Weight-related concerns related to drug use for women in substance abuse treatment: Prevalence and relationships with eating pathology
Open accessAbstract
Women in substance abuse treatment increasingly report weight-related concerns as motivation for drug use. However, limited research has explored the nature of these concerns or examined whether women in substance abuse treatment with weight-related concerns related to drug use differ from those who do not on variables relevant to eating pathology. Using a sample of 297 women in substance abuse treatment, this study examined two intertwined issues: (1) the prevalence and nature of weight-related concerns related to drug use and (2) whether women who endorse weight-related concerns related to drug use differ from those without weight-related concerns on body dissatisfaction, eating pathology, perceived pressure and internalization of thin-ideal media, and appearance-related drug-use expectancies. Descriptive analyses indicated that the majority of participants were concerned about gaining weight during treatment and/or that weight gain could trigger drug relapse. Analyses of variance revealed that women who reported weight-based concerns (both with regards to weight gain during treatment and relapse potential) endorsed higher levels of body dissatisfaction, dieting, bulimic symptoms, and thin-ideal internalization than women who did not endorse weight-related concerns. Results suggest that substance abuse treatment programs should be aware of and address weight-related concerns around drug use for women.
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In a study of women in substance use disorder treatment (n = 297), a third reported starting drug use in part to lose weight and nearly half were concerned that gaining weight could trigger relapse.
“In a study of women in SUD treatment (n = 297), a third reported starting drug use (in part) to lose weight and nearly half were concerned that gaining weight could trigger relapse [75].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [75]
However, it is possible that this approach can increase risk for SUD relapse if Whitney continues to gain weight and is unable to accept her body at a higher BMI.
“However, it is possible that this approach can increase risk for SUD relapse if Whitney continues to gain weight and is unable to accept her body at a higher BMI [75].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [75]
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- Authors
- Warren, C. S., Lindsay, A. R., White, E. K., Claudat, K., & Velasquez, S. C.
- Affiliations
- University of Nevada, Las Vegas (US)
- Corresponding author
- Warren, Cortney S.
- Lindsay, Anne R.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 44
- Issue
- 5
- Pages
- 494-501
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W1966945031
- Cited by
- 56
- References
- 60
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 5 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 1 · 2014: 2
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- drug use, women, addiction treatment, eating pathology, body dissatisfaction, thin-ideal internalization, weight gain, drug relapse, bulimic symptoms, dieting, media influence
- MeSH terms
- Adolescent, Adult, Analysis of Variance, Feeding and Eating Disorders, Body Image, Body Weight, Diet, Reducing, Feeding Behavior, Female, Humans, Middle Aged, Motivation, Recurrence, Weight Gain, Prevalence, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Young Adult
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