Specker Sheila, Westermeyer Joseph, Thuras Paul
Substance Abuse Program, University-Fairview Hospital, Minneapolis, Minnesota. Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota.
Subst Abus. 2000 Sep;21(3):137-147. doi: 10.1080/08897070009511427.
The objective of this study is to ascertain whether the course and severity of Substance Abuse among female patients with comorbid Substance Related Disorder and Eating Disorder (SRD-ED) is similar to or different from the course and severity of SRD among female patients with Substance Related Disorder but no Eating Disorder (SRD). Subjects were voluntary patients, obtained in two addiction programs located within departments of psychiatry in two state university medical centers, and included 66 women with SRD-ED and 211 women with SRD. Data were collected on demography, course and severity of SRD, and associated biomedical conditions. SRD-ED patients were significantly younger and more apt to be single, more highly educated, living with family and friends, employed, and of higher socioeconomic status. SRD-ED and SRD patients were more similar than different on most indicators of course and severity, although several clinical differences prevailed. These clinical differences were primarily ascribed to age. In most respects, patients with comorbid SRD-ED manifest course and severity of SRD similar to patients with SRD. Demographic differences between the two groups can mostly be ascribed to the younger mean age of SRD-ED patients rather than to the comorbid ED. Some biomedical problems are related to the specific consequences of ED.
本研究的目的是确定患有物质相关障碍和饮食失调（SRD-ED）的女性患者中物质滥用的病程和严重程度，与患有物质相关障碍但无饮食失调（SRD）的女性患者中SRD的病程和严重程度是否相似或不同。研究对象为自愿参与的患者，来自两所州立大学医学中心精神病学系的两个成瘾项目，包括66名患有SRD-ED的女性和211名患有SRD的女性。收集了关于人口统计学、SRD的病程和严重程度以及相关生物医学状况的数据。患有SRD-ED的患者明显更年轻，更倾向于单身，受教育程度更高，与家人和朋友住在一起，有工作，且社会经济地位更高。在病程和严重程度的大多数指标上，患有SRD-ED的患者和患有SRD的患者相似之处多于不同之处，尽管存在一些临床差异。这些临床差异主要归因于年龄。在大多数方面，患有合并症SRD-ED的患者表现出的SRD病程和严重程度与患有SRD的患者相似。两组之间的人口统计学差异大多可归因于患有SRD-ED的患者平均年龄较小，而非合并的饮食失调。一些生物医学问题与饮食失调的特定后果有关。
