Gordon Susan Merle, Johnson J Aaron, Greenfield Shelly F, Cohen Lisa, Killeen Therese, Roman Paul M
Research Department, Seabrook House, 133 PolkLn., P.O. Box 5055, Seabrook, NJ 08302-5055, USA.
Psychiatr Serv. 2008 Sep;59(9):1056-9. doi: 10.1176/ps.2008.59.9.1056.
Publicly funded addiction treatment programs were surveyed to increase understanding of treatment options for persons with co-occurring eating and substance use disorders.
Data were collected between 2002 and 2004 from face-to-face interviews with program directors of a nationally representative sample of 351 addiction treatment programs.
Half of the programs screen patients for eating disorders; 29% admit all persons with eating disorders, and 48% admit persons with eating disorders of low severity. Few programs attempt to treat eating disorders. Programs that admit and treat patients with eating disorders are more likely to emphasize a medical-psychiatric model of addiction, use psychiatric medications, admit patients with other psychiatric disorders, and have a lower caseload of African-American patients.
Generally, patients with co-occurring eating and substance use disorders do not appear to receive structured assessment or treatment for eating disorders in addiction treatment programs. These results highlight the need for education of addiction treatment professionals in assessment of eating disorders.
对由公共资金资助的成瘾治疗项目进行调查，以增进对同时患有饮食失调和物质使用障碍者治疗方案的了解。
2002年至2004年期间，通过对全国范围内具有代表性的351个成瘾治疗项目的项目主管进行面对面访谈收集数据。
一半的项目对患者进行饮食失调筛查；29%的项目接纳所有饮食失调患者，48%的项目接纳病情较轻的饮食失调患者。很少有项目尝试治疗饮食失调。接纳并治疗饮食失调患者的项目更有可能强调成瘾的医学-精神病学模式、使用精神科药物、接纳患有其他精神障碍的患者，并且非裔美国患者的病例量较低。
一般来说，同时患有饮食失调和物质使用障碍的患者在成瘾治疗项目中似乎并未接受针对饮食失调的结构化评估或治疗。这些结果凸显了对成瘾治疗专业人员进行饮食失调评估教育的必要性。
