Holderness C C, Brooks-Gunn J, Warren M P
St. Luke's-Roosevelt Hospital, New York, NY 10019.
Int J Eat Disord. 1994 Jul;16(1):1-34. doi: 10.1002/1098-108x(199407)16:1<1::aid-eat2260160102>3.0.co;2-t.
The comorbidity of eating disorders and substance use and abuse has frequently been reported in the past 15 years. To date, however, no synthesis of this literature exists. Here, 51 studies reporting on these associations are reviewed. Studies of substance use and abuse in eating disordered women are considered, as are studies of eating disorders among women classified as substance abusers. The rates of substance abuse among eating disordered women are also examined. This review indicates that associations are stronger with bulimia, and "bulimic" behaviors, than with anorexia nervosa. Analogously, bulimic anorectics report more substance use and abuse than restricters. The prevalence of drug abuse was not found to differ between the relatives of bulimics and anorectics. Several mechanisms explaining the eating disorder-substance use/abuse link are considered, and suggestions for future research made.
在过去15年里，饮食失调与物质使用及滥用的共病现象屡有报道。然而，迄今为止，尚无对该文献的综合分析。在此，对51项报告这些关联的研究进行综述。研究了饮食失调女性的物质使用及滥用情况，以及被归类为物质滥用者的女性中的饮食失调情况。还考察了饮食失调女性中的物质滥用率。该综述表明，与神经性贪食症及“贪食症”行为的关联比与神经性厌食症的更强。类似地，贪食型神经性厌食症患者报告的物质使用及滥用情况比节食型患者更多。未发现贪食症患者和神经性厌食症患者的亲属之间药物滥用的患病率存在差异。考虑了几种解释饮食失调与物质使用/滥用之间联系的机制，并对未来研究提出了建议。
