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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2012, Number 2

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Salud Mental 2012; 35 (2)

Disordered eating behaviors and binge drinking in female high-school students: the role of impulsivity

Ocampo OR, Bojorquez CI, Unikel SC

Language: English
References: 43
Page: 83-89
PDF size: 102.54 Kb.


ABSTRACT

Introduction: It is widely accepted that psychiatric comorbidity can increase the severity, chronicity, and treatment resistance of psychiatric disorders. In various studies worldwide, it has been estimated that the prevalence of alcohol use disorders in women with disordered eating behaviors (DEB) is situated at between 2.9 and 48.6%. It is worth noting that previous studies have not considered the analysis of the variables that could explain the comorbidity between DEB and alcohol use in adolescents, such as impulsivity, which is the key variable for explaining this comorbidity. On the other hand, most studies have addressed the adult population in psychiatric hospitals or people with eating disorders (ED) or alcohol use disorders. It is considered that those subjects have already developed psychiatric comorbid disorders. Impulsivity could be an unspecific trait that aggravates the psychiatric condition of a determined person and it is therefore more likely for that person to seek specialized care. According to the above, the role of impulsivity in the comorbidity of ED and alcohol use might not be similar to that of the general population, mostly among those who have not yet developed a whole clinical syndrome. Therefore, we consider that it is important to clarify the involvement of impulsivity in the comorbidity between disordered eating behaviors (DEB) and binge drinking (BD) in high school students. It is also crucial to analyze the association between impulsivity and the coexistence of DEB and binge drinking (BD) in female students aged between 15 and 19 years at public high schools in the State of Mexico.
Methods: Data for this study were drawn from the Project entitled “Prevalence and Factors Associated with Disordered Eating Behaviors in Adolescent Women with Different Levels of Urbanization and Migration Intensity” (CONACyT-SEP-2004-46560). The design for this study is cross-sectional and analytical. A sample of 2357 female students at 11 public high schools in the State of Mexico was randomly selected during the 2006-2007 school year. For data collection for this project, a questionnaire was used that included socio-demographic variables, the Plutchik Impulsivity Scale (PIS), the Brief Questionnaire to Measure Risky Eating Behaviors (BQREB), and the questions on alcohol use included in the Questionnaire of Surveys on Substance Use in Students in Mexico (2003 version). Data were analyzed with the STATA version 10 survey function.
Results: Impulsivity was associated with the coexistence of DEB and BD (U=224427; p‹0.01). The 3.5% of female students with impulsivity presented DEB and BD together vs. 0.6% who did not; 19.6% of female students with impulsivity presented one of the two behaviors vs. 7.8% without this trait. Impulsivity was associated positively and significantly with the coexistence of DEB and BD (t=3.8; p‹0.01), regardless of socioeconomic variables, such as the father’s educational attainment, the mother’s educational attainment, and the number of services in the household.
Conclusion: The results of this paper indicate a statistically significant association between impulsivity and the coexistence of DEB and BD. This means that there is a greater percentage of coexistence of DEB and BD in female high school students considered to be impulsive in comparison with adolescents without this trait. This occurs regardless of socioeconomic variables, such as the father’s educational attainment, the mother’s educational attainment, and the number of services in the household. Future research should establish the role of other variables such as depression and examine the association of impulsivity with socioeconomic variables.


REFERENCES

  1. Conason AH, Brunstein Klomek A, Sher L. Recognizing alcohol and drug abuse in patients with eating disorders. Q J Med 2006;99:335-339.

  2. Blinder B, Camella E, Sanathara V. Psychiatric comorbidities of female inpatients with eating disorders. Psychol Med 2006;68:454-462.

  3. Gadalla T, Piran N. Co-occurrence of eating disorders and alcohol use disorders in women: a meta analysis. Arch Womens Ment Health 2007;10:133-140.

  4. Higuchi S, Susuki K, Yamada K, Parrish K et al. Alcoholics with eating disorders: prevalence and clinical course. A study for Japan. Br J Psychiatry 1993;162:403-406.

  5. Castro J, Díaz R, Goti J, Calvo R et al. Prevalence and factors related to substance use among adolescents with eating disorders. Eur Addict Res 2010;16:61-68.

  6. Keel P, Dorer D, Eddy K, Franko D et al. Predictors of mortality in eating disorders. Arch Gen Psychiatry 2003;60:179-183.

  7. Pisetsky E, Chao Y, Dierker L, May A et al. Disordered eating and substance use in high-school students: results from the Youth Risk Behavior Surveillance System. Int J Eat Disord 2008;41:464-470.

  8. Gutiérrez R, Unikel C, Villatoro J, Medina-Mora ME. El consumo de drogas en una muestra de mujeres estudiantes que presentan conductas alimentarias de riesgo. Salud Mental 2001;24:55-61.

  9. Gutiérrez R, Mora J, Unikel C, Villatoro J et al. Consumo de drogas en mujeres que presentan conductas alimentarias de riesgo. Psicol Social Mexico 2000;VIII:610-616.

  10. Susuki K, Takeda A, Matsushita S. Coprevalence of bulimia with alcohol abuse and smoking among Japanese male and female high school students. Addiction 1995;90:971-975.

  11. Loxton N, Dawe S. Alcohol abuse and dysfunctional eating in adolescent girls: the influence of individual differences in sensivity to reward and punishment. Int J Eat Disord 2001;29:455-462.

  12. Dawe S, Loxton N. The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehavior Rev 2004;28:343-351.

  13. Bulik C, Klump K, Thornton L, Kaplan A et al. Alcohol use disorder comorbidity in eating disorders: a multicenter study. J Clin Psychiatry 2004;657:1000-1006.

