Temporal sequence of comorbid alcohol use disorder and anorexia nervosa

Jessica H Baker; Laura M Thornton; Michael Strober; Harry Brandt; Steve Crawford; Manfred M Fichter; Katherine A Halmi; Craig Johnson; Ian Jones; Allan S Kaplan; Kelly L Klump; James E Mitchell; Janet Treasure; D Blake Woodside; Wade H Berrettini; Walter H Kaye; Cynthia M Bulik

doi:10.1016/j.addbeh.2012.10.005

Temporal sequence of comorbid alcohol use disorder and anorexia nervosa

Jessica H Baker, Laura M Thornton, Michael Strober, Harry Brandt, Steve Crawford, Manfred M Fichter, Katherine A Halmi, Craig Johnson, Ian Jones, Allan S Kaplan, Kelly L Klump, James E Mitchell, Janet Treasure, D Blake Woodside, Wade H Berrettini, Walter H Kaye, Cynthia M Bulik

Research output: Contribution to journal › Article › peer-review

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Abstract

Women with eating disorders have a significantly higher prevalence of substance use disorders than the general population. The goal of the current study was to assess the temporal pattern of comorbid anorexia nervosa (AN) and alcohol use disorder (AUD) and the impact this ordering has on symptomatology and associated features. Women were placed into one of three groups based on the presence or absence of comorbid AUD and the order of AN and AUD onset in those with both disorders: (1) AN Only, (2) AN First, and (3) AUD First. The groups were compared on psychological symptoms and personality characteristics often associated with AN, AUD, or both using general linear models. Twenty-one percent of women (n=161) with AN reported a history of AUD with 115 reporting AN onset first and 35 reporting AUD onset first. Women with binge-eating and/or purging type AN were significantly more likely to have AUD. In general, differences were found only between women with AN Only and women with AN and AUD regardless of order of emergence. Women with AN and AUD had higher impulsivity scores and higher prevalence of depression and borderline personality disorder than women with AN Only. Women with AN First scored higher on traits commonly associated with AN, whereas women with comorbid AN and AUD displayed elevations in traits more commonly associated with AUD. Results do not indicate a distinct pattern of symptomatology in comorbid AN and AUD based on the temporal sequence of the disorders.

Original language	English
Pages (from-to)	1704-9
Number of pages	6
Journal	Addictive Behaviors
Volume	38
Issue number	3
DOIs	https://doi.org/10.1016/j.addbeh.2012.10.005
Publication status	Published - Mar 2013

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10.1016/j.addbeh.2012.10.005

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Baker, J. H., Thornton, L. M., Strober, M., Brandt, H., Crawford, S., Fichter, M. M., Halmi, K. A., Johnson, C., Jones, I., Kaplan, A. S., Klump, K. L., Mitchell, J. E., Treasure, J., Woodside, D. B., Berrettini, W. H., Kaye, W. H., & Bulik, C. M. (2013). Temporal sequence of comorbid alcohol use disorder and anorexia nervosa. Addictive Behaviors, 38(3), 1704-9. https://doi.org/10.1016/j.addbeh.2012.10.005

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title = "Temporal sequence of comorbid alcohol use disorder and anorexia nervosa",

abstract = "Women with eating disorders have a significantly higher prevalence of substance use disorders than the general population. The goal of the current study was to assess the temporal pattern of comorbid anorexia nervosa (AN) and alcohol use disorder (AUD) and the impact this ordering has on symptomatology and associated features. Women were placed into one of three groups based on the presence or absence of comorbid AUD and the order of AN and AUD onset in those with both disorders: (1) AN Only, (2) AN First, and (3) AUD First. The groups were compared on psychological symptoms and personality characteristics often associated with AN, AUD, or both using general linear models. Twenty-one percent of women (n=161) with AN reported a history of AUD with 115 reporting AN onset first and 35 reporting AUD onset first. Women with binge-eating and/or purging type AN were significantly more likely to have AUD. In general, differences were found only between women with AN Only and women with AN and AUD regardless of order of emergence. Women with AN and AUD had higher impulsivity scores and higher prevalence of depression and borderline personality disorder than women with AN Only. Women with AN First scored higher on traits commonly associated with AN, whereas women with comorbid AN and AUD displayed elevations in traits more commonly associated with AUD. Results do not indicate a distinct pattern of symptomatology in comorbid AN and AUD based on the temporal sequence of the disorders.",

