The purpose of this study was to understand eating-disorder risk factors and their relationship to substance abuse, and hence their co-occurrence, among military personnel. A secondary purpose was to examine the relationship between these two disorders within the context of social learning theory, specifically applying the concept of drinking refusal self-efficacy.
One hundred male military personnel referred for substance-abuse treatment at an outpatient military substance-abuse facility in an eastern state were administered three separate measures, which screened for symptoms of eating disorders, hazardous alcohol use, and the individual’s perceived ability to refuse alcohol in specific situations. The measures administered were the Eating Disorders Inventory-3 (EDI-3), the Alcohol Use Disorders Identification Test (AUDIT), and the Drinking Refusal Self-Efficacy Questionnaire (DRSEQ).
When compared with civilian males of approximately the same age, the sample study scored significantly higher on the Personal Alienation, Interpersonal Insecurity, Interpersonal Alienation, and Emotional Dysregulation psychological subscales of the EDI-3. These findings suggest that military male personnel with substance abuse may be at risk for eating disorders with respect to these particular subscales. However, no significant difference was found on the EDI's three primary eating-disorder-related subscales (Drive for Thinness, Bulimia, and Body Dissatisfaction).
The results also showed a significant inverse relationship between total DRSE score and the EDI-3 Interpersonal Alienation, Emotional Dysregulation, and Maturity Fears subscale scores, which suggests that drinking refusal-self efficacy predicts psychological risk factors related to eating disorders on these three subscales.
The study’s overall findings suggest that individuals with substance-abuse disorders experience psychological risk factors that are related to the development of eating disorders and that an individual’s perceived ability to resist alcohol may also be associated with psychological risk factors common to substance abuse and eating disorders. The findings have implications for research and practice toward considering screening for eating disorders in military personnel with substance-abuse disorders and using drinking refusal self-efficacy measures when screening for co-occurrence.
|Advisor:||Baker, Stanley B.|
|School:||North Carolina State University|
|School Location:||United States -- North Carolina|
|Source:||DAI-A 70/02, Dissertation Abstracts International|
|Subjects:||School counseling, Clinical psychology, Military studies|
|Keywords:||AUDIT, Alcohol Use Disorders Identification Test, Co-occurrence, DRSEQ, Drinking Refusal Self-Efficacy Questionnaire, EDI-3, Eating Disorders Inventory, Eating disorders, Military personnel, Substance abuse|
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