  14. Chamberlain S, Sahakian B. The neuropsychiatry of impulsivity. Arch Gen Psychiatry 2007;20:255-261.

  15. Welch S, Fairburn C. Impulsivity or comorbidity in bulimia nervosa. A controlled study of deliberate self-harm and alcohol and drug misuse in a community sample. Br J Psychiatry 1996;169:451-458.

  16. Wiles N, Lingford A, Daniel J, Hickman M et al. Socio-economic status in childhood and later alcohol use: a systematic review. Addiction 2007;102:1546-1563.

  17. Ortiz L, López S, Borges G. Desigualdad socioeconómica y salud mental: revisión de la literatura latinoamericana. Cad Saúde Pública 2007;23:1255-1272.

  18. Villatoro J, Gutiérrez ML, Quiroz N, Moreno M et al. Encuesta de estudiantes de la Ciudad de México 2006. Prevalencias y evolución del consumo de drogas. Salud Mental 2009;32:287-297.

  19. Unikel C, Bojorquez I, Villatoro J, Fleiz C et al. Conductas alimentarias de riesgo en población estudiantil del Distrito Federal: tendencias 1997-2003. Rev Invest Clin 2006;58:15-27.

  20. Striegel-Moore RH, Bulik CM. Risk factors for eating disorders. Am J Psychol 2007;62:181-198.

  21. Agras WS, Bryson S, Hammer L, Kraemer H. Childhood risk factors for thin body preoccupation and social pressure to be thin. J Am Acad Child Adolesc Psychiatry 2007;46:171-178.

  22. Schmidt U, Lee S, Perkins S, Eisler I, et al. Do adolescents with eating disorders not otherwise specified or full-syndrome bulimia nervosa differ in clinical severity, comorbidity, risk factors, treatment outcome or cost? Int J Eat Disord 2008;41:498-504.

  23. Wagner F, Anthony J. From first drug use to drug dependence: Developmental periods of risk for dependence upon marijuana, cocaine, and alcohol. Neuropsychopharmacology 2002;26:479–488.

  24. Lanza ST, Collins LM. Pubertal timing and the onset of substance use in females during early adolescence. Prevention Science 2002;3:69–82.

  25. Clark D. The natural history of adolescent alcohol use disorders. Addiction 2004;99(Sppl. 2):5-22.

  26. Guttmanova K, Bailey JA, Hill KG, Lee JO et al. Sensitive periods for adolescent alcoholuse initiation: predicting the lifetime occurrence and chronicity of alcohol use disorders. J Stud Alcohol Drugs 2011;72:221-231.

  27. Unikel C, Ocampo-Ortega R, Zambrano-Ruiz J. Exactitud del autorreporte de peso y talla en mujeres de 15 a 19 años del Estado de México. Salud Pública Mex 2009;51:194-201.

  28. Flory JD, Harvey PD, Mitropolou V, New AS et al. Dispositional impulsivity in normal and abnormal samples. J Psychiatr Res 2006;40:438-447.

  29. Matthews KA, Flory JD, Muldon MF, Manuck S.B. Does socioeconomic status relate to central serotonergic responsivity in healthy adults? Psychosom Med 2000;62:231-237.

  30. Infante C, Schlaepher L. Las variables socioeconómicas en la investigación en salud pública en México. Salud Pública Mex 1994;36:364-373.

  31. Plutchik R, Van Praag, H. The measurement of suicidality, aggressivity and impulsivity. Prog Neuro-Psychopharmacol Biol Psychiatr 1989;13: S23-S34.

  32. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fourth edition. Washington, DC: DSM-IV; 1994.

  33. Unikel C., Bojorquez I,Carreño S. Validación de un cuestionario breve para medir conductas alimentarias de riesgo. Salud Pública Mex 2004;46:509-515.

  34. Medina-Mora ME, Castro S, Campillo C, Gómez F. Validity and reliability of a high school drug use questionnaire among Mexican students. Bull Narcotics 1981;33:67-76.

  35. Villatoro J, Medina-Mora ME, Rojano C, Fleiz C et al. ¿Ha cambiado en consumo de drogas de los estudiantes? Resultados de la encuesta de estudiantes. Medición otoño de 2000. Salud Mental 2002;25:43-54.

  36. Villatoro JA, Medina-Mora ME, Hernández M, Fleiz C, La encuesta de estudiantes de nivel medio y medio superior de la Ciudad de México: noviembre 2003. Prevalencias y evolución del consumo de drogas. Salud Mental 2005;28:38-51.

  37. Kerlinger F, Lee H. Investigación del Comportamiento. Métodos de Investigación en Ciencias Sociales. México: McGraw Hill; 2002.

  38. Fassino S, Abbate-Daga G, Amianto F, Leombruni P et al. Temperament and character profile of eating disorders: a controlled study with the temperament and character inventory. Int J Eat Disord 2002;32:412-425.

  39. Franko D, Dorer D, Keel P, Jackson S et al. How do eating disorders and alcohol use disorder influence each other? Int J Eat Disord 2005;38:200-207.

  40. Malouff J, Thorsteinsson E, Rooke S. Schutte N. Alcohol involvement and the five-factor model of personality: a meta-analysis. J Drug Education 2007;37:277-294.

  41. Hernández B, Velasco-Mondragón H. Encuestas transversales. Salud Pública Mex 2000;42:447-455.

  42. Acton, S. Measurement of impulsivity in a hierarchical model of personality traits: implications for substance use. Substance Use Misuse 2003;38:67-83.

  43. Stice E, Whitenton K. Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation. Development Psychol 2002;38:669-678.




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