Survey of Eating Disorder Symptoms among Women in Treatment for Substance Abuse
Survey of Eating Disorder Symptoms among Women in Treatment for Substance Abuse
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DOI：
10.1111/j.1521-0391.2010.00038.x
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发表时间：
2010-05-01
影响因子：
3.7
通讯作者：
Hien, Denise
中科院分区：
文献类型：
--
作者：
Cohen, Lisa R.;Greenfield, Shelly F.;Hien, Denise
物质使用障碍（SUD）和饮食失调（ED）之间的强关联已被确立。然而，很少有人知道的比率和艾德症状的妇女提出成瘾治疗的影响。目前的调查评估了艾德症状的患病率及其对治疗结果的影响，在一个样本的物质滥用妇女共发生创伤后应激障碍（PTSD）登记在门诊物质使用计划。参与者是122名女性，她们参加了一项多地点临床试验，比较了两种行为治疗方法对共同发生的SUD和PTSD的影响。在基线、治疗期间和四个随访点进行进食障碍检查自我报告，以及PTSD和SUD症状的测量。出现了两个分组;基线前28天内报告暴饮暴食的患者（暴饮暴食组; n = 35）和未报告暴饮暴食事件的患者（无暴饮暴食组; n = 87）。在基线时，狂欢组的女性比无狂欢组的女性有更高的艾德、PTSD和抑郁症状。虽然所有参与者在研究期间都表现出PTSD症状的显着减少和禁欲率的改善，但狂欢组的改善明显较低。这些研究结果表明，一个亚组的妇女与共同发生的创伤后应激障碍和SUDs，谁赞同狂欢艾德症状，SUD/创伤后应激障碍组治疗的反应不同。在寻求治疗的SUD女性中识别艾德症状可能是定制干预措施和提高治疗效果的重要因素。(Am J Addict 2010;19：245-251）。
A strong association between substance use disorders (SUDs) and eating disorders (EDs) in women has been established. Yet, little is known about the rates and impact of ED symptoms in women presenting to addiction treatment. The current investigation assessed the prevalence of ED symptoms and their effect on treatment outcomes in a sample of substance abusing women with co-occurring posttraumatic stress disorder (PTSD) enrolled in outpatient substance use programs. Participants were 122 women who participated in a multisite clinical trial comparing two behavioral treatments for co-occurring SUD and PTSD. The Eating Disorder Examination-self report, and measures of PTSD and SUD symptoms were administered at baseline, during treatment and at four follow-up points. Two subgroups emerged; those reporting binge eating in the 28 days prior to baseline (Binge group; n = 35) and those who reported no binge eating episodes (No Binge group; n = 87). Women in the Binge group endorsed significantly higher ED, PTSD, and depression symptoms at baseline than those in the No Binge group. Although all participants showed significant reductions in PTSD symptoms and improvements in abstinence rates during the study period, the improvements for the Binge group were significantly lower. These findings suggest that a subgroup of women with co-occurring PTSD and SUDs, who endorsed binge ED symptoms, responded differently to SUD/PTSD group treatment. Identification of ED symptoms among treatment-seeking women with SUDs may be an important element in tailoring interventions and enhancing treatment outcomes. (Am J Addict 2010;19:245-251).