Department of Psychology, University of Calgary, Calgary, AB, Canada.
Impulse Control Disorders Outpatient Unit, Institute and Department of Psychiatry, University of São Paulo, São Paulo, Brazil.
Eur Eat Disord Rev. 2018 Sep;26(5):508-518. doi: 10.1002/erv.2606. Epub 2018 May 24.
Preliminary evidence suggests that binge/purge type eating disorders and gambling disorder may commonly co-occur. However, this dual-diagnosis population remains understudied. The present research examined the prevalence rates and correlates of binge/purge type eating disorders (i.e., bulimia nervosa, binge-eating disorder, and anorexia nervosa binge/purge type) among adults seeking treatment for their gambling (N = 349). In total, 11.5% of the sample (n = 40) met criteria for a binge/purge type eating disorder, most commonly bulimia nervosa (n = 33). There was a higher preponderance of binge/purge type eating disorders in women. People with a comorbid binge/purge type eating disorder reported more days gambling, gambling-related cognitive distortions, impulsivity, suicidality, and other current psychiatric comorbidities including addictive behaviours. These findings suggest that binge/purge type eating disorders in people seeking treatment for gambling may be more common than previously believed. Furthermore, the increased psychopathology among people with binge/purge type eating disorder and gambling disorder identify vulnerabilities of this dual-diagnosed population that may require clinical attention.
初步证据表明,暴食/清肠型进食障碍和赌博障碍可能经常同时发生。然而,这一双重诊断人群的研究仍然不足。本研究调查了寻求赌博治疗的成年人中暴食/清肠型进食障碍(即神经性贪食症、暴食症和神经性贪食症/清肠型)的患病率和相关因素(N=349)。在样本中,有 11.5%(n=40)符合暴食/清肠型进食障碍的标准,最常见的是神经性贪食症(n=33)。女性中暴食/清肠型进食障碍的比例更高。患有共病暴食/清肠型进食障碍的人报告称,赌博的天数更多,与赌博相关的认知扭曲、冲动、自杀意念和其他当前的精神共病,包括成瘾行为。这些发现表明,寻求赌博治疗的人中暴食/清肠型进食障碍可能比以前认为的更为常见。此外,暴食/清肠型进食障碍和赌博障碍患者的心理病理增加,表明这一双重诊断人群存在易感性,可能需要临床关注。