How do eating disorders and alcohol use disorder influence each other?

被引:63
作者
Franko, DL
Dorer, DJ
Keel, PK
Jackson, S
Manzo, MP
Herzog, DB
机构
[1] Massachusetts Gen Hosp, Dept Psychiat, Harvard Eating Disorders Ctr, Boston, MA 02114 USA
[2] Northeastern Univ, Dept Counseling & Appl Educ Psychol, Boston, MA 02115 USA
[3] Univ Iowa, Dept Psychol, Iowa City, IA 52242 USA
关键词
eating disorders; alcohol abuse; alcohol use disorder;
D O I
10.1002/eat.20178
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Although eating disorders and alcohol use disorder (AUD) are known to co-occur, the influence of one on the other has not been studied. 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) AUD every 6-12 months over 8.6 years. Results: Over one fourth of the sample (n = 66 [27%]) reported a lifetime history of AUD. Ten percent of the study subjects (n = 24) developed AUD over the course of the study. AUD did not influence recovery from either eating disorder. Poor psychosocial functioning and history of substance use predicted prospective onset of an episode of AUD for both diagnostic groups. Unique predictors for AUD for women with AN were depression, overconcern with body image, and vomiting. Recovery from AUD was predicted by group therapy and hospitalization (women with AN) and individual therapy and exercise (women with BN). Conclusion: The influence of eating disorders on AUD appears to be greater than the reverse. A substantial number of patients who initially present with an eating disorder develop alcohol problems over the course of time, suggesting that the risk is an ongoing one that should be monitored by clinicians. (c) 2005 by Wiley Periodicals, Inc.
引用
收藏
页码:200 / 207
页数:8
相关论文
共 34 条
[1]   Effectiveness of substance abuse treatment programming for women: A review [J].
Ashley, OS ;
Marsden, ME ;
Brady, TM .
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 2003, 29 (01) :19-53
[2]   The efficacy of 2 different dosages of methylphenidate in treating adults with attention-deficit hyperactivity disorder [J].
Bouffard, R ;
Hechtman, L ;
Minde, K ;
Iaboni-Kassab, F .
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 2003, 48 (08) :546-554
[3]   PSYCHIATRIC COMORBIDITY IN PATIENTS WITH EATING DISORDERS [J].
BRAUN, DL ;
SUNDAY, SR ;
HALMI, KA .
PSYCHOLOGICAL MEDICINE, 1994, 24 (04) :859-867
[4]   Predictors of 1-year treatment outcome in bulimia nervosa [J].
Bulik, CM ;
Sullivan, PF ;
Joyce, PR ;
Carter, FA ;
McIntosh, VV .
COMPREHENSIVE PSYCHIATRY, 1998, 39 (04) :206-214
[5]   Body image and personality predictors of eating disorder symptoms during the college years [J].
Cooley, E ;
Toray, T .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2001, 30 (01) :28-36
[6]   ANOREXIA-NERVOSA IN A LONG-TERM PERSPECTIVE - RESULTS OF THE HEIDELBERG-MANNHEIM STUDY [J].
DETER, HC ;
HERZOG, W .
PSYCHOSOMATIC MEDICINE, 1994, 56 (01) :20-27
[7]   Longitudinal comparison of anorexia nervosa subtypes [J].
Eddy, KT ;
Keel, PK ;
Dorer, DJ ;
Delinsky, SS ;
Franko, DL ;
Herzog, DB .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2002, 31 (02) :191-201
[8]   COURSE OF MULTI-IMPULSIVE BULIMIA [J].
FICHTER, MM ;
QUADFLIEG, N ;
RIEF, W .
PSYCHOLOGICAL MEDICINE, 1994, 24 (03) :591-604
[9]  
Garcia-Vilches I, 2002, Eat Weight Disord, V7, P232
[10]   Substance use and weight loss tactics among middle school youth [J].
Garry, JP ;
Morrissey, SL ;
Whetstone, LM .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2003, 33 (01) :55-63