Comorbidity of Alcohol Abuse Disorders and Bulimia
Table of Contents
1. Introduction 3
2. Frequency of Co-Morbidity between Bulimia and AUD 4
3. Reasons for the Possible Co-Morbidity of Bulimia and AUD 4
3.1. Shared Etiologies 4 3.1.1. Personality traits: 4 3.1.2. Family History 5 3.1.3. Biological Vulnerability 5
3.2. Casual Etiology Group 6 3.2.1. Self Medication 6 3.2.2. Food Deprivation 6 3.2.3. Bulimic Behaviours 6
4. Treatment for Bulimia and AUD 6
4.1. Treatment Approach 6
4.2. Specific Treatment Plan 7
5. Conclusion 8
6. References 9
“Substance abuse and eating disorders have the highest mortality risks of all mental disorders and half of all clients with eating disorders abuse alcohol or illicit drugs” (Carbaugh & Sias, 2010, p. 125).
Clients with Eating Disorders are already at an increased risk for mortality, so alcohol or drug abuse places additional dangers onto this group. A study by Suzuki, Takeda, and Yoshino (2011) into mortality rates of patients with eating disorders, found the mortality of eating disorder patients with alcoholism were significantly higher than those without.
Eating Disorders (ED) are psychological disorders, characterized by and resulting in severe disturbances in eating behaviors, and can subdivided into Anorexia Nervosa (AN), Bulimia Nervosa (Bulimia), Binge–Eating Disorder (BED), and Eating disorder not otherwise specified (Palme, 2008).
Alcohol Use Disorder (AUD) is a substance abuse disorder, where the individual’s consumption of alcohol is great enough to damage or adversely affect their daily functioning and/or becomes a prerequisite for normal functioning (Gordon, 2008). AUD are subdivided into alcohol abuse and alcohol dependence disorders (Gordon, 2008).
Research into the co-morbidity of AUD and ED suggests AUD occurs more frequently with Bulimia than Anorexia (Kane. 1999). The National
References: Eating Disorders and Substance Abuse (2010, June 21). Addiction Treatment Magazine. Retrieved on September 30, 2011, from http://www.addictiontreatmentmagazine.com/addiction-treatment/eating-disorders-and-substance-abuse/ Baker, J.H., Mitchell, K.S., Neale, M.C., & Kendler, K.S Beary, M.D. Lacey, J.H., Merry, J. (1986) Alcoholism and Eating Disorders in Women of Fertile Age Bulik, C.M & Brinded, E.C. (1993). The effect of food deprivation on alcohol consumption in bulimic and control woman. Addiction, 88, 1545 – 1551. Retrieved on September 27, 2010, from EBSCO Host Global Database. Bulik C.M., Klump K.L , Thornton L, Kaplan A.S., Devlin, B., Fichter, M.M. Fichter, M.D. Halmi, K. A, Strober M., Woodside, D.B, Crow, S., Mitchell, J.E., Rotondo, M., Mauri, M., Cassano, G.B. Keel, P.K. Berrettini, W.H., & Kaye, W.H. , (2004). Bulik, C. M., & Sullivan, P. F., (1993). Co-morbidity of bulimia and substance abuse: Perceptions of family of origin. International Journal of Eating Disorders, 13 (1), p49-56. Retrieved October 02, 2011 from EBSCO Host Global Database. Carbaugh, R. J., & Sias, S. M. (2010, Apr). Theory and Practice of Counselling and Psychotherapy, Belmont, CA, USA: Brooks/Cole Dansky, B.S & Brewerton, T.D (2000) Co morbidity of Bulimia Nervosa and Alcohol Use Disorders: Results from the National Women 's Study. International Journal of Eating Disorders, 27(2), p180-190. Retrieved September 28, 2011 from EBSCO Host Global Database. Froehlich, J.C. (1997) Opioid Peptides Franko, D. L., Dorer D. J., Keel P. K., Jackson S., Manzo M. P., & Herzog D. B. (2005). How do eating disorders and alcohol use disorder influence each other? The International Journal of Eating Disorders, 38, p. 200-7. Retrieved October 02, 2011, from the EBSCO Host Global Database. Goldbloom, D.S., Naranjo, C.A.,& Bremner, K.E.. (1992). Eating disorders and alcohol abuse in Woman. The British Journal of Addiction, 87, p. 913 -920. Retrieved October 02, 2011, from EBSCO Host Global Database Gordon, A Eating Disorders and Alcohol Use Disorders. National Institute of Alcohol Abuse and Alcoholism. Retrieved September, 29, 2011, from http://pubs.niaaa.nih.gov/publications/arh26-2/151-160.htm. Kane, A. (1999). Substance Misuse and Alcoholism amongst Women with Eating Disorders. Retrieved on the September 29, 2011 from http://www.vanderbilt.edu/ans/psychology/health_psychology/saed.htm Kane, T., Loxton, P., & Dawe, S Does the tendency to act impulsively underlie binge eating and alcohol use problems? An empirical investigation. Personality and Individual Differences, 36(1), p.83-94. Retrieved on October 04, 2011, from Science Direct Hub. National Institute on Drug Abuse and Alcoholism (2011). Co morbidity: Addiction and Other Mental Disorders. Retrieved on September 27, 2011, from http://www.drugabuse.gov/PDF/Infofacts/Comorbidity.pdf Osterhout, C., Scher, L., Hilty, D., & Yager, J Bulimia Nervosa Clinical Presentation. Retrieved October 03, 2011, from http://emedicine.medscape.com/article/286485-clinical Palme, G Bulimia Nervosa: A Primary Care Review. The Journal of Clinical Psychiatry, 5(5), 217–224. Retrieved on September 26, 2011 from U.S Shepphird, S. F.(2008). Dialectical Behavior Therapy for Eating Disorders. Retrieved on October 01, 2011, from http://www.eatingdisordersblogs.com/treatment_notes/2008/05/dialectical-beh.h Stice, E., Burton, E., & Shaw, H Suzuki,K, Takeda, A, & Yoshino, A. (2011).