and alcohol use in women with binge eating. Study 1 included 30 women with at least one binge-eating episode at baseline whom completed 14 days of EMA recordings, and Study 2 included forty women with binge-eating symptoms whom completed ten days of EMA recordings. Study 1 analyses showed concurrent associations between meal skipping and avoiding eating to control weight with binge drinking. Study 2 analyses showed an association between fasting and total alcoholic drinks that was moderated by individual differences in overvaluation in shape and weight. That is, when women with higher overvaluation reported fasting since the last EMA signal, they consumed more alcoholic drinks; there was no association among women with lower overvaluation. These studies support the underlying conceptual model of FAD among women with binge eating.



中文翻译:

食物和酒精干扰的跨诊断模型的生态瞬时评估检查

食物和酒精紊乱 (FAD) 建议个人在饮酒前、饮酒中或饮酒后限制或限制食物摄入,以尽量减少体重增加和/或增加中毒。然而,研究尚未检查 FAD 模型中这些行为之间的潜在功能关联。为了研究 FAD 的基本原则,本文报告了两项生态瞬时评估 (EMA) 研究,该研究测量了暴饮暴食女性的瞬时限制和酒精使用。研究 1 包括 30 名在基线时至少有一次暴食发作的女性,她们完成了 14 天的 EMA 记录,研究 2 包括了 40 名有暴食症状的女性,她们完成了 10 天的 EMA 记录。研究 1 的分析表明,为了控制体重而通过暴饮暴食,不进餐和避免进食之间同时存在关联。研究 2 的分析表明,禁食和总酒精饮料之间存在关联,这种关联受到体型和体重高估的个体差异的影响。也就是说,当自上次 EMA 信号以来被高估的女性报告禁食时,她们喝了更多的酒精饮料;估值偏低的女性之间没有关联。这些研究支持暴饮暴食女性的 FAD 潜在概念模型。

更新日期:2021-06-28
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