author = "Baker, {Jessica H} and Thornton, {Laura M} and Michael Strober and Harry Brandt and Steve Crawford and Fichter, {Manfred M} and Halmi, {Katherine A} and Craig Johnson and Ian Jones and Kaplan, {Allan S} and Klump, {Kelly L} and Mitchell, {James E} and Janet Treasure and Woodside, {D Blake} and Berrettini, {Wade H} and Kaye, {Walter H} and Bulik, {Cynthia M}",

note = "Published by Elsevier Ltd.",

year = "2013",

month = mar,

doi = "10.1016/j.addbeh.2012.10.005",

language = "English",

volume = "38",

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Baker, JH, Thornton, LM, Strober, M, Brandt, H, Crawford, S, Fichter, MM, Halmi, KA, Johnson, C, Jones, I, Kaplan, AS, Klump, KL, Mitchell, JE, Treasure, J, Woodside, DB, Berrettini, WH, Kaye, WH & Bulik, CM 2013, 'Temporal sequence of comorbid alcohol use disorder and anorexia nervosa', Addictive Behaviors, vol. 38, no. 3, pp. 1704-9. https://doi.org/10.1016/j.addbeh.2012.10.005

TY - JOUR

T1 - Temporal sequence of comorbid alcohol use disorder and anorexia nervosa

AU - Baker, Jessica H

AU - Thornton, Laura M

AU - Strober, Michael

AU - Brandt, Harry

AU - Crawford, Steve

AU - Fichter, Manfred M

AU - Halmi, Katherine A

AU - Johnson, Craig

AU - Jones, Ian

AU - Kaplan, Allan S

AU - Klump, Kelly L

AU - Mitchell, James E

AU - Treasure, Janet

AU - Woodside, D Blake

AU - Berrettini, Wade H

AU - Kaye, Walter H

AU - Bulik, Cynthia M

N1 - Published by Elsevier Ltd.

PY - 2013/3

Y1 - 2013/3

N2 - Women with eating disorders have a significantly higher prevalence of substance use disorders than the general population. The goal of the current study was to assess the temporal pattern of comorbid anorexia nervosa (AN) and alcohol use disorder (AUD) and the impact this ordering has on symptomatology and associated features. Women were placed into one of three groups based on the presence or absence of comorbid AUD and the order of AN and AUD onset in those with both disorders: (1) AN Only, (2) AN First, and (3) AUD First. The groups were compared on psychological symptoms and personality characteristics often associated with AN, AUD, or both using general linear models. Twenty-one percent of women (n=161) with AN reported a history of AUD with 115 reporting AN onset first and 35 reporting AUD onset first. Women with binge-eating and/or purging type AN were significantly more likely to have AUD. In general, differences were found only between women with AN Only and women with AN and AUD regardless of order of emergence. Women with AN and AUD had higher impulsivity scores and higher prevalence of depression and borderline personality disorder than women with AN Only. Women with AN First scored higher on traits commonly associated with AN, whereas women with comorbid AN and AUD displayed elevations in traits more commonly associated with AUD. Results do not indicate a distinct pattern of symptomatology in comorbid AN and AUD based on the temporal sequence of the disorders.

AB - Women with eating disorders have a significantly higher prevalence of substance use disorders than the general population. The goal of the current study was to assess the temporal pattern of comorbid anorexia nervosa (AN) and alcohol use disorder (AUD) and the impact this ordering has on symptomatology and associated features. Women were placed into one of three groups based on the presence or absence of comorbid AUD and the order of AN and AUD onset in those with both disorders: (1) AN Only, (2) AN First, and (3) AUD First. The groups were compared on psychological symptoms and personality characteristics often associated with AN, AUD, or both using general linear models. Twenty-one percent of women (n=161) with AN reported a history of AUD with 115 reporting AN onset first and 35 reporting AUD onset first. Women with binge-eating and/or purging type AN were significantly more likely to have AUD. In general, differences were found only between women with AN Only and women with AN and AUD regardless of order of emergence. Women with AN and AUD had higher impulsivity scores and higher prevalence of depression and borderline personality disorder than women with AN Only. Women with AN First scored higher on traits commonly associated with AN, whereas women with comorbid AN and AUD displayed elevations in traits more commonly associated with AUD. Results do not indicate a distinct pattern of symptomatology in comorbid AN and AUD based on the temporal sequence of the disorders.

U2 - 10.1016/j.addbeh.2012.10.005

DO - 10.1016/j.addbeh.2012.10.005

M3 - Article

C2 - 23254222

VL - 38

SP - 1704

EP - 1709

JO - Addictive Behaviors

JF - Addictive Behaviors

IS - 3

ER -

Temporal sequence of comorbid alcohol use disorder and anorexia nervosa

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