Advertisement

Management of Eating Disorders When There Is Also Substance Misuse

  • Jonathan Chick
  • Glynis Read
Chapter

Abstract

  • Some people suffer from a co-occurring eating disorder and substance misuse

  • There are various permutations and directions of overlap

  • Avoidant coping styles and other common predisposing factors can be seen in both disorders

  • The treatment process needs to address both disorders together

  • Some treatments have benefits for one disorder to the detriment of the other

  • Therapy is most effective when it involves family members

  • Discharge planning from hospital to outpatient services and then to community aftercare are crucial.

Notes

Jonathan Chick

Consultant Psychiatrist and Professor in the field of Alcohol and Substance misuse, is Medical Director at Castle Craig Hospital in the Scottish Borders.

Glynis Read is a CBT Therapist and Head of Eating Disorders at at Castle Craig Hospital in the Scottish Borders.

References

  1. 1.
    Blinder BJ, Cumella EJ, Sanathara VA. Psychiatric comorbidities of female inpatients with eating disorders. Psychosom Med. 2006;68:454–62.CrossRefPubMedGoogle Scholar
  2. 2.
    Anzengruber D, Klump KL, Thornton L, Brandt H, Crawford S, Fichter MM, Halmi KA, Johnson C, Kaplan AS, LaVia M, Mitchell J, Strober M, Woodside DB, Rotondo A, Berrettini WH, Kaye WH, Bulik CM. Smoking in eating disorders. Eat Behav. 2006;7(4):291–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Reba-Harrelson L, Von Holle A, Thornton LM, Klump KL, Berrettini WH, Brandt H, Crawford S, Crow S, Fichter MM, Goldman D, Halmi KA, Johnson C, Kaplan AS, Keel P, LaVia M, Mitchell J, Plotnicov K, Rotondo A, Strober M, Treasure J, Woodside DB, Kaye WH, Bulik CM. Features associated with diet pill use in individuals with eating disorders. Eat Behav. 2008;9(1):73–81.CrossRefPubMedGoogle Scholar
  4. 4.
    Brewerton AO. Cannabinoid hyperemesis syndrome masquerading as an eating disorder. Int J Eat Disord. 2016;49(8):826–9.  https://doi.org/10.1002/eat.22515.CrossRefPubMedGoogle Scholar
  5. 5.
    von Ranson KM, McGue M, Iacono WG. Disordered eating and substance use in an epidemiological sample: II. Associations within families. Psychol Addict Behav. 2003;17(3):193–201.CrossRefGoogle Scholar
  6. 6.
    Slane JD, Burt SA, Klump KL. Bulimic behaviors and alcohol use: shared genetic influences. Behav Genet. 2012;42(4):603–13.  https://doi.org/10.1007/s10519-012-9525-2.CrossRefPubMedGoogle Scholar
  7. 7.
    Munn-Chernoff MA, Duncan AE, Grant JD, Wade TD, Agrawal A, Bucholz KK, Madden PA, Martin NG, Heath AC. A twin study of alcohol dependence, binge eating, and compensatory behaviors. J Stud Alcohol Drugs. 2013;74(5):664–73.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    SSRIs for bulimia nervosa. Cochrane Review: Antidepressants compared with placebo for bulimia nervosa. https://www.cochrane.org/CD003391
  9. 9.
    Charney DA, et al. Poorer drinking outcomes with citalopram treatment for alcohol dependence: a randomized, double-blind, placebo-controlled trial. Alcohol Clin Exp Res. 2015;39(9):1756–65.CrossRefPubMedGoogle Scholar
  10. 10.
    Molero Y, Lichtenstein P, Zetterqvist J, Gumpert CH, Fazel S. Selective Serotonin reuptake inhibitors and violent crime: a cohort study. PLoS Med. 2015;12(9):e1001875.  https://doi.org/10.1371/journal.pmed.1001875.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Frayn M, Sears CR, von Ranson KM. A sad mood increases attention to unhealthy food images in women with food addiction. Appetite. 2016;100:55–63.CrossRefPubMedGoogle Scholar
  12. 12.
    Rosa MAC, Collombat J, Denis CM, Alexandre JM, Serre F, Auriacombe M, et al. Overlap between food addiction and DSM-5 eating disorders in a treatment seeking sample. 2015. https://www.drugabuse.gov/international/abstracts/overlap-between-food-addiction-dsm-5-eatingdisorders-in-treatment-seeking-sample. Accessed 1 Jan 2018.
  13. 13.
    National Center on Addiction and Substance Abuse (CASA) at Columbia University. Food for thought: substance abuse and eating disorders. Project. New York, NY: Columbia University; 2003.Google Scholar
  14. 14.
    Kelly J, Yeterman JD. The role of mutual-help groups in extending the framework of treatment. Alcohol Res Health. 2011;33(4):350–5.PubMedPubMedCentralGoogle Scholar
  15. 15.
    Fairburn CG, Cooper A, Shafran R. Cognitive Behaviour therapy for Eating Disorders: a transdiagnostic theory and treatment. Behav Res Ther. 2003;41:509–28.CrossRefPubMedGoogle Scholar
  16. 16.
    Copeland M. Wellness recovery action plan. Occup Ther Mental Health. 2002;17(3-4):127–50.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Castle Craig HospitalWest LintonUK

Personalised recommendations