A Cross-Lagged Evaluation of Eating Disorder Symptomatology and Substance-Use Problems

Dunn, Erin C.; Neighbors, Clayton; Fossos, Nicole; Larimer, Mary E.

doi:10.15288/jsad.2009.70.106

Cited by 21 publications

(17 citation statements)

References 55 publications

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“…Unique to this study was identification of associations between specific patterns of EDs, alcohol use, and negative consequences: AN and BN were significantly associated with binge drinking and alcoholrelated problems while BED was not associated with either alcohol outcome. Consistent with previous research (e.g., Dunn et al, 2008), disordered eating, particularly BN symptoms, accounted for more variance in alcohol-related problems than binge drinking. Symptoms of AN and BN (e.g., purging, fasting) may cause women who drink to reach higher BACs faster due to accelerated alcohol absorption related to lack of food or having a lower BMI, which can result in numerous negative consequences (e.g., vomiting, impairments in gross motor control, alcohol poisoning) (Hamilton, 2009).…”

Section: Discussionsupporting

confidence: 89%

“…The co-occurrence of alcohol use and EDs may be explained by shared, predisposing, personality characteristics (Dunn, Neighbors, Fossos, & Larimer, 2008) such as the Big Five traits (McCrae & Costa, 1987) of high neuroticism, extraversion, and openness to experience, and low conscientiousness and agreeableness (Cassin & von Ranson, 2005;Ellickson-Larewa, Naragon-Gainey, & Watson, 2013;Kuntsche, Knibbe, Gmel, & Engels, 2006). While presented rather concisely here, results of studies assessing personality in relation to EDs and alcohol outcomes tend to yield complex and inconsistent results, making firm conclusions about the relationships difficult.…”

Section: Introductionmentioning

confidence: 81%

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Disordered eating and alcohol use among college women: Associations with race and big five traits

et al. 2015

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 81%

Disordered eating and alcohol use among college women: Associations with race and big five traits

et al. 2015

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“…Why those with higher education level would have a higher likelihood of BED is unclear, but given that it was an independent predictor of BED it warrants further investigation. The association between symptoms of alcohol use disorder and BED found in this study (i.e., 65% greater odds of BED among those with alcohol problems) has also been documented in a study of female college students . However, this association was not found in another cohort of bariatric surgery candidates, and importantly, our prior work found no increased risk of postoperative alcohol problems related to preoperative BED status .…”

Section: Discussionsupporting

confidence: 69%

Eating behavior and eating disorders in adults before bariatric surgery

Mitchell

King

Courcoulas

et al. 2014

Intl J Eating Disorders

154

116

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Objective To describe eating patterns, prevalence of problematic eating behaviors, and determine factors associated with binge eating disorder (BED), prior to bariatric surgery. Method Prior to surgery, 2,266 participants (median age 46 years; 78.6% female; 86.9% white; median body mass index 45.9 kg/m2) of the Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) study completed eating behavior survey items in the self-administered LABS-2 Behavior form. Other measures included the Alcohol Use Disorder Identification Test, the LABS-2 Psychiatric and Emotional Test Survey, the Beck Depression Inventory, the Interpersonal Support Evaluation List-12, the Short Form-36 Health Survey and Impact of Weight Quality of Life-Lite Survey. Results The vast majority (92.1%) of participants reported eating dinner regularly, while just over half (54.0%) reported eating breakfast regularly. Half of the participants reported eating at least 4 meals/week at restaurants; two meals/week were fast food. Loss of control eating was reported by 43.4%, night eating syndrome by 17.7%; 15.7% satisfied criteria for binge eating disorder (BED), 2% for bulimia nervosa. Factors that independently increased the odds of BED were being a college graduate, eating more times per day, taking medication for psychiatric or emotional problems, and having symptoms of alcohol use disorder, lower self-esteem and greater depressive symptoms. Discussion Prior to undergoing bariatric surgery a substantial proportion of patients report problematic eating behaviors. Several factors associated with BED were identified, most suggesting other mental health problems, including higher levels of depressive symptomotology. The strengths of this study include the large sample size, the multi-center design and use of standardized assessment practices.

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“…Although we know of no previous study of the relative sizes of cross-lagged ORs between eating disorders and other mental disorders, one cross-lagged evaluation of eating behaviors and substance-use problems revealed no concurrent or temporal associations between binge eating symptoms and alcohol or illicit substance use (104). In addition, two separate papers from one prospective study (101,103) found other mental disorders predicting eating disorders somewhat more strongly than vice-versa.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Correlates of Binge Eating Disorder in the World Health Organization World Mental Health Surveys

Kessler

Berglund

Chiu

et al. 2013

Biological Psychiatry

1,152

898

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Background Little population-based data exist outside the United States on the epidemiology of binge eating disorder (BED). Cross-national data on BED are presented and compared to bulimia nervosa (BN) based on the WHO World Mental Health Surveys. Methods Community surveys with 24,124 respondents (ages 18+) across 14 mostly upper-middle and high income countries assessed lifetime and 12-month DSM-IV mental disorders with the WHO Composite International Diagnostic Interview. Physical disorders were assessed with a chronic conditions checklist. Results Country-specific lifetime prevalence estimates are consistently (median; inter-quartile range) higher for BED (1.4%;0.8–1.9%) than BN (0.8%;0.4–1.0%). Median age-of-onset is in the late teens to early 20s for both disorders but slightly younger for BN. Persistence is slightly higher for BN (6.5 years; 2.2–15.4) than BED (4.3 years; 1.0–11.7). Lifetime risk of both disorders is elevated for women and recent cohorts. Retrospective reports suggest that comorbid anxiety, mood, and disruptive behavior disorders predict subsequent onset of BN somewhat more strongly than BED and that BN predicts subsequent comorbid psychiatric disorders somewhat more strongly than does BED. Significant comorbidities with physical conditions are due almost entirely to BN and BED predicting subsequent onset of these conditions, again with BN somewhat stronger than BED. Role impairments are similar for BN and BED. Fewer than half of lifetime BN or BED cases receive treatment. Conclusions BED represents a public health problem at least equal to BN. Low treatment rates highlight the clinical importance of questioning patients about eating problems even when not included among presenting complaints.

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A Cross-Lagged Evaluation of Eating Disorder Symptomatology and Substance-Use Problems

Cited by 21 publications

References 55 publications

Disordered eating and alcohol use among college women: Associations with race and big five traits

Disordered eating and alcohol use among college women: Associations with race and big five traits

Eating behavior and eating disorders in adults before bariatric surgery

The Prevalence and Correlates of Binge Eating Disorder in the World Health Organization World Mental Health Surveys

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