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Eating Disorders Raise Substance Abuse Risks
Eating Disorders Raise Substance Abuse Risks
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p to one-half of individuals with eating disorders abuse alcohol or illicit drugs, compared to 9 percent of the general population, according to “Food for Thought: Substance Abuse and Eating Disorders,” the first comprehensive examination of the link between substance abuse and eating disorders. Conversely, up to 35 percent of alcohol or illicit drug abusers have eating disorders compared to 3 percent of the general population, says the 73-page report released by The National Center on Addiction and Substance Abuse (CASA) at Columbia University. “For many young women, eating disorders like anorexia and bulimia are joined at the hip with smoking, binge drinking and illicit drug use,” say the authors of the report. “This lethal link between substance abuse and eating disorders sends a signal to parents, teachers and health professionals—where you see the smoke of eating disorders, look for the fire of substance abuse and vice versa.” The exhaustive report finds anorexia nervosa and bulimia nervosa as the eating disorders most commonly linked to substance abuse and for the first time identifies the shared risk factors and shared characteristics of both afflictions. Those shared risk factors include: • • • • • •
Occur in times of transition or stress Common brain chemistry Common family history Low self-esteem, depression, anxiety, impulsivity History of sexual or physical abuse Unhealthy parental behaviors and low monitoring of children’s activities • Unhealthy peer norms and social pressures • Susceptibility to messages from advertising and entertainment media According to the report, the shared characteristics include: • Obsessive preoccupation, craving, compulsive behavior, secretiveness, rituals • Experience mood-altering effects, social isolation • Linked to other psychiatric disorders, suicide • Difficult to treat, life threatening • Chronic diseases with high relapse rates • Require intensive therapy The report lists caffeine, tobacco, alcohol, diuretics, laxatives, emetics, amphetamines, cocaine and heroin as substances used to suppress appetite, increase metabolism,
February | March 2004
purge unwanted calories and self-medicate negative emotions. The report found that because health professionals often overlook the link between substance abuse and eating disorders, treatment options are virtually nonexistent for these co-occurring conditions. “The public health community, parents and policy makers must educate our children about healthy body images from a very young age, and treatment and prevention programs must address the common co-occurrence of substance abuse and eating disorders,” stated Susan Foster, vice president and director of policy research and analysis at CASA, who spearheaded the project. “Advertisers put children at greater risk of developing an eating disorder through the portrayal of unrealistic body images,” the report noted. “The average American woman is 5’4” tall and weighs approximately 140 pounds, but the average model that purportedly epitomizes our standard of beauty is 5’11” tall and weighs 117 pounds.” The report found that women’s magazines contain more than 10 times more ads and articles related to weight loss than men’s magazines, which is the same gender ratio reported for eating disorders. The report finds that while only 15 percent of girls are overweight, 40 percent of girls in grades one through five and 62 percent of teenage girls are trying to loose weight. These girls are especially vulnerable to eating disorders and related substance abuse problems. Other findings noted within the report include: • Middle school girls (10- to 14-year-olds) who diet more than once a week are nearly four times likelier to become smokers • Girls with eating disorder symptoms are almost four times likelier to use inhalants and cocaine • 12.6 percent of female high school students take diet pills, powders or liquids to control their weight without a professional’s advice • Bulimic women who are alcohol dependent report a higher rate of suicide attempts, anxiety, personality and conduct disorders and other drug dependence than bulimic women who are not alcohol dependent • Hispanic girls are slightly more likely than Caucasian girls and significantly more likely than African American girls to report having fasted for 24 hours or more and having vomited or taken laxatives to lose weight To access the full report, go to www.casacolumbia.org.
AWHONN Lifelines
21
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p to one-half of individuals with eating disorders abuse alcohol or illicit drugs, compared to 9 percent of the general population, according to “Food for Thought: Substance Abuse and Eating Disorders,” the first comprehensive examination of the link between substance abuse and eating disorders. Conversely, up to 35 percent of alcohol or illicit drug abusers have eating disorders compared to 3 percent of the general population, says the 73-page report released by The National Center on Addiction and Substance Abuse (CASA) at Columbia University. “For many young women, eating disorders like anorexia and bulimia are joined at the hip with smoking, binge drinking and illicit drug use,” say the authors of the report. “This lethal link between substance abuse and eating disorders sends a signal to parents, teachers and health professionals—where you see the smoke of eating disorders, look for the fire of substance abuse and vice versa.” The exhaustive report finds anorexia nervosa and bulimia nervosa as the eating disorders most commonly linked to substance abuse and for the first time identifies the shared risk factors and shared characteristics of both afflictions. Those shared risk factors include: • • • • • •
Occur in times of transition or stress Common brain chemistry Common family history Low self-esteem, depression, anxiety, impulsivity History of sexual or physical abuse Unhealthy parental behaviors and low monitoring of children’s activities • Unhealthy peer norms and social pressures • Susceptibility to messages from advertising and entertainment media According to the report, the shared characteristics include: • Obsessive preoccupation, craving, compulsive behavior, secretiveness, rituals • Experience mood-altering effects, social isolation • Linked to other psychiatric disorders, suicide • Difficult to treat, life threatening • Chronic diseases with high relapse rates • Require intensive therapy The report lists caffeine, tobacco, alcohol, diuretics, laxatives, emetics, amphetamines, cocaine and heroin as substances used to suppress appetite, increase metabolism,
February | March 2004
purge unwanted calories and self-medicate negative emotions. The report found that because health professionals often overlook the link between substance abuse and eating disorders, treatment options are virtually nonexistent for these co-occurring conditions. “The public health community, parents and policy makers must educate our children about healthy body images from a very young age, and treatment and prevention programs must address the common co-occurrence of substance abuse and eating disorders,” stated Susan Foster, vice president and director of policy research and analysis at CASA, who spearheaded the project. “Advertisers put children at greater risk of developing an eating disorder through the portrayal of unrealistic body images,” the report noted. “The average American woman is 5’4” tall and weighs approximately 140 pounds, but the average model that purportedly epitomizes our standard of beauty is 5’11” tall and weighs 117 pounds.” The report found that women’s magazines contain more than 10 times more ads and articles related to weight loss than men’s magazines, which is the same gender ratio reported for eating disorders. The report finds that while only 15 percent of girls are overweight, 40 percent of girls in grades one through five and 62 percent of teenage girls are trying to loose weight. These girls are especially vulnerable to eating disorders and related substance abuse problems. Other findings noted within the report include: • Middle school girls (10- to 14-year-olds) who diet more than once a week are nearly four times likelier to become smokers • Girls with eating disorder symptoms are almost four times likelier to use inhalants and cocaine • 12.6 percent of female high school students take diet pills, powders or liquids to control their weight without a professional’s advice • Bulimic women who are alcohol dependent report a higher rate of suicide attempts, anxiety, personality and conduct disorders and other drug dependence than bulimic women who are not alcohol dependent • Hispanic girls are slightly more likely than Caucasian girls and significantly more likely than African American girls to report having fasted for 24 hours or more and having vomited or taken laxatives to lose weight To access the full report, go to www.casacolumbia.org.
AWHONN Lifelines
21