Present and lifetime comorbidity of tobacco, alcohol and drug use in eating disorders: a European multicenter study.
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Objectives To assess the differences in comorbid lifetime and current substance use (tobacco, alcohol and drug use) between eating disorder (ED) patients and healthy controls in five different European countries.Method A total of 1664 participants took part in the present study. ED cases (n=879) were referred to specialized ED units in five European countries. The ED cases were compared to a balanced control group of 785 healthy individuals.Assessment Participants completed the Substance Use Subscale of the Cross Cultural (Environmental) Questionnaire (CCQ), a measure of lifetime tobacco, alcohol and drug use. In the control group, also the GHQ-28, the SCID-I interview and the EAT-26 were used.Results ED patients had higher lifetime and current tobacco and general drug use. The only non-significant result was obtained for lifetime and current alcohol use. Significant differences across ED subdiagnoses and controls also emerged, with BN and AN-BP generally presenting the highest and AN-R and controls the lowest rates. The only exception was detected for alcohol use where EDNOS demonstrated the highest values. Only a few cultural differences between countries emerged.Conclusions With the exception of alcohol consumption, tobacco and drug use appear to be more prevalent in ED patients than healthy controls. The differential risk observed in patients with bulimic features might be related to differences in temperament or might be the result of increased sensitivity to reward.
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Eating disorder patients are more likely than healthy controls to use addictive substances such as tobacco and illicit drugs.
“ED patients are more likely than healthy controls to use addictive substances such as tobacco, but also illicit drugs (Krug et al., 2008), which supports the notion of an “addictive personality.””
From “Food Addiction” in patients with eating disorders is associated with negative urgency and difficulties to focus on long-term goals (2016) · cites this paper as Krug et al., 2008
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- Authors
- KRUG, I., TREASURE, J., ANDERLUH, M., BELLODI, L., CELLINI, E., DIBERNARDO, M., GRANERO, R., KARWAUTZ, A., NACMIAS, B., & PENELO, E.
- Affiliations
- Instituto de Salud Carlos III (ES)
- Guy's Hospital (GB)
- Ljubljana University Medical Centre (SI)
- University of Florence (IT)
- Universitat Autònoma de Barcelona (ES)
- Medical University of Vienna (AT)
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2008-09-01
- Volume
- 97
- Issue
- 1-2
- Pages
- 169-179
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W1977534941
- Cited by
- 95
- References
- 76
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 9 · 2020: 10 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 6 · 2014: 5 · 2013: 5 · 2012: 8
- FWCI
- 7.05
- Type
- journal article
- Language
- en
- Open access
- green
- ddd.uab.cat
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by-nc-nd)
- Florence Research (University of Florence) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Generalitat de Catalunya
- Universitat de Barcelona
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- eating disorders, substance use comorbidity, tobacco use, alcohol consumption, drug use, lifetime substance use, bulimia nervosa, anorexia nervosa, binge eating, cross-cultural comparison
- MeSH terms
- Adolescent, Adult, Alcoholism, Feeding and Eating Disorders, Attitude, Cross-Cultural Comparison, Eating, Europe, Female, Humans, Interview, Psychological, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, Sex Factors, Social Environment, Tobacco Use Disorder, Comorbidity, Case-Control Studies, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Young Adult
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