Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences, Hospital Clínic Universitari, Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain.
Eur Addict Res. 2010;16(2):61-8. doi: 10.1159/000268106. Epub 2009 Dec 19.
Very few studies have assessed substance use in clinical samples of adolescents with eating disorders (ED). This paper reports the prevalence of regular or risky substance use (RRSU) and substance use disorder (SUD) in adolescents with ED.
The Teen-Addiction Severity Index (T-ASI), the Youth Self-Report (YSR) scale and substance use questionnaires were administered to 95 adolescent patients aged 12-17 years who fulfilled the DSM-IV-TR diagnostic criteria for anorexia nervosa, bulimia nervosa and ED not otherwise specified. All patients were consecutively attended at an Eating Disorders Unit.
14.7% presented SUD related to tobacco, 3.2% to cannabis, 1.1% to alcohol, and 1.1% to other substances. Patients with RRSU-SUD of any substance except tobacco were 34.7%. Patients with RRSU-SUD failed more subjects, repeated more school years and had higher scores on T-ASI scales of problems at school, family function and social relationships, and on YSR scales of delinquent behavior and externalizing problems.
Substance use problems in ED adolescents are frequent and formal screening of them as well as a specific therapeutic approach are necessary.
很少有研究评估过饮食障碍（ED）临床样本中的物质使用情况。本文报告了 ED 青少年中经常或危险的物质使用（RRSU）和物质使用障碍（SUD）的患病率。
对 95 名年龄在 12-17 岁的青少年患者进行了青少年成瘾严重程度指数（T-ASI）、青少年自我报告（YSR）量表和物质使用问卷评估，这些患者符合 DSM-IV-TR 诊断标准的神经性厌食症、神经性贪食症和未特指的 ED。所有患者均连续在饮食失调科就诊。
14.7%的患者存在与烟草有关的 SUD，3.2%的患者存在与大麻有关的 SUD，1.1%的患者存在与酒精有关的 SUD，1.1%的患者存在与其他物质有关的 SUD。除烟草外，任何物质的 RRSU-SUD 患者为 34.7%。有 RRSU-SUD 的患者考试不及格的科目更多，留级更多，在 T-ASI 量表的学校问题、家庭功能和社会关系，以及 YSR 量表的违规行为和外化问题方面得分更高。
ED 青少年的物质使用问题很常见，有必要对他们进行正式筛查和特定的治疗方法。
