Development and validation of the Compensatory Eating and Behaviors in Response to Alcohol Consumption Scale (CEBRACS)

Rahal, Collin J.; Bryant, Judith Becker; Darkes, Jack; Menzel, Jessie E.; Thompson, J. Kevin

doi:10.1016/j.eatbeh.2011.11.001

Cited by 76 publications

(55 citation statements)

References 7 publications

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“…Nevertheless, future research should attempt to improve the validity of measures of drunkorexia, perhaps by employing more objective, behavioral assessments of drunkorexia in real time, or through the utilization of self-report measures that are more comprehensive than the single-item measure used in the present study. 25 Conclusions Drunkorexia is prevalent on college campuses and puts students, particularly women, at increased risk for negative alcohol-related consequences above and beyond drinking itself. 2 The current study demonstrated that women are more likely than men to engage in this behavior because of their heightened weight control motivations, which suggests that an important point for intervention is addressing and reducing women's weight concerns.…”

Section: Limitationsmentioning

confidence: 99%

“Drunkorexia”: Exploring the Who and Why of a Disturbing Trend in College Students’ Eating and Drinking Behaviors

Eisenberg¹,

Fitz²

2014

Journal of American College Health

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Section: Limitationsmentioning

confidence: 99%

“Drunkorexia”: Exploring the Who and Why of a Disturbing Trend in College Students’ Eating and Drinking Behaviors

Eisenberg¹,

Fitz²

2014

Journal of American College Health

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“…The combination of these two problematic behaviours, involving the use of disordered eating in direct response to saving calories for alcohol use, was first described anecdotally by the media as "drunkorexia," reflecting a new phenomena endorsed by university students in Western countries (Cofsky, 2012). Among the few empirical studies that have investigated the phenomena of drunkorexia, it has been most consistently characterised as "the use of dietary restriction, exercise, self-induced purging, and other extreme weight-control behaviours, specifically to offset the calories anticipated or ingested from drinking alcohol" (Barry & Piazza-Gardner, 2012;Peralta, 2002;Rahal, Bryant, Darkes, Menzel, & Thompson, 2012). However, beyond the claims of these few studies, the understanding of drunkorexia is in its infancy, with no clear conceptualisation or agreement within the literature over what the phenomenon of drunkorexia actually is.…”

Section: Introductionmentioning

confidence: 99%

Drunkorexia: An Empirical Investigation among Australian Female University Students

Knight

Castelnuovo²,

Pietrabissa³

et al. 2017

Australian Psychologist

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Objective: Anecdotal claims insinuate that female Australian university students may be engaging in a new type of hazardous phenomena called "drunkorexia" (i.e., using disordered eating to compensate for planned binge drinking). However, to date, this conjecture has not been validated by empirical evidence. The primary aim of the present study was to estimate the frequency of drunkorexia behaviours in a population of non-clinical Australian undergraduate female university students. A secondary aim was to explore whether drunkorexia may be a stand-alone problem, separate from traditional eating disorders. Methods: One hundred and thirty-six healthy female Australian undergraduate university students between 18 and 25 years (M=21.32, SD=2.73) completed the self-report Compensatory Eating and Behaviors in Response to Alcohol Consumption Scale to screen for drunkorexia symptomatology. Results: Among the study sample, 57.7% (n = 85) of Australian female university students reported drunkorexia-type behaviours 25% of the time or more, while 27.2% (n = 37) reported no drunkorexia-type behaviour. In addition, 16.2 8% (n = 22) of the participants reported engaging in characteristic drunkorexic behaviours to specifically offset ingested alcohol calories while not engaging in such behaviours routinely for any other reason or with any other type of food or drink. Conclusions: Results of this study add preliminary empirical evidence that a number of Australian female university students are employing drunkorexia-type behaviours as a way to drink alcohol without the concern of ingested calories. Further evidence is needed to definitively conclude that drunkorexia represents a distinctive problem that is separate from traditional eating disorders.

