Substance use disorders in women with anorexia nervosa

• Published in: The International journal of eating disorders 2010, Vol.43 (1), p.14-21
• Main Authors: Root, Tammy L, Pinheiro, Andréa Poyastro, Thornton, Laura, Strober, Michael, Fernandez-Aranda, Fernando, Brandt, Harry, Crawford, Steve, Fichter, Manfred M, Halmi, Katherine A, Johnson, Craig, Kaplan, Allan S, Klump, Kelly L, La Via, Maria, Mitchell, James, Woodside, D. Blake, Rotondo, Alessandro, Berrettini, Wade H, Kaye, Walter H, Bulik, Cynthia M
• Format: Article
• Language: English
• Subjects: abnormal behavior; Abús de substàncies; Addictive behaviors; Adolescent; Adult; Adult and adolescent clinical studies; alcohol related disorders; Alcoholism; Alcoholism and acute alcohol poisoning; Analysis; Anorexia; Anorexia nervosa; Anorexia Nervosa - diagnosis; Anorexia Nervosa - epidemiology; Anorèxia nerviosa; binge eating disorder; Biological and medical sciences; body image; Body Mass Index; Bulimia; Bulimia - diagnosis; Bulimia - epidemiology; bulimia nervosa; cannabis; Chi-Square Distribution; Comorbidity; diet-related diseases; dietary restriction; Drug abuse; drug use; Eating behavior disorders; Eating disorders; Female; Humans; Medical sciences; Medicin och hälsovetenskap; Middle Aged; Odds Ratio; Personality Assessment; Prevalence; Psychiatric Status Rating Scales; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; purging (food); signs and symptoms (animals and humans); Substance abuse; Substance-Related Disorders - diagnosis; Substance-Related Disorders - epidemiology; Surveys and Questionnaires; Toxicology; Women
• ISSN: 0276-3478; 1098-108X; 1098-108X
• DOI: 10.1002/eat.20670

OBJECTIVE:: We examined prevalence of substance use disorders (SUD) in women with: (1) anorexia nervosa (AN) restricting type (RAN); (2) AN with purging only (PAN); (3) AN with binge eating only (BAN); and (4) lifetime AN and bulimia nervosa (ANBN). Secondary analyses examined SUD related to lifetime purging behavior and lifetime binge eating. METHOD:: Participants (N = 731) were drawn from the International Price Foundation Genetic Studies. RESULTS:: The prevalence of SUD differed across AN subtypes, with more in the ANBN group reporting SUD than those in the RAN and PAN groups. Individuals who purged were more likely to report substance use than those who did not purge. Prevalence of SUD differed across lifetime binge eating status. DISCUSSION:: SUD are common in AN and are associated with bulimic symptomatology. Results underscore the heterogeneity in AN, highlighting the importance of screening for SUD across AN subtypes. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010