Substance use disorders in women with anorexia nervosa
Article first published online: 3 MAR 2009
Copyright © 2009 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 43, Issue 1, pages 14–21, January 2010
How to Cite
Root, T. L., Pinheiro, A. P., Thornton, L., Strober, M., Fernandez-Aranda, F., Brandt, H., Crawford, S., Fichter, M. M., Halmi, K. A., Johnson, C., Kaplan, A. S., Klump, K. L., La Via, M., Mitchell, J., Woodside, D. B., Rotondo, A., Berrettini, W. H., Kaye, W. H. and Bulik, C. M. (2010), Substance use disorders in women with anorexia nervosa. Int. J. Eat. Disord., 43: 14–21. doi: 10.1002/eat.20670
- Issue published online: 7 DEC 2009
- Article first published online: 3 MAR 2009
- Manuscript Accepted: 11 NOV 2008
- National Institute of Health. Grant Number: T32MH076694
- The National Institutes of Health. Grant Number: MH-66117
- Franklin Mint Endowed Chair in Eating Disorders
- eating disorders;
- anorexia nervosa;
- bulimia nervosa;
- drug use;
- alcohol related disorders;
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.
Participants (N = 731) were drawn from the International Price Foundation Genetic Studies.
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.
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