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“…The collective Cronbach's alpha level for the scale was α = .89, with each of the subscales ranging from α = .79 -.95. The CEBRACS also exhibited adequate convergent validity with small to medium correlational effect sizes for a drive for thinness, body dissatisfaction, and bulimic behaviors (Rahal, et al 2012). The CEBRACS demonstrated sufficient discriminant validity through a nonsignificant relationship with the Global Belief in a Just World Scale (Lipkus, 1991).…”

Section: The Compensatory Eating Behaviors In Response To Alcohol Conmentioning

confidence: 89%

“…All of the subscales of the CEBRACS except for bulimia were significantly and positively related to each of the AUDIT subscales and binge drinking behaviors. Binge drinking and alcohol frequency were correlates used in the standardization of the CEBRACS (see Rahal et al, 2012), but to date the CEBRACS has not been used in concomitance with the AUDIT and opioid use assessment in a clinical sample. The AUDIT consistently had a significant relationship with the CEBRACS which may have added meaningful support for the translation and convergent validity of the CEBRACS even though psychometric support for the CEBRACS was not an intent of the study.…”

Section: Hypothesismentioning

confidence: 99%

“…The CEBRACS (Rahal, et al 2012) is a 21-item measure intended to assess behaviors associated with controlling calories in relation to alcohol consumption as well as controlling calories as a means to intensify the effects of alcohol. The CEBRACS is structured via a 5-point Likert-type scale where respondents are asked to comment on their behaviors ranging from 1 (Never) to 5 (Almost all the time).…”

Section: The Compensatory Eating Behaviors In Response To Alcohol Conmentioning

confidence: 99%

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Compensatory Eating Behaviors, Alcohol Consumption and Opioid Use in a Clinical Sample

Diehl¹

2017

IJSSS

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Objectives: To estimate the prevalence of compensatory eating behaviors in relation to alcohol consumption in a clinical sample, to assess the moderating capabilities of opioid use in relation to alcohol use and compensatory behaviors, and to examine the predictive capabilities of gender-specific binge drinking in relation to compensatory behaviors.Methods: The Compensatory Eating Behaviors in Relation to Alcohol Consumption Scale (CEBRACS), an opioid use survey, and the Alcohol Use Disorders Identification Test (AUDIT) were administered to residents at an addiction treatment facility (n = 77) over a period of 6 months.Results: Morphine was the only opioid to have significant relationships with the CEBRACS alcohol effects ( r = -.33), diet/exercise (r = -.38), and restrictive eating (r = -.31), subscales (all p < .001), but not with the bulimic subscale. Heroin had the strongest correlations with all other opioids. Opioid use did not have a significant moderating effect between alcohol frequency and the CEBRACS in a single moderating regression analysis (b = .84, t(73) = .43, p = .67). Men (Mdn = 27.00) and women (Mdn = 33.00) did not differ on the CEBRACS, although women ranked higher than men (U = 678.00, z = -.68, ns, r = .08). Binge drinking predicted CEBRACS scores in both males (b = .50, t(38) = 3.59, p < .001) and females (b = .60, t(35) = 4.46, p < .001).Conclusions: Individual dietary habits fluctuate throughout alcohol consumption and the goals of the individual are crucial in discerning specific substance use vs disordered eating motivations.

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Development and validation of the Compensatory Eating and Behaviors in Response to Alcohol Consumption Scale (CEBRACS)

Cited by 76 publications

References 7 publications

“Drunkorexia”: Exploring the Who and Why of a Disturbing Trend in College Students’ Eating and Drinking Behaviors

“Drunkorexia”: Exploring the Who and Why of a Disturbing Trend in College Students’ Eating and Drinking Behaviors

Drunkorexia: An Empirical Investigation among Australian Female University Students

Compensatory Eating Behaviors, Alcohol Consumption and Opioid Use in a Clinical Sample

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