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Co-occurrence of alcohol misuse and disordered eating in young adults in higher education

Co-occurrence of alcohol misuse and disordered eating in young adults in higher education. Romy Sherlock, Bridgette Bewick, Robert West & Andrew Hill Academic Unit of Psychiatry & Behavioural Sciences School of Medicine University of Leeds. Context.

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Co-occurrence of alcohol misuse and disordered eating in young adults in higher education

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  1. Co-occurrence of alcohol misuse and disordered eating in young adults in higher education Romy Sherlock, Bridgette Bewick, Robert West & Andrew Hill Academic Unit of Psychiatry & Behavioural Sciences School of Medicine University of Leeds

  2. Context • concern about mental health of student population • reports by AUCC, RCPsych • transition, increased vulnerability • academic, financial, peer pressures • recognition of EDs, self-harm & alcohol misuse • functional similarities?

  3. Co-occurrence ED & SH clinical samples: • ED treated – 32-70% self-harmed • self-harm – 61-100% ED symptoms Community/student samples: • probable ED – ~3x risk of recent SH Wright et al, 2009

  4. Co-occurrence ED & SH clinical samples: • ED treated – 32-70% self-harmed • self-harm – 61-100% ED symptoms Community/student samples: • probable ED – ~3x risk of recent SH more variable ED & alcohol problems: • strongest in binge eating; absent in AN • strongest in community/student samples Wright et al, 2009 Gadalla & Piran, 2007

  5. Research hypotheses • Disordered eating (DE) would be associated with increased risk of alcohol misuse (AM) (women) • Those with co-occurring DE and AM would have poorer well-being, more negative consequences, and be more impulsive

  6. Student health behaviour survey • Bristol Online Survey (BOS) • AUDIT • 7-day alcohol diary grid • EDE-Q – key ED diagnostic features • 7-day ED behaviour diary grid • negative consequences (YAACQ) • impulsivity (BIS/BAS) • emotional well-being (CORE-10) • formal help-seeking

  7. SHBS sample N=1745 (1577 in analysed sample) • 4 week window • printer credit incentives • 22.1 yr, 69% female, 82% UGs, 77% UK

  8. SHBS outcomes alcohol intake and problems: • 24.5% hazardous, 9.2% harmful (units) • 33.9% hazardous, 12.0% harmful (AUDIT) • 30.1% binge drank on 1 or more days • more men at extreme levels

  9. SHBS outcomes alcohol intake and problems: • 24.5% hazardous, 9.2% harmful (units) • 33.9% hazardous, 12.0% harmful (AUDIT) • 30.1% binge drank on 1 or more days • more men at extreme levels DE features (from EDE-Q): • 34.2% over-evaluation of shape or weight • 4.8% binge eating episodes • 5.9% purging • more women

  10. SHBS outcomes Co-occurrence risk • women: • shape/wt overconcern: R=1.87 (1.30,2.69) harmful AUDIT • shape/wt overconcern: R=1.41 (1.16,1.71) binge drinking • binge eating: R=2.49 (1.49,4.17) harmful AUDIT • men • binge eating: R=2.22 (1.07,4.63) harmful AUDIT

  11. SHBS outcomes Compared with AM-only group, co-group: • poorer well-being • ? more –ve consequences of alcohol • ? higher behavioural inhibition/avoidance • same minimal help seeking Compared with DE-only group, co-group: • no difference well-being • no difference in –ve consequences of DE • ? higher fun seeking (impulsivity) • ? lower help seeking

  12. Conclusions • evidence of DE and AM co-occurrence in female students • little evidence of greater impairment in those with DE and AM co-occurrence

  13. Conclusions • evidence of DE and AM co-occurrence in female students • little evidence of greater impairment in those with DE and AM co-occurrence • student experience and progress • academic achievement? • pre-Uni problems & changes by year? • support and interventions?

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