Abstract
Purpose
We aimed to determine the prevalence estimates of binge eating disorder, bulimia nervosa, anorexia nervosa, and food addiction in men with heroin use disorder and a matched sample of control participants.
Methods
A group of 100 men with heroin use disorder, consecutively admitted to a detoxification and therapy unit, were screened for DSM-5 eating disorders, along with a group of 100 male controls of similar age, education, and body mass index. The Yale Food Addiction Scale (YFAS), the Barratt Impulsivity Scale-version 11, and the Eating Attitudes Test were used for data collection. Patients were also evaluated for various aspects of heroin use disorder (e.g., craving) using the Addiction Profile Index.
Results
Binge eating disorder that met DSM5 criteria was more prevalent in patients with heroin use disorder (21%) than in control subjects (8%) (odds ratio 3.1, 95% confidence interval 1.3–7.3; p < 0.01). Food addiction based on the YFAS was also more common among men with heroin use disorder (28%) than among control participants (12%) (odds ratio 2.9, 95% confidence interval 1.4–6.1; p < 0.01). A current food addiction was associated with more severe craving and having a history of suicide attempts in the patients.
Conclusions
Co-occurring binge eating disorder and food addiction are highly frequent in men with heroin use disorder. Screening for binge eating disorder and food addiction in patients with substance use disorder is important, as interventions may improve treatment outcome in this patient group.
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References
Yach D, Stuckler D, Brownell KD (2006) Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med 12:62–66. doi:10.1038/nm0106-62
Davis C, Patte K, Levitan R, Reid C, Tweed S, Curtis C (2007) From motivation to behaviour: a model of reward sensitivity, overeating, and food preferences in the risk profile for obesity. Appetite 48:12–19. doi:10.1016/j.appet.2006.05.016
Davis C, Carter JC (2009) Compulsive overeating as an addiction disorder. A review of theory and evidence. Appetite 53:1–8. doi:10.1016/j.appet.2009.05.018
Gearhardt AN, Davis C, Kuschner R, Brownell KD (2011) The addiction potential of hyperpalatable foods. Curr Drug Abus Rev 4:140–145. doi:10.1016/j.appet.2009.05.018
Carlier N, Marshe VS, Cmorejova J, Davis C, Müller DJ (2015) Genetic Similarities between Compulsive Overeating and Addiction Phenotypes: A Case for “Food Addiction”? Curr Psychiatr Rep 17:96. doi:10.1007/s11920-015-0634-5
Albayrak O, Wölfle SM, Hebebrand J (2012) Does food addiction exist? A phenomenological discussion based on the psychiatric classification of substance-related disorders and addiction. Obes Facts 5:165–179. doi:10.1159/000338310
Ziauddeen H, Fletcher PC (2013) Is food addiction a valid and useful concept? Obes Rev 14:19–28. doi:10.1111/j.1467-789X.2012.01046.x
Ifland JR, Preuss HG, Marcus MT, Rourke KM, Taylor WC, Burau K, Jacobs WS, Kadish W, Manso G (2009) Refined food addiction: a classic substance use disorder. Med Hypotheses 72:518–526. doi:10.1016/j.mehy.2008.11.035
Gearhardt AN, Corbin WR, Brownell KD (2009) Preliminary validation of the Yale Food Addiction Scale. Appetite 52:430–436. doi:10.1016/j.appet.2008.12.003
Higuchi S, Suzuki K, Yamada K, Parrish K, Kono H (1993) Alcoholics with eating disorders: prevalence and clinical course. A study from Japan. Br J Psychiatry 162:403–406. doi:10.1192/bjp.162.3.403
Corcos M, Nezelof S, Speranza M, Topa S, Girardon N, Guilbaud O, Taïeb O, Bizouard P, Halfon O, Venisse JL, Perez-Diaz F, Flament M, Jeammet P (2001) Psychoactive substance consumption in eating disorders. Eat Behav 2:27–38. doi:10.1016/S1471-0153(00)00021-0
