Drug abuse in women with eating disorders

David B. Herzog · Debra L. Franko · David J. Dorer · Pamela K. Keel · Safia C. Jackson · Mary Pat Manzo

80 citations0/0 files storedInternational Journal of Eating Disorders

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Eating Disorders and Behaviors Substance Abuse Treatment and Outcomes Nutrition, Health and Food Behavior

Abstract

OBJECTIVE: Drug abuse in women with eating disorders has received relatively little attention. The frequency of drug use disorder (DUD) by specific drug type was examined in the current longitudinal study. METHOD: In a prospective study, women diagnosed with either anorexia nervosa (AN; n = 136) or bulimia nervosa (BN; n = 110), were interviewed and assessed for research diagnostic criteria (RDC) DUD every 6-12 months over 8.6 years. RESULTS: Forty-two (17%) women in the current longitudinal study had a lifetime history of DUD, with 19 prospective onsets over the course of the study (9 AN and 10 BN). The most commonly abused illicit drugs were amphetamines, cocaine, and marijuana, and rates of DUD did not differ between intake diagnoses of AN and BN. CONCLUSION: Drug abuse in women with eating disorders is an area of clinical concern and should be monitored routinely throughout the treatment process.

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References

2014Diagnostic and Statistical Manual of Mental Disorders 1987The Longitudinal Interval Follow-up Evaluation 1994Co-morbidity of eating disorders and substance abuse review of the literature 2003Psychiatric comorbidity in anorexia and bulimia nervosa: nature, prevalence, and causal relationships 2003Predictors of Mortality in Eating Disorders 1986The Impulsivist: a multi‐impulsive personality disorder 1993Self-damaging and Addictive Behaviour in Bulimia Nervosa 2004Alcohol Use Disorder Comorbidity in Eating Disorders

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2014Psychiatric co-morbidity in women presenting across the continuum of disordered eating 2008Prognosis of adolescent partial syndromes of eating disorder 2009Lifetime substance abuse, family history of alcohol abuse/dependence and novelty seeking in eating disorders: Comparison study of eating disorder subgroups

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