title: Bulimia in opiate-addicted women: developmental cousin and relapse factor.
abstract: There has been a growing awareness that eating disorders and substance abuse may coexist in the same individual. While several studies have documented the prevalence of these problems, few have addressed their relationship in the recovering patient. In the present study, the charts and hospital course of all female patients admitted to an inpatient treatment program for opiate dependency were reviewed. Approximately 20% of the patients had bulimic pathology that predated the drug abuse and re-emerged during detoxification. A theoretical model is presented which examines the possible developmental interplay between the two disorders and the role that renewed food problems may serve as a prodrome for relapse. The difficulty in addressing these issues during both the assessment and treatment phases of recovery is also discussed.
authors.affiliation: New York Hospital-Cornell Medical Center, New York.
authors.forename: M A
authors.initials: MA
authors.lastname: Katzman
authors.forename: A
authors.initials: A
authors.lastname: Greenberg
authors.forename: I D
authors.initials: ID
authors.lastname: Marcus
mesh_terms: D000328:Adult; D001828:Body Image; D001883:Borderline Personality Disorder / Q000523:psychology / Q000534:rehabilitation; D002032:Bulimia / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008875:Middle Aged; D009294:Narcotics / Q000009:adverse effects; D009293:Opioid-Related Disorders / Q000523:psychology* / Q000534:rehabilitation*; D010553:Personality Development; D012307:Risk Factors; D013375:Substance Withdrawal Syndrome / Q000523:psychology / Q000534:rehabilitation; D015430:Weight Gain
chemical_list: D009294:Narcotics