Prevalence of bulimia among patients in a chemical dependency treatment program

Corrigan, SheilaA.; Johnson, WilliamG.; Alford, GearyS.; Bergeron, KimberlyC.; Lemmon, ChristianR.

doi:10.1016/0306-4603(90)90060-b

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…The percentages of drug abusers who report a current or past history of bulimia or bulimic behaviors range from 8% (Corrigan, Johnson, Alford, Bergeron, & Lemmon, 1990) to 40.7% (Lacey & Moureli, 1986), with a median of 20% (Beary, Lacey, & Merry, 1986).…”

Section: Resultsmentioning

confidence: 99%

Co-morbidity of eating disorders and substance abuse review of the literature

Holderness

Brooks‐Gunn

Warren

1994

Int. J. Eat. Disord.

408

204

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The comorbidity of eating disorders and substance use and abuse has frequently been reported in the past 15 years. To date, however, no synthesis of this literature exists. Here, 51 studies reporting on these associations are reviewed. Studies of substance use and abuse in eating disordered women are considered, as are studies of eating disorders among women classified as substance abusers. The rates of substance abuse among eating disordered women are also examined. This review indicates that associations are stronger with bulimia, and “bulimic” behaviors, than with anorexia nervosa. Analogously, bulimic anorectics report more substance use and abuse than restricters. The prevalence of drug abuse was not found to differ between the relatives of bulimics and anorectics. Several mechanisms explaining the eating disorder–substance use/abuse link are considered, and suggestions for future research made. © 1994 by John Wiley & Sons, Inc.

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Section: Resultsmentioning

confidence: 99%

Co-morbidity of eating disorders and substance abuse review of the literature

Holderness

Brooks‐Gunn

Warren

1994

Int. J. Eat. Disord.

408

204

View full text Add to dashboard Cite

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“…Some studies suggest that bulimic women with comorbid personality disorders have a poorer treatment outcome (Corrigan, Johnson, Alford, Bergeron, & Lemmon, 1990;Glassman, Rich, Darko, et al, 1990;Herzog, Keller, Lavori, Kenny, & Sacks, 1992;Sansone & Fine, 1992), although this has not been a universal finding (Ames-Frankel et al, 1992). If poorer outcome is indeed predicted by the presence of more chaotic personality styles, this could be due to their greater difficulty controlling their thoughts and behaviour.…”

Section: Mental Control Model and The Classification Of Eating Disordersmentioning

confidence: 99%

Return of the Suppressed: Mental Control and Bulimia Nervosa

1996

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The clinical literature has long acknowledged the paradoxical findings that deliberate attempts to suppress particular thoughts actually increase their occurrence. The unwanted, intrusive thoughts that are a major feature of obsessive disorders, depression, sleep disorders, and a range of other disturbances are of particular clinical concern. The exploration of psychological factors associated with cognitive control is, therefore, clinically relevant. The present paper considers the role of mental control and thought suppression in bulimia nervosa in explaining the occurrence of unwanted thoughts and feelings, specifically in relation to weight, shape, and food. Our fundamental argument is that suppression of thoughts of food, weight, and body shape can lead to the increased frequency of these thoughts. The increase in unwanted thoughts is likely to result in a loss of control over eating, and lead to the escalation and perpetuation of bulimia. Dietary restriction is likely to be associated with successful suppression, and binge-eating with failed suppression. Indeed, the initial success of suppression paradoxically causes its inevitable failure. We conclude that the suppression of thoughts of food and weight or shape in bulimia nervosa is maladaptive and counterproductive. In addition, the therapeutic implications of thought suppression are considered.

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“…Inquiry of ED must not be limited to clients who appear underweight, as a high prevalence of BN exists in clients with SUD. 17,18 Individuals with bulimia nervosa frequently appear to be of normal weight or can be obese. 2,19 Inquiring about a past history of ED is crucial because, as we have observed in our practice, when individuals with a history of ED are treated only for their SUD, ED symptoms often resurface or worsen as the addiction improves.…”

Section: Discussionmentioning

confidence: 99%

Substance Use Disorders, Anorexia, Bulimia, and Concurrent Disorders

Courbasson

Smith

Cleland

2005

Can J Public Health

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Background: While the co-prevalence of eating disorders (ED) has been documented in individuals with substance use disorders (SUD), little is known about the co-occurrence of other disorders in this population. Examining this issue is critical for public health policy and treatment success. Objective: To identify and evaluate the co-occurrence of ED and other psychiatric disorders in men and women with SUD. Methods: The sample consisted of individuals seeking treatment for substance use. Semistructured interviews and the CAMH Concurrent Disorders Screener were completed to assess DSM-IV psychopathology. Results: Chi-square analyses suggested that more women scored positive for ED than men, EDs were more prevalent in both genders than in the general population, and the cooccurrence of other disorders was higher for clients with both SUD and ED than with SUD alone. Discussion: Individuals with both SUD and ED appear to have multiple needs that may not be readily assessed by existing addiction treatment programs. Assessment issues, treatment, potential prevention and health promotion implications are addressed.

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Prevalence of bulimia among patients in a chemical dependency treatment program

Cited by 8 publications

References 18 publications

Co-morbidity of eating disorders and substance abuse review of the literature

Co-morbidity of eating disorders and substance abuse review of the literature

Return of the Suppressed: Mental Control and Bulimia Nervosa

Substance Use Disorders, Anorexia, Bulimia, and Concurrent Disorders

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