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Background <p>The association between binge eating and alcohol use disorders (AUDs) has been demonstrated in genetic, population-based, and clinical studies. Individuals with binge eating report more binge drinking and heavier alcohol consumption than those with eating disorders (EDs) without binge eating. Co-occurring EDs and AUDs are linked to higher levels of ED symptoms, depression, anxiety, and more severe psychosocial impairment compared with EDs alone. The aim of this qualitative study was to explore how adults with concurrent binge eating and perceived alcohol problems experience these two conditions and their potential interrelationship. Such insight is needed to improve understanding of functional links and perpetuating processes that may complicate treatment.</p> Methods <p>Twelve adults with concurrent binge eating and problematic alcohol use were recruited from a public specialized ED clinic in Stockholm, Sweden, or through an ED patient-organization website between 2024 and early 2025. All interviews were analyzed using reflexive thematic analysis following the principle of Braun and Clarke.</p> Results <p>Four themes were identified. Binge eating and problematic alcohol use were shown to be closely interconnected, as co-occurring emotion regulation strategies, and alcohol being involved before and as part of binge eating situations. Alcohol use also contributed to maintaining the eating disorder, for example, by providing temporary relief from self-critical thoughts and strict food rules, or by serving as a coping mechanism to reduce body shame in social situations. Negative responses from healthcare providers regarding concurrent alcohol problems hindered appropriate treatment seeking for both conditions.</p> Conclusions <p>These findings demonstrate the functional relationship between binge eating, and alcohol use, and the maintenance processes of the two conditions. Integrated treatment for both conditions, as well as preventive efforts through earlier identification of alcohol problems in individuals with binge eating difficulties are warranted.</p>

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I am in the passenger seat of my own body: a qualitative interview study of the relationship between binge eating and concurrent problematic alcohol use

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月16日

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  • Magdalena Jansson,
  • Lovisa Olsson,
  • Anne-Charlotte Wiberg,
  • Thomas Parling,
  • Ata Ghaderi,
  • Stina Ingesson-Hammarberg

摘要

Background

The association between binge eating and alcohol use disorders (AUDs) has been demonstrated in genetic, population-based, and clinical studies. Individuals with binge eating report more binge drinking and heavier alcohol consumption than those with eating disorders (EDs) without binge eating. Co-occurring EDs and AUDs are linked to higher levels of ED symptoms, depression, anxiety, and more severe psychosocial impairment compared with EDs alone. The aim of this qualitative study was to explore how adults with concurrent binge eating and perceived alcohol problems experience these two conditions and their potential interrelationship. Such insight is needed to improve understanding of functional links and perpetuating processes that may complicate treatment.

Methods

Twelve adults with concurrent binge eating and problematic alcohol use were recruited from a public specialized ED clinic in Stockholm, Sweden, or through an ED patient-organization website between 2024 and early 2025. All interviews were analyzed using reflexive thematic analysis following the principle of Braun and Clarke.

Results

Four themes were identified. Binge eating and problematic alcohol use were shown to be closely interconnected, as co-occurring emotion regulation strategies, and alcohol being involved before and as part of binge eating situations. Alcohol use also contributed to maintaining the eating disorder, for example, by providing temporary relief from self-critical thoughts and strict food rules, or by serving as a coping mechanism to reduce body shame in social situations. Negative responses from healthcare providers regarding concurrent alcohol problems hindered appropriate treatment seeking for both conditions.

Conclusions

These findings demonstrate the functional relationship between binge eating, and alcohol use, and the maintenance processes of the two conditions. Integrated treatment for both conditions, as well as preventive efforts through earlier identification of alcohol problems in individuals with binge eating difficulties are warranted.