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Substance use disorders, anorexia, bulimia, and concurrent disorders
Christine M A Courbasson1, Patrick D Smith, Patricia A Cleland
1Eating Disorders and Addictions Clinic, Centre for Addiction and Mental Health, Toronto, ON M5S 2S1. Christine_Courbasson@camh.net
Summary
Individuals with substance use disorders (SUD) and eating disorders (ED) often have co-occurring psychiatric conditions. This study highlights the increased prevalence of these conditions, emphasizing the need for integrated treatment approaches.
Area of Science:
- Psychiatry
- Clinical Psychology
- Public Health
Background:
- Co-prevalence of eating disorders (ED) and substance use disorders (SUD) is known.
- Limited understanding of other co-occurring disorders in individuals with SUD.
Purpose of the Study:
- Identify and evaluate co-occurring ED and other psychiatric disorders in men and women with SUD.
- Inform public health policy and treatment strategies.
Main Methods:
- Sample: Individuals seeking treatment for substance use.
- Assessment: Semi-structured interviews and CAMH Concurrent Disorders Screener.
- Diagnostic criteria: DSM-IV psychopathology.
Main Results:
- Women with SUD had higher rates of ED than men.
- ED prevalence was higher in both genders with SUD compared to the general population.
- Higher co-occurrence of other disorders in individuals with both SUD and ED.
Conclusions:
- Individuals with co-occurring SUD and ED present complex needs.
- Existing addiction treatment programs may not adequately assess these multifaceted needs.
- Addresses assessment, treatment, prevention, and health promotion implications.