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Eating Disorder Behaviours and Substance Use in Women Attending Treatment for Substance Use Disorders: a Latent Class Analysis

Journal Article


Abstract


  • Women with substance use disorders have a greater prevalence of eating disorders which can interfere with long-term recovery. In a sample of women (N = 1099) attending treatment centres for substance use issues, this study identified three distinct classes based on substance type and eating disorder (ED) behaviours using latent class analysis. Class 1 (29.5%) had the highest rates of ED behaviours, methamphetamine and tobacco use. Class 2 (60.5%) had some weight-related concerns and 100% tobacco use. Class 3 (9.9%) had some weight-related concerns, and 78.0% reported alcohol as the main substance of use. Compared to women in Classes 2 and 3, women in Class 1 had higher rates of lifetime physical and sexual abuse, and the poorest quality of life. Most women in treatment have weight-related concerns, a subset has more severe clinical profiles with significant co-morbidity. Tailoring treatment to address ED concerns in women may improve treatment outcomes.

Publication Date


  • 2021

Citation


  • Robinson, L. D., Kelly, P. J., Larance, B. K., Griffiths, S., & Deane, F. P. (2021). Eating Disorder Behaviours and Substance Use in Women Attending Treatment for Substance Use Disorders: a Latent Class Analysis. International Journal of Mental Health and Addiction. doi:10.1007/s11469-021-00497-z

Scopus Eid


  • 2-s2.0-85102031712

Abstract


  • Women with substance use disorders have a greater prevalence of eating disorders which can interfere with long-term recovery. In a sample of women (N = 1099) attending treatment centres for substance use issues, this study identified three distinct classes based on substance type and eating disorder (ED) behaviours using latent class analysis. Class 1 (29.5%) had the highest rates of ED behaviours, methamphetamine and tobacco use. Class 2 (60.5%) had some weight-related concerns and 100% tobacco use. Class 3 (9.9%) had some weight-related concerns, and 78.0% reported alcohol as the main substance of use. Compared to women in Classes 2 and 3, women in Class 1 had higher rates of lifetime physical and sexual abuse, and the poorest quality of life. Most women in treatment have weight-related concerns, a subset has more severe clinical profiles with significant co-morbidity. Tailoring treatment to address ED concerns in women may improve treatment outcomes.

Publication Date


  • 2021

Citation


  • Robinson, L. D., Kelly, P. J., Larance, B. K., Griffiths, S., & Deane, F. P. (2021). Eating Disorder Behaviours and Substance Use in Women Attending Treatment for Substance Use Disorders: a Latent Class Analysis. International Journal of Mental Health and Addiction. doi:10.1007/s11469-021-00497-z

Scopus Eid


  • 2-s2.0-85102031712