title: Substance use disorders in women with anorexia nervosa.
abstract: OBJECTIVE
  We examined prevalence of substance use disorders (SUD) in women with: (1) anorexia nervosa (AN) restricting type (RAN); (2) AN with purging only (PAN); (3) AN with binge eating only (BAN); and (4) lifetime AN and bulimia nervosa (ANBN). Secondary analyses examined SUD related to lifetime purging behavior and lifetime binge eating.
  
  
  METHODS
  Participants (N = 731) were drawn from the International Price Foundation Genetic Studies.
  
  
  RESULTS
  The prevalence of SUD differed across AN subtypes, with more in the ANBN group reporting SUD than those in the RAN and PAN groups. Individuals who purged were more likely to report substance use than those who did not purge. Prevalence of SUD differed across lifetime binge eating status.
  
  
  CONCLUSIONS
  SUD are common in AN and are associated with bulimic symptomatology. Results underscore the heterogeneity in AN, highlighting the importance of screening for SUD across AN subtypes.
authors.affiliation: Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Tammy L
authors.initials: TL
authors.lastname: Root
authors.forename: Andréa Poyastro
authors.initials: AP
authors.lastname: Pinheiro
authors.forename: Laura
authors.initials: L
authors.lastname: Thornton
authors.forename: Michael
authors.initials: M
authors.lastname: Strober
authors.forename: Fernando
authors.initials: F
authors.lastname: Fernandez-Aranda
authors.forename: Harry
authors.initials: H
authors.lastname: Brandt
authors.forename: Steve
authors.initials: S
authors.lastname: Crawford
authors.forename: Manfred M
authors.initials: MM
authors.lastname: Fichter
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Halmi
authors.forename: Craig
authors.initials: C
authors.lastname: Johnson
authors.forename: Allan S
authors.initials: AS
authors.lastname: Kaplan
authors.forename: Kelly L
authors.initials: KL
authors.lastname: Klump
authors.forename: Maria
authors.initials: M
authors.lastname: La Via
authors.forename: James
authors.initials: J
authors.lastname: Mitchell
authors.forename: D Blake
authors.initials: DB
authors.lastname: Woodside
authors.forename: Alessandro
authors.initials: A
authors.lastname: Rotondo
authors.forename: Wade H
authors.initials: WH
authors.lastname: Berrettini
authors.forename: Walter H
authors.initials: WH
authors.lastname: Kaye
authors.forename: Cynthia M
authors.initials: CM
authors.lastname: Bulik
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000453:epidemiology*; D015992:Body Mass Index; D002032:Bulimia / Q000175:diagnosis / Q000453:epidemiology*; D016009:Chi-Square Distribution; D015897:Comorbidity; D005260:Female; D006801:Humans; D008875:Middle Aged; D016017:Odds Ratio; D010552:Personality Assessment; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology*; D011795:Surveys and Questionnaires