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KMID : 0870519990030010003
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Journal of Korean Academy of Addiction Psychiatry
1999 Volume.3 No. 1 p.3 ~ p.13
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Eating Disorders and Addictive Disorders
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Lee Young-Ho
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Abstract
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There are similarities in the clinical features, etiology and response to the treatment of various forms of addictive behavior
including alcohol and drug abuse, and eating disorders. It is expected that co-occurence would be more common for bulimia nervosa than for anorexia nervosa, given the impulsivity associated both with bulimia and with substance abuse. It has been suggested that such disorders co-exist more often than would be expected by chance. This possibility is important, as comorbidity of this type may not always be detected by clinicians specializing in one or other form of substance abuse, yet its presence may lessen the effectiveness of treatment and precipitate relapse. However, in many settings, information about aberrant eating pattern is either not obtained, or is obtained initially, but not attended to in diagnosis and treatment planning. Eating disorders are occurring with such frequency among patients with substance dependence that it is essential to have treatment methods for this dual diagnosis available and integrated into treatment protocols. Designing an integrated treatment approach that can effectively address both disorders requires a good understanding of the similarities of these diseases and an accurate evaluation of the extent of their progression in each individuals. Concurrently, a through medical and psychiatric evaluation for comorbid diagnoses should be undertaken.
The focuses of this review will be primarily on the results of study about co-occurence of both disorders, the addiction model of eating disorders, several mechanisms that may mediate the eating disorder- substance use/abuse link, and the treatment approaches.
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KEYWORD
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Eating disorders, Addictive disorders
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