Eating disorders with and without substance use disorders: A comparative study of inpatients

Carlos M. Grilo, Daniel F. Becker, Kenneth N. Levy, Martha L. Walker, William S. Edell, Thomas H. McGlashan

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

We assessed the co-occurrence of DSM-III-R axis I and II disorders and self-reported psychologic distress in inpatients with eating disorders with and without substance use disorders (ED-SUD and ED groups, respectively) and in a matched comparison sample with substance use disorders but no eating disorder (SUD group). The three groups showed similar distributions of axis I disorders but differed in the distribution of axis II disorders. Cluster B personality disorders were diagnosed more frequently in SUD and ED-SUD groups than in the ED group. In contrast, cluster C personality disorders were diagnosed more frequently in the ED group than in SUD and ED-SUD groups. The SUD group reported greater psychologic distress than ED and ED-SUD groups. Possible implications of the observed group differences for psychologic models of why these disorders may be associated are considered.

Original languageEnglish (US)
Pages (from-to)312-317
Number of pages6
JournalComprehensive Psychiatry
Volume36
Issue number4
DOIs
StatePublished - Jan 1 1995

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

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