Present and lifetime comorbidity of tobacco, alcohol and drug use in eating disorders:: A European multicenter study
Present and lifetime comorbidity of tobacco, alcohol and drug use in eating disorders:: A European multicenter study
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DOI：
10.1016/j.drugalcdep.2008.04.015
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发表时间：
2008-09-01
影响因子：
4.2
通讯作者：
Fernandez-Aranda, Fernando
中科院分区：
文献类型：
--
作者：
Krug, Isabel;Treasure, Janet;Fernandez-Aranda, Fernando
目的：为了评估在共病的生活和目前的物质使用（烟草，酒精和药物的使用）之间的饮食失调（艾德）患者和健康对照组在五个不同的欧洲countries.Method的差异：共1664名参与者参加了本研究。艾德病例（n=879）被转诊至5个欧洲国家的专业艾德单位。艾德的情况下进行了比较，一个平衡的对照组785健康individuals.Assessment：参与者完成了跨文化（环境）问卷（CCQ），衡量一生的烟草，酒精和药物使用的物质使用分量表。结果：艾德患者的生活史、吸烟史和一般药物使用史均较对照组高。唯一不显著的结果是终生和目前的酒精使用。艾德亚诊断组和对照组之间也出现了显著差异，BN和AN-BP的发生率通常最高，AN-R和对照组的发生率最低。唯一的例外是酒精使用，EDNOS表现出最高值。只有几个国家之间的文化差异emerging.Conclusions：与酒精消费，烟草和药物的使用似乎是更普遍的艾德患者比健康对照组。在具有暴食症特征的患者中观察到的不同风险可能与气质差异有关，或者可能是对奖励敏感性增加的结果。(C)2008爱思唯尔爱尔兰有限公司保留所有权利。
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-1 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. (C) 2008 Elsevier Ireland Ltd. All rights reserved.