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Japanese

Eating Disorders in Female Substance Use Disorders:A preliminary research on the relationship of substances and eating behaviors Toshihiko MATSUMOTO 1 , Akiko YAMAGUCHI 2 , Atsushi KAMIJO 3 , Kenichi MINAMI 3 , Keiko ENDO 3 , Tatsuo YABANA 3 , Hideji KISHIMOTO 3 , Kenji KOSAKA 1 1Department of Psychiatry, Yokohama City University School of Medicine 2Student Counseling Room, Yokohama City University 3Kanagawa Psychiatric Center, Serigaya Hospital Keyword: Substance dependence , Eating disorders , Multi-impulsive bulimia , Self-mutilation , Female pp.119-127
Published Date 2003/2/15
DOI https://doi.org/10.11477/mf.1405100633
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 The authors studied the prevalence of DSM-IV eating disorders (ED) and the subtypes of ED in 219 female patients with substance use disorders, who had had first consultation at Kanagawa Psychiatric Center, Serigaya Hospital from January 2000 to August 2001. The result was that it was found that the prevalence of ED in all subjects was26%, and their ED subtypes consisted of anorexia nervosa (3.5%), bulimia nervosa (66.7%), and ED, not otherwise specified (29.8%). Comparing the various main substances abused, the prevalence of ED was highest in methamphetamine (MAP) abusers (37%), which was significantly higher than in alcohol abusers (18.8%, p<0.02) and toluene abusers (9.5%, p<0.01).

 A distinctive feature of MAP abusers with ED (MAPED) was that, when they were divided into subtypes, approximately 40% of them were classified as “bulimia nervosa, non-purging type”. This percentage was significantly higher that that found in abusers of other substances, who also suffered from ED. On the other hand, the prevalence of multi-impulsive bulimia (ED with more than one episode of self-mutilation and overdosing) was highest in benzodiazepine abusers (27%). Based on these results, the pharmacological effects of the abused substances on ED symptoms were discussed.


Copyright © 2003, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

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