Tobacco use and comorbidity in bulimia nervosa.
OBJECTIVE
To compare comorbid psychopathology and substance use among women with bulimia nervosa (BN) based on smoking status.


METHODS
Forty women diagnosed with BN (20 smokers, 20 nonsmokers) completed written self-report measures of depressive symptoms, substance use, and alcohol abuse.


RESULTS
Smokers reported more symptoms of depression and alcohol abuse and were more likely to use alcohol than nonsmokers, whereas caffeine consumption did not significantly differ between the two groups.


CONCLUSIONS
Smokers with BN may represent a distinct subtype characterized by high rates of comorbid depression and alcohol abuse.
Department of Psychiatry, University of Minnesota, Minneapolis, USA. sand0692@umn.edu
Nora
N
Sandager
Carol B
CB
Peterson
Sharon
S
Allen
Katherine E
KE
Henderson
Scott
S
Crow
Paul
P
Thuras
D000328:Adult; D052018:Bulimia Nervosa / Q000453:epidemiology*; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology; D005260:Female; D006801:Humans; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000453:epidemiology*