Portal de Periódicos da CAPES

Dual Diagnosis

1995; Elsevier BV; Volume: 95; Issue: 2 Linguagem: Inglês

10.1016/s0002-8223(95)00052-6

1878-3570

Lisa M. Varner,

Sexuality, Behavior, and Technology

Many studies have documented the high rate of cooccurrence of eating and substance-related disorders in clinical ( (1) Goldbloom D.S. Naranjo C.A. Bremner K.E. Hicks L.K. Eating disorders and alcohol abuse in women. Br J Addict. 1992; 87: 913-920 Google Scholar , (2) Krahn D.D. The relationship of eating disorders and substance abuse. J Subst Abuse. 1991; 3: 239-253 Google Scholar , (3) Newman M.M. Gold M.S. Preliminary findings of patterns of substance abuse in eating disorders patients. Am J Drug Alcohol Abuse. 1992; 18: 207-211 Google Scholar , (4) Mitchell J.E. Specker S.M. deZwaan M. Comorbidity and medical complications of bulimia nervosa. J Clin Psychiatry. 1991; 52: 13-20 Google Scholar , (5) Sutherland L.A. The Beech Hill Hospital eating disorders treatment program for drug dependent females program description and case analysis. J Subst Abuse Treat. 1993; 10: 473-481 Google Scholar , (6) Taylor A.V. Peveler R.C. Hibbert G.A. Fairburn C.G. Eating disorders among women receiving treatment for an alcohol problem. Int J Eating Disord. 1993; 14: 147-151 Google Scholar ) and community ( (7) Striegel-Moore R.H. Huydic E.S. Problem drinking and symptoms of disordered eating in female high school students. Int J Eating Disord. 1993; 14: 417-425 Google Scholar , (8) Xinaris S. Boland F.J. Disordered eating in relation to tobacco use, alcohol consumption, self-control, and sex-role ideology. Int J Eating Disord. 1990; 9: 425-433 Google Scholar ) patients. Comorbidity has been observed in patients who seek treatment for eating disorders ( (1) Goldbloom D.S. Naranjo C.A. Bremner K.E. Hicks L.K. Eating disorders and alcohol abuse in women. Br J Addict. 1992; 87: 913-920 Google Scholar , (2) Krahn D.D. The relationship of eating disorders and substance abuse. J Subst Abuse. 1991; 3: 239-253 Google Scholar , (3) Newman M.M. Gold M.S. Preliminary findings of patterns of substance abuse in eating disorders patients. Am J Drug Alcohol Abuse. 1992; 18: 207-211 Google Scholar , (4) Mitchell J.E. Specker S.M. deZwaan M. Comorbidity and medical complications of bulimia nervosa. J Clin Psychiatry. 1991; 52: 13-20 Google Scholar , (5) Sutherland L.A. The Beech Hill Hospital eating disorders treatment program for drug dependent females program description and case analysis. J Subst Abuse Treat. 1993; 10: 473-481 Google Scholar ) or substance abuse ( (6) Taylor A.V. Peveler R.C. Hibbert G.A. Fairburn C.G. Eating disorders among women receiving treatment for an alcohol problem. Int J Eating Disord. 1993; 14: 147-151 Google Scholar , (9) Peveler R.C. Fairburn C.G. Eating disorders in women who abuse alcohol. Br J Addict. 1990; 85: 1633-1638 Google Scholar ). Prevalence data indicate substance-related disorders in 9% to 55% of patients with bulimia ( (2) Krahn D.D. The relationship of eating disorders and substance abuse. J Subst Abuse. 1991; 3: 239-253 Google Scholar , (4) Mitchell J.E. Specker S.M. deZwaan M. Comorbidity and medical complications of bulimia nervosa. J Clin Psychiatry. 1991; 52: 13-20 Google Scholar , (10) Bulik C.M. Sullivan P.F. Comorbidity of bulimia and substance abuse perceptions of family or origin. Int J Eating Disord. 1993; 13: 49-56 Google Scholar , (11) Wilson G.T. The addiction model of eating disorders a critical analysis. Adv Behav Res Ther. 1991; 13: 27-72 Google Scholar ), 0% to 19% of patients with anorexia ( (12) Mitchell JE, Pyle RL, Specker S, Hanson K. Eating disorders and chemical dependency. In: Yager J, Gwirtsman HE, Edelstein CK, eds. Special Problems in Managing Eating Disorders. Washington, DC: American Psychiatric Press; 1992. Google Scholar ), 10% to 44% of obese binge eaters ( (11) Wilson G.T. The addiction model of eating disorders a critical analysis. Adv Behav Res Ther. 1991; 13: 27-72 Google Scholar , (13) Kanter R.A. Williams B.E. Cummings C. Personal and parental alcohol abuse, and victimization in obese binge eaters and non-bingeing obese. Addict Behav. 1992; 17: 439-445 Google Scholar ), and 11% of subjects who are not psychiatric patients ( (12) Mitchell JE, Pyle RL, Specker S, Hanson K. Eating disorders and chemical dependency. In: Yager J, Gwirtsman HE, Edelstein CK, eds. Special Problems in Managing Eating Disorders. Washington, DC: American Psychiatric Press; 1992. Google Scholar ). According to retrospective reports of patients with a dual diagnosis, disordered eating usually occurred for some time before drug or alcohol problems ( (2) Krahn D.D. The relationship of eating disorders and substance abuse. J Subst Abuse. 1991; 3: 239-253 Google Scholar , (3) Newman M.M. Gold M.S. Preliminary findings of patterns of substance abuse in eating disorders patients. Am J Drug Alcohol Abuse. 1992; 18: 207-211 Google Scholar , (14) Beary M.D. Lacey J.H. Merry J. Alcoholism and eating disorders in women of fertile age. Br J Addict. 1986; 81: 685-689 Google Scholar , (15) Filstead W.J. Parrella D.P. Ebbit J. High-risk situations for engaging in substance abuse and binge-eating behaviors. J Stud Alcohol. 1987; 49: 136-140 Google Scholar ).