Cocaine pp 183-195 | Cite as

Eating Disorders and Substance Abuse

  • Mark S. Gold
Part of the Drugs of Abuse book series (DOAC, volume 3)


Recently, there has been a growing awareness of the relationship between eating disorders and substance abuse. This area is of interest to clinicians not only for their involvement in the etiology of cocaine abuse but also for the challenges it presents in the successful diagnosis and treatment of addiction. The well-known denial associated with use of a single drug may be complicated by the patient’s reluctance to admit an eating disorder, as well as the reluctance of patients with eating disorders to admit to drug use. This reluctance may stem from ignorance (for example, patients may not realize how their eating disorder affects their cocaine consumption). Or the patient—having one form of substance abuse detected—may “sacrifice” this substance so that other forms of substance abuse or eating disorder can continue. Furthermore, clinicians, having identified one abused substance, may not press to uncover other abused substances. These clinicians may believe that correcting one problem is difficult enough without the added burden of another. As a result, the association between eating disorders and substance abuse, specifically cocaine, deserves greater attention.


Substance Abuse Anorexia Nervosa Eating Disorder Ventral Tegmental Area Bulimia Nervosa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Fairburn CG, Beglin SJ. Studies of the epidemiology of bulimia nervosa. Am J Psychiatry. 1990;147:401–408.PubMedGoogle Scholar
  2. 2.
    Krahn DD. The relationship of eating disorders and substance abuse. J Substance Abuse. 1991;3:239–253.CrossRefGoogle Scholar
  3. 3.
    Mitchell JE. Anorexia Nervosa and Bulimia: Diagnosis and Treatment. Minneapolis: University of Minnesota Press; 1985.Google Scholar
  4. 4.
    Crisp AH. Primary anorexia nervosa. Gut. 1968;9:370–372.PubMedCrossRefGoogle Scholar
  5. 5.
    Beary MD, Lacey JH, Merry J. Alcoholism and eating disorders in women of fertile age. Br J Addiction. 1986;81:685–689.CrossRefGoogle Scholar
  6. 6.
    Cantwell DP, Sturzenberg S, Burrough J, et al. Anorexia nervosa: an affective disorder? Arch Gen Psychiatry. 1977;34:1087–1093.PubMedCrossRefGoogle Scholar
  7. 7.
    Kendler KS, MacLean C, Neale M, et al. The genetic epidemiology of bulima nervosa. Am J Psychiatry. 1991;148:1627–1637.PubMedGoogle Scholar
  8. 8.
    Jonas JM, Gold MS. Cocaine abuse and eating disorders. Lancet. 1(8477):390, 1986.PubMedCrossRefGoogle Scholar
  9. 9.
    Hudson JI, Weiss RD, Pope HG Jr, et al. Eating disorders in hospitalized substance abusers. Am J Drug Alcohol Abuse. 1992; 18(1):75–85.PubMedCrossRefGoogle Scholar
  10. 10.
    Carroll K, Leon G. The bulimic-vomiting disorder within a generalized substance abuse pattern. Paper presented at the Association for the Advancement of Behavior Therapy Annual Meeting, Toronto; 1981.Google Scholar
  11. 11.
    Jonas JM, Gold MS, Sweeney D, Pottash ALC. Eating disorders and cocaine abuse: a survey of 259 cocaine abusers. J Clin Psychiatry. 1987;48:47–50.PubMedGoogle Scholar
  12. 12.
    Drewenowski A, Halmi KA, Pierce B, et al. Taste and eating disorders. Am J Nutrition. 1987;46:442–450.Google Scholar
  13. 13.
    Jones DA, Cheshire N, Morehouse H. Anorexia nervosa, bulimia, and alcoholism—association of eating disorder and alcohol. J. Psychiatric Res. 1985;19:377–380.CrossRefGoogle Scholar
  14. 14.
    Franklin JC, Schiele BC, Brozek J, Keys A. Observations on human behavior in experimental semistarvation and rehabilitation. J Clin Psychol. 1948;4:28–45.PubMedCrossRefGoogle Scholar
  15. 15.
    Yung L, Gordis E, Holt J. Dietary choices and likelihood of abstinence among alcoholic patients in an outpatient clinic. Drug Alcohol Depend. 1983;12:355–362.PubMedCrossRefGoogle Scholar
  16. 16.
    Kasckow J, Nemeroff CB. The neurobiology of neurotensin: focus on neurotensin-dopamine interactions. Regulatory Peptides. 1991;26:153–164.CrossRefGoogle Scholar
  17. 17.
    Pilotte NS, Mitchell WM, Sharpe LG, et al. Chronic cocaine administration and withdrawal of cocaine modify neurotensin binding in rat brain. Synapse. 1991;9:111–120.PubMedCrossRefGoogle Scholar
  18. 18.
    Zweben JE. Eating disorders and substance abuse. J Psychoactive Drugs. 1987;19(2):181–192.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Mark S. Gold
    • 1
  1. 1.Departments of Neuroscience and PsychiatryUniversity of Florida College of MedicineGainesvilleUSA

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