Examining the role of body esteem and sensation seeking in drunkorexia behaviors

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ORIGINAL ARTICLE

Examining the role of body esteem and sensation seeking in drunkorexia behaviors Erin M. Hill1   · Jessica E. Lego1 Received: 23 April 2019 / Accepted: 21 September 2019 © Springer Nature Switzerland AG 2019

Abstract Purpose  The purpose of the present study was to examine the role of body esteem (BE), sensation seeking (SS), and their interaction in drunkorexia, a behavior pattern marked by calorie restriction/compensation in the context of alcohol consumption. While previous research on drunkorexia has focused on a range of variables, the present study examined two novel variables and their potential interaction: body esteem (weight, appearance) and sensation seeking. Methods  A sample of college students (n =488) completed the Body Esteem Scale for Adolescents and Adults, the Brief Sensation Seeking Scale, and the Compensatory Eating and Behaviors in Response to Alcohol Consumption Scale, which measures overall drunkorexia engagement as well as four dimensions: alcohol effects, bulimia, dietary restraint and exercise, and restriction. Results  Moderated linear regression analyses indicated that SS and BE (weight, appearance) did not interact in predicting drunkorexia. Rather, only main effects were observed; SS, weight esteem (WE), and appearance esteem (AE) were significant in predicting overall drunkorexia engagement. In terms of the drunkorexia dimensions, AE was a significant predictor in the alcohol effects, dietary restraint and exercise, and restriction models. WE was significant in the dietary restraint and exercise model as well as the restriction model. SS was a significant predictor across all drunkorexia dimensions. Conclusions  Our findings suggest that both elevated SS and lowered BE are associated with drunkorexia engagement. Implications for practice are discussed. Drunkorexia is a complex and multifaceted behavior pattern; therefore, further research is needed in this area of study. Level of evidence  Level V (descriptive study). Keywords  Drunkorexia · Sensation seeking · Body esteem · Weight esteem · Appearance esteem · Alcohol use

Introduction Drunkorexia is a term originally coined by the media to describe a pattern of behavior marked by calorie restriction and/or compensation in the context of alcohol use [1]. Over the past decade, research has emerged attempting to understand drunkorexia, its correlates, and risk factors for engagement in the behavior [e.g., 2, 3–5]. While not currently considered a DSM-diagnosable condition, there has This article is part of topical collection on Personality and eating and weight disorders. * Erin M. Hill [email protected] 1



Department of Psychology, West Chester University, West Chester, PA 19383, USA

been some discussion as to whether drunkorexia should be more broadly defined as “food and alcohol disturbance” [6], and whether it should be classified as a psychological disorder, given its strong link to both disordered eating and substance use [7]. Regardless of a possible clinical classification, it is apparent that drunkorexia i