Eating disorders with and without substance use disorders: a comparative study of inpatients.
We assessed the co-occurrence of DSM-III-R axis I and II disorders and self-reported psychologic distress in inpatients with eating disorders with and without substance use disorders (ED-SUD and ED groups, respectively) and in a matched comparison sample with substance use disorders but no eating disorder (SUD group). The three groups showed similar distributions of axis I disorders but differed in the distribution of axis II disorders. Cluster B personality disorders were diagnosed more frequently in SUD and ED-SUD groups than in the ED group. In contrast, cluster C personality disorders were diagnosed more frequently in the ED group than in SUD and ED-SUD groups. The SUD group reported greater psychologic distress than ED and ED-SUD groups. Possible implications of the observed group differences for psychologic models of why these disorders may be associated are considered.
Grilo
C M
CM
Yale Psychiatric Institute, Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520, USA.
Becker
D F
DF
Levy
K N
KN
Walker
M L
ML
Edell
W S
WS
McGlashan
T H
TH
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D002032:Bulimia / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D003131:Combined Modality Therapy; D017831:Diagnosis, Dual (Psychiatry); D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D010343:Patient Admission; D010552:Personality Assessment / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation