Eating disorders and substance use at a South African tertiary hospital over a 21-year period

The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa
Hannelie WilliamsGerhard P Jordaan

Abstract

Eating disorders (EDs) and substance-related disorders pose a challenge when they co-occur and have implications for patient management. Clinical information on EDs and substance-related disorders as independent disorders is fairly well established in South Africa, but our understanding of the coexistence of these disorders is limited. To determine the prevalence, the concurrent nature and the possible trends of substance use among patients diagnosed with EDs at a South African tertiary hospital over a 21-year period. The ED unit at Tygerberg Hospital, Cape Town, South Africa. We performed a retrospective chart review of 162 patients who were treated for EDs between January 1993 and December 2014. The prevalence of ED subtypes was 40.1% bulimia nervosa (BN), 33.3% EDs not otherwise specified (EDNOS) and 26.5% anorexia nervosa. Most participants (71.0%) used at least one substance. Alcohol was the most prevalent substance of choice (54.8%). Most patients had an additional psychiatric disorder (62.3%), of which major depressive disorder was the most prevalent (46.3%). Apart from the use of alcohol and cannabis, which remained consistent, the use of most other substances as well as the prevalence of BN declined during the study pe...Continue Reading

References

Jun 1, 1992·British Journal of Addiction·D S GoldbloomL K Hicks
Jan 1, 1987·The American Journal of Drug and Alcohol Abuse·C M Bulik
Nov 1, 1994·Psychological Medicine·D L BraunK A Halmi
Jul 1, 1994·The International Journal of Eating Disorders·C C HoldernessM P Warren
Sep 1, 1996·The International Journal of Eating Disorders·M W Wiederman, T Pryor
Jul 24, 1998·Comprehensive Psychiatry·C M BulikV V McIntosh
Dec 16, 1998·The British Journal of Psychiatry : the Journal of Mental Science·E C Harris, B Barraclough
Jan 19, 1999·Archives of General Psychiatry·P K KeelS J Crow
Nov 28, 2002·Eating and Weight Disorders : EWD·I García-VilchesM Katzman
Aug 5, 2003·The International Journal of Eating Disorders·Jennifer JordanCynthia M Bulik
Sep 23, 2003·Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors·Kristin M von RansonWilliam G Iacono
Oct 21, 2003·The International Journal of Eating Disorders·Hans Wijbrand Hoek, Daphne van Hoeken
Mar 6, 2004·Eating Behaviors·Marci E Gluck, Allan Geliebter
Feb 3, 2005·The British Journal of Psychiatry : the Journal of Mental Science·Laura CurrinHershel Jick
Mar 22, 2007·Behaviour Research and Therapy·Christopher G FairburnRobert L Palmer
May 24, 2007·Eating Disorders·Tahany Gadalla, Niva Piran
Sep 20, 2007·The International Journal of Eating Disorders·Debra L Franko
Nov 3, 2010·Substance Use & Misuse·Karl PeltzerNancy Phaswana-Mafuya
Oct 6, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Dasha E NichollsRussell M Viner
Sep 30, 2015·European Eating Disorders Review : the Journal of the Eating Disorders Association·Farnaz FouladiKristine J Steffen
Aug 18, 2016·Current Opinion in Psychiatry·Holly E ErskineKathleen M Pike
Aug 18, 2016·Current Opinion in Psychiatry·Daphne van HoekenHans W Hoek

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.

Related Papers

Handbook of Clinical Neurology
Anushua BhattacharyaC Alix Timko
Advances in Genomics and Genetics
Zeynep YilmazCynthia M Bulik
Expert Review of Clinical Pharmacology
Hubertus Himmerich, Janet Treasure
Maturitas
Agnieszka Podfigurna-StopaBlazej Meczekalski
© 2021 Meta ULC. All rights reserved