Features associated with diet pill use in individuals with eating disorders.
We investigated the relation between diet pill use and eating disorder subtype, purging and other compensatory behaviors, body mass index (BMI), tobacco and caffeine use, alcohol abuse or dependence, personality characteristics, and Axis I and Axis II disorders in 1,345 participants from the multisite Price Foundation Genetics Studies. Diet pill use was significantly less common in women with restricting type of AN than in women with other eating disorder subtypes. In addition, diet pill use was associated with the use of multiple weight control behaviors, higher BMI, higher novelty seeking, and the presence of anxiety disorders, alcohol abuse or dependence, and borderline personality disorder. Findings suggest that certain clinical and personality variables distinguish individuals with eating disorders who use diet pills from those who do not. In the eating disorder population, vigilant screening for diet pill use should be routine clinical practice.
Reba-Harrelson
Lauren
L
Department of Psychiatry, University of North Carolina at Chapel Hill, NC, United States.
Von Holle
Ann
A
Thornton
Laura M
LM
Klump
Kelly L
KL
Berrettini
Wade H
WH
Brandt
Harry
H
Crawford
Steven
S
Crow
Scott
S
Fichter
Manfred M
MM
Goldman
David
D
Halmi
Katherine A
KA
Johnson
Craig
C
Kaplan
Allan S
AS
Keel
Pamela
P
LaVia
Maria
M
Mitchell
James
J
Plotnicov
Katherine
K
Rotondo
Alessandro
A
Strober
Michael
M
Treasure
Janet
J
Woodside
D Blake
DB
Kaye
Walter H
WH
Bulik
Cynthia M
CM
D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D019440:Anti-Obesity Agents / Q000627:therapeutic use*; D015992:Body Mass Index; D002110:Caffeine; D002400:Cathartics / Q000008:administration & dosage*; D004639:Emetics / Q000008:administration & dosage; D005060:Europe / Q000453:epidemiology; D001068:Feeding and Eating Disorders / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D009765:Obesity / Q000188:drug therapy* / Q000453:epidemiology; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D014481:United States / Q000453:epidemiology; D014839:Vomiting / Q000139:chemically induced / Q000453:epidemiology*
D019440:Anti-Obesity Agents; D002400:Cathartics; D004639:Emetics; D002110:Caffeine