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Comorbid drug use disorders and eating disorders: a review of prevalence studies

Nøkleby, Heid
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/218780
Date
2012
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  • Artikkel - fagfellevurdert vitenskapelig / Articles - peer-reviewed [1618]
Original version
10.2478/v10199-012-0024-9
Abstract
AIMS – This study reviews literature on comorbidity of drug use disorders (DUD) and eating disorders

(ED). The article updates knowledge on the occurrence of comorbidity of these diagnoses. METHODS

– The databases Embase, Medline and PsycInfo were searched for studies published between 1990

and May 2011, with combinations of the terms ’eating disorder’, ’substance-related disorder’, ’drug

dependence’, ’drug abuse’, ’drug addiction’ and ’substance abuse’. This generated altogether 596

studies. Studies in which diagnostic DUD and ED were not assessed in the same sample or the result

was not given in percentages were excluded. Thirteen studies remained. RESULTS – In 11 of the 13

studies, the participants were initially diagnosed with an eating disorder. The prevalence of lifetime drug

use disorders varies from 8–43 %. In two studies, DUD is the initial diagnosis, and the participants report

14 % concurrent and 27.3 % lifetime ED. The most prevalent co-occurring diagnoses tend to be bulimia

nervosa/bingeing-purging anorexia nervosa, and stimulants/cannabis disorders. CONCLUSIONS – The

lifetime prevalence percentages of eating disorders in people with drug use disorders (and vice versa)

are higher than in the general population. The results indicate that the field of drug disorder treatment

and research could benefit from paying closer attention to the risk of eating disorders.

KEY WORDS – Drug use disorder, eating disorder, anorexia nervosa, bulimia nervosa, comorbidity,

review article.
Publisher
Nordic studies on alcohol and drugs
Journal
Nordic studies on alcohol and drugs

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