Factors associated with Alcohol Problem in Patients with Eating Disorders

Seong Sook Kong

doi:10.12934/jkpmhn.2011.20.2.208

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Kong: Factors associated with Alcohol Problem in Patients with Eating Disorders

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2011; 20(2): 208-218.

Published online: 30 June 2011

DOI: https://doi.org/10.12934/jkpmhn.2011.20.2.208

Factors associated with Alcohol Problem in Patients with Eating Disorders

Seong Sook Kong

Professor, Department of Nursing, Soonchunhyang University, Korea.

Address reprint requests to: Kong, Seong Sook, Nursing Department, Soonchunhyang University, 366-1 Ssangyong-dong, Chonan 330-090, Korea. Tel: 82-41-570-2488, Fax: 82-41-574-3860, kongsun@sch.ac.kr

Received 18 May 2011 Revised 30 May 2011 Accepted 3 June 2011

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of the study was to investigate the psychological factors such as eating psychopathology, depression, obsessive-compulsion, sleep problem, and stressors that affect the alcohol problems in patients with eating disorders.

Methods

Patients with eating disorders (n=347) who visited "M" clinic for eating disorder were participated in the study. Data were collected from February 2008 to May 2010 using Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Alcohol Use Disorder Identification Test-Korean.

Results

Of the participants, 17.3% had an alcohol problem, 9.2% of them were diagnosed with alcohol dependency. Age, history of mental disorder in family, stress for love relationship, difficulties falling asleep, and 'impulse regulation' (one of eating psychopathologies) were significant associated factors of alcohol problem, but depression and obsessive-compulsion were not significant.

Conclusion

Future interventions for patients with eating disorders should focus on assessing alcohol problems. Assessment should be non-judgmental, especially for those patients with high levels of impulse dysregulation, difficulties falling asleep, and stress in love relationship in order to prevent their early drop-out for the treatment. Alternative treatment for sleep problem and stress management also may be helpful for the patients with alcohol problem and eating disorders.

Keywords: Eating disorders, Depression, Obsessive-compulsive, Alcohol

Figures and Tables

Table 1

Demographic and Clinical Characteristics of the Subjects by Alcohol Problem (N=347)

EAP=alcohol problem; NAP=non-alcohol problem; BMI=body mass index; EDNOS=eating disorders not otherwise specified.

^†Fisher's exact test.

Table 2

Major Variables of the Subjects according to Alcohol Problem (N=347)

AP=alcohol problem; NAP=non-alcohol problem; EDI=eating disorders inventory; BDI=Beck depression inventory; MOCI=Maudsley obsessional-compulsive inventory.

Table 3

Stress and Sleep Disturbance of the Subjects by Alcohol Problem (N=347)

AP=alcohol problem; NAP=non-alcohol problem.

^†Fisher's exact test.

Table 4

Factors associated with Alcohol Problems for the Eating Disorders Patients using Simple Logistic Regression

CI=confidence interval; EDI=eating disorders inventory.

Table 5

Factors associated with Alcohol Problems for the Eating Disorders Patients using Multiple Logistic Regression

CI=confidence interval; EDI=eating disorders inventory.

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