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Disordered eating and substance use in an epidemiological sample: I. associations within individuals
Author(s) -
von Ranson Kristin M.,
Iacono William G.,
McGue Matt
Publication year - 2002
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.10050
Subject(s) - eating disorders , substance use , disordered eating , substance dependence , addiction , epidemiology , psychology , clinical psychology , nicotine , psychiatry , nicotine dependence , substance abuse , medicine
Objective This study examined the strength of associations between disordered eating and eating disorders and substance use and substance use disorders (SU/SUDs) in an epidemiological sample. Methods 672 adolescent girls and 718 women completed structured interviews of lifetime eating disorders and substance use and misuse, as well as self‐reported current disordered eating attitudes and behaviors. Results Although effect sizes were small, eating attitudes and disorders were associated modestly with nicotine, alcohol, and drug use, and with nicotine dependence in adolescent girls. Alcohol use and misuse were related to eating attitudes and pathology in women. SU/SUDs were associated with restricting and bulimic behaviors and no prominent differences in associations were observed between substance classes. In contrast to findings in clinical populations, these community‐based results were positive but generally weak, suggesting there is no strong, overarching relationship between eating and substance use problems. Discussion These results have implications for the addiction model of eating disorders. © 2002 by Wiley Periodicals, Inc. Int J Eat Disord 31: 389–403, 2002.