Format

Send to

Choose Destination
Eur Eat Disord Rev. 2015 Nov;23(6):531-6. doi: 10.1002/erv.2410. Epub 2015 Sep 29.

Prevalence of Alcohol and Other Substance Use in Patients with Eating Disorders.

Author information

1
College of Pharmacy, Nursing, and Allied Sciences, North Dakota State University, Fargo, ND, USA.
2
Neuropsychiatric Research Institute, Fargo, ND, USA.
3
University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.
4
University of Minnesota, Minneapolis, MN, USA.
5
The Emily Program, USA.
6
The Center for Balanced Living, Columbus, OH, USA.
7
Department of Psychiatry, University of California, San Francisco, USA.
8
University of South Florida, Tampa, FL, USA.

Abstract

OBJECTIVE:

The major aim of this study was to investigate any association between binge eating and purging and alcohol and substance use.

METHOD:

The Eating Disorder Questionnaire was completed by 2966 patients. Each patient was assigned to an approximate diagnostic group based on a DSM-5-based algorithm.

RESULTS:

Patients with bulimia nervosa (BN) used alcohol/other substances with higher frequencies compared to patients with anorexia nervosa-restricting type (AN-R), binge eating disorder (BED), and eating disorder not otherwise specified (EDNOS; p < 0.001). Patients with anorexia nervosa-binge eating/purging type (AN-BP) were more likely to use alcohol/substances than those with AN-R [odds ratio for alcohol use: 3.58 (p < 0.01); odds ratio for substance use: 30.14 (p < 0.01)]. Higher frequencies of binge eating and purging were associated with higher frequencies of substance use.

DISCUSSION:

Patients who manifest both binge eating and purging behaviour are at higher risk of substance use which may have important treatment implications.

KEYWORDS:

alcohol use; binge eating; eating disorder; purging; substance use

PMID:
26415622
DOI:
10.1002/erv.2410
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center