A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Risky drinking behaviors among women with eating disorders - a longitudinal community-based study
Tekijät: Mustelin L, Latvala A, Raevuori A, Rose RJ, Kaprio J, Keski-Rahkonen A
Kustantaja: WILEY-BLACKWELL
Julkaisuvuosi: 2016
Journal: International Journal of Eating Disorders
Tietokannassa oleva lehden nimi: INTERNATIONAL JOURNAL OF EATING DISORDERS
Lehden akronyymi: INT J EAT DISORDER
Vuosikerta: 49
Numero: 6
Aloitussivu: 563
Lopetussivu: 571
Sivujen määrä: 9
ISSN: 0276-3478
eISSN: 1098-108X
DOI: https://doi.org/10.1002/eat.22526
Tiivistelmä
ObjectiveEating disorders and alcohol use disorders often co-occur, but few prospective studies have examined their relationship. Using a large population-based twin sample, we investigated how the drinking behaviors of women with lifetime eating disorders unfold from adolescence to adulthood.MethodWe identified 182 women with a lifetime eating disorder assessed at mean age 24, including 92 women with DSM-5 anorexia nervosa and 58 women with DSM-5 bulimia nervosa, from the 1975-1979 birth cohorts of Finnish twins (N=2,825 women). Frequency of drinking and intoxicating were assessed at ages 16, 24, and 34. Drinking problems were assessed at ages 24 and 34 by the Malmo-modified Michigan Alcohol Screening Test (Mm-Mast) and the Rutgers Alcohol Problem Index (RAPI).ResultsAt age 16, proportionately more women with eating disorders reported being severely intoxicated when they last drank (25% vs.16%, P=0.001), and at both surveys in adulthood, they reported more frequent intoxication and more alcohol-related problems than their unaffected peers. Those who had recovered from their eating disorder at age 24 still reported more alcohol-related problems in their 30s than did other women. The age of drinking onset, number of monthly drinking days, or frequency of intoxication in adolescence did not differ between women with lifetime eating disorders and unaffected women.DiscussionWomen with eating disorders scored higher than their unaffected peers on scales measuring alcohol dependence, alcohol-related problems, and intoxication. These differences persisted from mid-adolescence into young adulthood. Women with eating disorders should be assessed routinely for drinking behaviors. (c) 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:563-571)
ObjectiveEating disorders and alcohol use disorders often co-occur, but few prospective studies have examined their relationship. Using a large population-based twin sample, we investigated how the drinking behaviors of women with lifetime eating disorders unfold from adolescence to adulthood.MethodWe identified 182 women with a lifetime eating disorder assessed at mean age 24, including 92 women with DSM-5 anorexia nervosa and 58 women with DSM-5 bulimia nervosa, from the 1975-1979 birth cohorts of Finnish twins (N=2,825 women). Frequency of drinking and intoxicating were assessed at ages 16, 24, and 34. Drinking problems were assessed at ages 24 and 34 by the Malmo-modified Michigan Alcohol Screening Test (Mm-Mast) and the Rutgers Alcohol Problem Index (RAPI).ResultsAt age 16, proportionately more women with eating disorders reported being severely intoxicated when they last drank (25% vs.16%, P=0.001), and at both surveys in adulthood, they reported more frequent intoxication and more alcohol-related problems than their unaffected peers. Those who had recovered from their eating disorder at age 24 still reported more alcohol-related problems in their 30s than did other women. The age of drinking onset, number of monthly drinking days, or frequency of intoxication in adolescence did not differ between women with lifetime eating disorders and unaffected women.DiscussionWomen with eating disorders scored higher than their unaffected peers on scales measuring alcohol dependence, alcohol-related problems, and intoxication. These differences persisted from mid-adolescence into young adulthood. Women with eating disorders should be assessed routinely for drinking behaviors. (c) 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:563-571)
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