Tobacco use and comorbidity in bulimia nervosa

Abstract

Smokers with BN may represent a distinct subtype characterized by high rates of comorbid depression and alcohol abuse.

Smoking status and psychosocial factors in binge eating disorder and bulimia nervosa

“…Our study did not address reasons for smoking per se, and further research is necessary to examine factors that may underlie tobacco use among individuals with BN. Additionally, our findings of no significant difference in depressive symptoms by smoking status is contrary to a previous study with BN patients (n=40) who were treatment-seeking or enrolled in observational eating disorder studies (Sandager et al, 2008). Of note, the mean BDI score of the BN current smokers were comparable between our sample and that conducted by Sandager et al, 2008: our sample had a mean of 25.94 ( SD =9.26) and Sandager et al, 2008's had a mean of 24.56 ( SD =12.69).…”

“…Additionally, our findings of no significant difference in depressive symptoms by smoking status is contrary to a previous study with BN patients (n=40) who were treatment-seeking or enrolled in observational eating disorder studies (Sandager et al, 2008). Of note, the mean BDI score of the BN current smokers were comparable between our sample and that conducted by Sandager et al, 2008: our sample had a mean of 25.94 ( SD =9.26) and Sandager et al, 2008's had a mean of 24.56 ( SD =12.69). However, the mean BDI score in our sample of BN never smokers was considerably higher at 23.94 ( SD =10.49) while the mean BDI score reported by Sandager et al, 2008 was 12.94 ( SD =7.24).…”

“…Of note, the mean BDI score of the BN current smokers were comparable between our sample and that conducted by Sandager et al, 2008: our sample had a mean of 25.94 ( SD =9.26) and Sandager et al, 2008's had a mean of 24.56 ( SD =12.69). However, the mean BDI score in our sample of BN never smokers was considerably higher at 23.94 ( SD =10.49) while the mean BDI score reported by Sandager et al, 2008 was 12.94 ( SD =7.24). Sandager et al, (2008) included women (n=40; 20 smokers and 20 nonsmokers) who met DSM-IV criteria for BN.…”

“…Of the studies that have been conducted, clinical samples of adolescent females with BN who smoke had significantly greater eating-disorder psychopathology (drive for thinness, body dissatisfaction, and interoceptive awareness) than nonsmokers (Wiseman et al, 1998). Another study conducted in women with BN recruited from treatment, observational, and community sites found that those who smoked cigarettes daily had significantly higher depressive symptoms compared to those who had not smoked in the past 10 years (Sandager et al, 2008). In a study of young adult female smokers and non-smokers recruited from the community, smoking was associated with body shape concerns and symptoms of BN (Kendzor, Adams, Stewart, Baillie, & Copeland, 2009).…”

Routes to transcendence: Disordered eating, substance abuse, and self-injury in young women.

“…In yet another longitudinal study with women who suffer with eating disorders, Thompson-Brenner et al (2008) In a study with women with BN, Sandager et al (2008) examined relationships between tobacco use and comorbidity in women with BN. They found higher overall cormorbid pathology scores among smokers; this was particularly true for depression.…”