Gadalla T, Piran N (2007) Co-occurrence of eating disorders and alcohol use disorders in women: a meta analysis. Arch Womens Ment Health 10:133–140. doi:10.1007/s00737-007-0184-x
Schuckit MA, Tipp JE, Anthenelli RM, Bucholz KK, Hesselbrock VM, Nurnberger JI Jr (1996) Anorexia nervosa and bulimia nervosa in alcohol-dependent men and women and their relatives. Am J Psychiatry 153:74–82. doi:10.1176/ajp.153.1.74
Stock SL, Goldberg E, Corbett S, Katzman DK (2002) Substance use in female adolescents with eating disorders. Adolesc Health 31(2):176–182. doi:10.1016/S1054-139X(02)00420-2
Nøkleby H (2012) Comorbid drug use disorders and eating disorders—a review of prevalence studies. Nord Stud Alcohol Drugs 29:303–314. doi:10.2478/v10199-012-0024-9
Hudson JI, Hiripi E, Pope HG Jr, Kessler RC (2007) The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 61:348–358. doi:10.1016/j.biopsych.2006.03.040
Hudson JI, Weiss RD, Pope HG Jr, McElroy SK, Mirin SM (1992) Eating disorders in hospitalized substance abusers. Am J Drug Alcohol Abus 18:75–85. doi:10.3109/00952999209001613
Courbasson CM, Smith PD, Cleland PA (2005) Substance use disorders, anorexia, bulimia, and concurrent disorders. Can J Public Health 96:102–106
Peveler R, Fairburn C (1990) Eating disorders in women who abuse alcohol. Br J Addict 85:1633–1638. doi:10.1111/j.1360-0443.1990.tb01653.x
Taylor AV, Peveler RC, Hibbert GA, Fairburn CG (1993) Eating disorders among women receiving treatment for an alcohol problem. Int J Eat Disord 14:147–151. doi:10.1002/1098-108X(199309)14:2<147::AID-EAT2260140204>3.0.CO;2-5
Grilo CM, Levy KN, Becker DF, Edell WS, McGlashan TH (1995) Eating disorders in female inpatients with versus without substance use disorders. Addict Behav 20:255–260. doi:10.1016/0306-4603(94)00065-4
Root TL, Pisetsky EM, Thornton L, Lichtenstein P, Pedersen NL, Bulik CM (2010) Patterns of co-morbidity of eating disorders and substance use in Swedish females. Psychol Med 40:105–115 doi:10.1017/S0033291709005662
Ross HE, Ivis F (1999) Binge eating and substance use among male and female adolescents. Int J Eat Disord 26:245–260. doi:10.1002/(SICI)1098-108X(199911)26:3<245::AID-EAT2>3.0.CO;2-R
Gadalla TM (2008) Psychiatric comorbidity in eating disorders: a comparison of men and women. J Men Health 5:209–217. doi:10.1016/j.jomh.2008.06.033
Strother E, Lemberg R, Stanford SC, Turberville D (2012) Eating disorders in men: underdiagnosed, undertreated, and misunderstood. Eat Disord 20:346–355. doi:10.1080/10640266.2012.715512
Canan F, Kuloglu M, Guven M, Gecici O (2015) Reliability and validity of the Turkish Version of the Clinical Opiate Withdrawal Scale (COWS). Klin Psikofarmakol Bulteni-Bull Clin Psychopharmacol 25:267–271. doi:10.5455/bcp.20150404070711
Ogel K, Evren C, Karadag F, Gurol DT (2012) The development, validity, and reliability of the Addiction Profile Index (API). Turk Psikiyatr Derg 23:263–275
Patton J, Stanford M, Barratt E (1995) Factor structure of the Barratt Impulsiveness Scale. J Clin Psychol 51:151–184. doi:10.1002/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1
Güleç H, Tamam L, Yazıcı Güleç M, Turhan M, Karakuş G, Zengin M, Stanford MS (2008) Psychometric properties of the Turkish version of the Barratt Impulsiveness Scale-11. Klin Psikofarmakol Bulteni-Bull Clin Psychopharmacol 18:251–258
Sevincer GM, Konuk N, Bozkurt S, Saracli O, Coskun H (2015) Psychometric properties of the Turkish version of the Yale Food Addiction Scale among bariatric surgery patients. Anadolu Psikiyatr Derg 16: 44–53. doi:10.5455/apd.174345
Garner DM, Garfinkel PE (1979) Eating attitudes test: an index of the symptoms of anorexia nervosa. Psychol Med 9:273–279 doi:10.1017/S0033291700030762
Savasir I, Erol N (1989) Eating Attitude Scale: anorexia nervosa symptom index. Psikol Derg 7:19–25.
Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) (2013) American Psychiatric Publishing, Inc, Washington, DC.
Smith DG, Robbins TW (2013) The neurobiological underpinnings of obesity and binge eating: a rationale for adopting the food addiction model. Biol Psychiatry 73:804–810. doi:10.1016/j.biopsych.2012.08.026
Gearhardt AN, White MA, Potenza MN (2011) Binge eating disorder and food addiction. Curr Drug Abus Rev 4(3):201–207. doi:10.2174/1874473711104030201
Imperatori C, Innamorati M, Contardi A, Continisio M, Tamburello S, Lamis DA, Tamburello A, Fabbricatore M (2014) The association among food addiction, binge eating severity and psychopathology in obese and overweight patients attending low-energy-diet therapy. Compr Psychiatry 55:1358–1362. doi:10.1016/j.comppsych.2014.04.023
Gearhardt AN, White MA, Masheb RM, Morgan PT, Crosby RD, Grilo CM (2012) An examination of the food addiction construct in obese patients with binge eating disorder. Int J Eat Disord 45:657–663. doi:10.1002/eat.20957
Raymond KL, Lovell GP (2015) Food addiction symptomology, impulsivity, mood, and body mass index in people with type two diabetes. Appetite 95:383–389
Adami GF, Meneghelli A, Scopinaro N (1999) Night eating and binge eating disorder in obese patients. Int J Eat Disord 25:335–338. doi:10.1016/j.appet.2015.07.030
Grucza RA, Przybeck TR, Cloninger CR (2007) Prevalence and correlates of binge eating disorder in a community sample. Compr Psychiatry 48:124–131. doi:10.1016/j.comppsych.2006.08.002
Pedram P, Wadden D, Amini P, Gulliver W, Randell E, Cahill F, Vasdev S, Goodridge A, Carter JC, Zhai G, Ji Y, Sun G (2013) Food addiction: its prevalence and significant association with obesity in the general population. PLoS ONE 8:e74832. doi:10.1371/journal.pone.0074832
Dawe S, Loxton NJ (2004) The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehav Rev 28:343–351. doi:10.1016/j.neubiorev.2004.03.007
Kane TA, Loxtonb NJ, Staigera PK, Dawe S (2004) Does the tendency to act impulsively underlie binge eating and alcohol use problems? An empirical investigation. Personal Individ Differ 36:83–94. doi:10.1016/S0191-8869(03)00070-9
Murphy CM, Stojek MK, MacKillop J (2014) Interrelationships among impulsive personality traits, food addiction, and Body Mass Index. Appetite 73:45–50
Franken IH (2003) Drug craving and addiction: integrating psychological and neuropsychopharmacological approaches. Prog Neuropsychopharmacol Biol Psychiatry 27:563–579. doi:10.1016/j.appet.2013.10.008
Berkson J (1946) Limitations of the application of fourfold table analysis to hospital data. Biometrics 2:47–53. doi:10.2307/3002000
Courbasson C, Nishikawa Y, Dixon L (2012) Outcome of dialectical behaviour therapy for concurrent eating and substance use disorders. Clin Psychol Psychother 19:434–449. doi:10.1002/cpp.748
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Authors Fatih Canan, Servet Karaca, Suna Sogucak, Omer Gecici, and Murat Kuloğlu declare that they have no conflict of interest with respect to the content of this manuscript.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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This article is part of the topical collection on Food addiction.
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Canan, F., Karaca, S., Sogucak, S. et al. Eating disorders and food addiction in men with heroin use disorder: a controlled study. Eat Weight Disord 22, 249–257 (2017). https://doi.org/10.1007/s40519-017-0378-9
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DOI: https://doi.org/10.1007/s40519-017-0378-9