{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T15:57:35Z","timestamp":1783180655230,"version":"3.54.6"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,4,1]],"date-time":"2016-04-01T00:00:00Z","timestamp":1459468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AA\u201008315"],"award-info":[{"award-number":["AA\u201008315"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AA\u201012502"],"award-info":[{"award-number":["AA\u201012502"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AA\u201000145"],"award-info":[{"award-number":["AA\u201000145"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Eating disorders and alcohol use disorders often co\u2010occur, but few prospective studies have examined their relationship. Using a large population\u2010based twin sample, we investigated how the drinking behaviors of women with lifetime eating disorders unfold from adolescence to adulthood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We identified 182 women with a lifetime eating disorder assessed at mean age 24, including 92 women with DSM\u20105 anorexia nervosa and 58 women with DSM\u20105 bulimia nervosa, from the 1975\u20131979 birth cohorts of Finnish twins (<jats:italic>N<\/jats:italic>\u2009=\u20092,825 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 Malm\u00f6\u2010modified Michigan Alcohol Screening Test (Mm\u2010Mast) and the Rutgers Alcohol Problem Index (RAPI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At age 16, proportionately more women with eating disorders reported being severely intoxicated when they last drank (25% vs.16%, <jats:italic>P<\/jats:italic>\u2009=\u20090.001), and at both surveys in adulthood, they reported more frequent intoxication and more alcohol\u2010related problems than their unaffected peers. Those who had recovered from their eating disorder at age 24 still reported more alcohol\u2010related 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Women with eating disorders scored higher than their unaffected peers on scales measuring alcohol dependence, alcohol\u2010related problems, and intoxication. These differences persisted from mid\u2010adolescence into young adulthood. Women with eating disorders should be assessed routinely for drinking behaviors. \u00a9 2016 Wiley Periodicals, Inc. 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