title: An investigation of Goodman's addictive disorder criteria in eating disorders.
abstract: The aim of this study was to examine how far Goodman's addictive disorder criteria were met by individuals with eating disorders according to subtypes. The study provided a cross-sectional comparison among three samples of eating disorders [restricting anorexia nervosa (R-AN), N = 68; purging anorexia nervosa (P-AN), N = 42; and bulimia nervosa (BN), N = 66], a sample of substance-related disorders (SRDs, N = 48) and a sample of matched controls (N = 201). Diagnosis of addictive disorder was made following Goodman's criteria. Addictive personality traits were assessed with the Addiction Potential Scale of the Minnesota Multiphasic Personality Inventory--2 and with the Zuckerman's Sensation Seeking Scale. Results showed that individuals with BN met Goodman's addictive disorder criteria in the same proportion as drug-addicted individuals (65% vs 60%, p = NS). They both showed higher rates than R-AN individuals (35%; R-AN versus BN: F = 11.9, p < 0.001 and R-AN versus SRD: F = 7.16, p < 0.01). Although BN and SRD showed higher rates of addictive disorders compared with P-AN, differences were not significant. Scores on the Sensation Seeking and on the Addictive Potential scales paralleled the distribution of addictive disorders, with individuals with BN and with P-AN showing higher levels than individuals with R-AN. Results showed that a subgroup of individuals with an eating disorder experiences their disorder as an addiction and may deserve specific therapeutic attention.
authors.affiliation: Centre Hospitalier de Versailles, Service de Pédopsychiatrie, Le Chesnay, France. msperanza@ch-versailles.fr
authors.forename: Mario
authors.initials: M
authors.lastname: Speranza
authors.forename: Anne
authors.initials: A
authors.lastname: Revah-Levy
authors.forename: Ludovic
authors.initials: L
authors.lastname: Giquel
authors.forename: Gwenolé
authors.initials: G
authors.lastname: Loas
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Venisse
authors.forename: Philippe
authors.initials: P
authors.lastname: Jeammet
authors.forename: Maurice
authors.initials: M
authors.lastname: Corcos
mesh_terms: D000293:Adolescent; D000328:Adult; D016739:Behavior, Addictive / Q000175:diagnosis* / Q000523:psychology; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D011569:Psychiatric Status Rating Scales; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000523:psychology