Body dissatisfaction, ruminative thinking, food and alcohol disturbance, and alcohol use outcomes among college students

IF 2.8 3区医学 Q2 PSYCHIATRY

Eating behaviors Pub Date : 2025-12-01 Epub Date: 2025-09-13 DOI:10.1016/j.eatbeh.2025.102035

Javiera A. Hernandez Puelma , Katherine A. Berry , Luke Herchenroeder , Alison Looby , Adrian J. Bravo , Stimulant Norms and Prevalence 2 (SNAP2) Study Team

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引用次数: 0

Abstract

Research shows that body dissatisfaction can contribute to risky alcohol use and negative alcohol-related consequences among college students. The present study examined if rumination and engagement in food and alcohol disturbance (FAD; i.e., disordered eating behaviors used to compensate for alcohol-related calories [FAD-calories] or enhance alcohol's effects [FAD-intoxication]) are potential mechanisms indirectly linking body dissatisfaction to alcohol use and related consequences in college students. Specifically, we tested whether higher body dissatisfaction relates to greater alcohol use/consequences via greater ruminative thinking (i.e., problem-focused thoughts, anticipatory thoughts, counterfactual thinking, and repetitive thoughts) and FAD frequency by motive (FAD-intoxication and FAD-calories). College students (N = 3362; M_age = 19.47, SD = 2.24; 70.2 % female; 61.5 % White non-Hispanic) from six U.S. universities who reported past-month alcohol use completed measures of body dissatisfaction, rumination, FAD, alcohol outcomes, BMI, and negative affect. Our estimated path model (i.e., body dissatisfaction → rumination facets → FAD frequency by motive → alcohol use quantity/consequences; covarying for BMI and negative affect) showed two significant double-mediated associations. Specifically, greater body dissatisfaction was associated with more alcohol use quantity/consequences via greater endorsement of problem-focused thoughts and both FAD motives. These findings suggest that those who experience body dissatisfaction may ruminate more (particularly engaging in problem-focused thoughts); which in turn may relate to more frequent engagement in FAD-intoxication and/or FAD-calories, which subsequently may contribute to more alcohol use and related consequences. Interventions looking to reduce FAD and alcohol-related harms should target both body image dissatisfaction and ruminative thinking.

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大学生身体不满、反刍思维、食物和酒精障碍与酒精使用结果

研究表明，对身体不满意会导致大学生冒险饮酒，并产生与酒精相关的负面后果。本研究考察了反思和参与食物和酒精干扰（FAD，即用于补偿酒精相关卡路里或增强酒精影响的饮食行为紊乱[FAD- caloric]）是否是间接将大学生身体不满与酒精使用及其相关后果联系起来的潜在机制。具体来说，我们通过更多的反刍思维（即，以问题为中心的思维，预期思维，反事实思维和重复思维）和FAD频率的动机（FAD中毒和FAD卡路里）测试了更高的身体不满是否与更多的酒精使用/后果有关。来自美国六所大学的大学生（N = 3362; Mage = 19.47, SD = 2.24； 70.2%为女性；61.5%为非西班牙裔白人）报告了过去一个月的酒精使用情况，完成了身体不满、反思、FAD、酒精结果、BMI和负面影响的测量。我们估计的路径模型（即，身体不满→反刍方面→动机诱发的FAD频率→酒精使用数量/后果；BMI和负面影响共变）显示了两个显著的双介导关联。具体来说，更大的身体不满与更多的酒精使用量/后果有关，因为更多的人支持以问题为中心的想法和FAD动机。这些发现表明，那些对身体不满意的人可能会更多地沉思（尤其是专注于问题的想法）；这反过来可能与更频繁地参与fad中毒和/或fad卡路里有关，这随后可能导致更多的酒精使用和相关后果。旨在减少FAD和酒精相关危害的干预措施应同时针对身体形象不满和反刍思维。

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来源期刊

Eating behaviors Multiple-

CiteScore

4.20

自引率

3.60%

发文量

审稿时长

60 days

期刊介绍： Eating Behaviors is an international peer-reviewed scientific journal publishing human research on the etiology, prevention, and treatment of obesity, binge eating, and eating disorders in adults and children. Studies related to the promotion of healthy eating patterns to treat or prevent medical conditions (e.g., hypertension, diabetes mellitus, cancer) are also acceptable. Two types of manuscripts are encouraged: (1) Descriptive studies establishing functional relationships between eating behaviors and social, cognitive, environmental, attitudinal, emotional or biochemical factors; (2) Clinical outcome research evaluating the efficacy of prevention or treatment protocols.