{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:43:17Z","timestamp":1790786597484,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,9,29]],"date-time":"2015-09-29T00:00:00Z","timestamp":1443484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The major aim of this study was to investigate any association between binge eating and purging and alcohol and substance use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The Eating Disorder Questionnaire was completed by 2966 patients. Each patient was assigned to an approximate diagnostic group based on a DSM\u20105\u2010based algorithm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients with bulimia nervosa (BN) used alcohol\/other substances with higher frequencies compared to patients with anorexia nervosa\u2010restricting type (AN\u2010R), binge eating disorder (BED), and eating disorder not otherwise specified (EDNOS; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Patients with anorexia nervosa\u2010binge eating\/purging type (AN\u2010BP) were more likely to use alcohol\/substances than those with AN\u2010R [odds ratio for alcohol use: 3.58 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01); odds ratio for substance use: 30.14 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01)]. Higher frequencies of binge eating and purging were associated with higher frequencies of substance use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Patients who manifest both binge eating and purging behaviour are at higher risk of substance use which may have important treatment implications. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd and Eating Disorders Association.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2410","type":"journal-article","created":{"date-parts":[[2015,9,29]],"date-time":"2015-09-29T08:46:47Z","timestamp":1443516407000},"page":"531-536","source":"Crossref","is-referenced-by-count":87,"title":["Prevalence of Alcohol and Other Substance Use in Patients with Eating Disorders"],"prefix":"10.1002","volume":"23","author":[{"given":"Farnaz","family":"Fouladi","sequence":"first","affiliation":[{"name":"College of Pharmacy, Nursing, and Allied Sciences North Dakota State University  Fargo ND USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James E.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute  Fargo ND USA"},{"name":"University of North Dakota School of Medicine and Health Sciences  Grand Forks ND USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute  Fargo ND USA"},{"name":"University of North Dakota School of Medicine and Health Sciences  Grand Forks ND USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott G.","family":"Engel","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute  Fargo ND USA"},{"name":"University of North Dakota School of Medicine and Health Sciences  Grand Forks ND USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Crow","sequence":"additional","affiliation":[{"name":"University of Minnesota  Minneapolis MN USA"},{"name":"The Emily Program  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Hill","sequence":"additional","affiliation":[{"name":"The Center for Balanced Living  Columbus OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Le Grange","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California  San Francisco USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Powers","sequence":"additional","affiliation":[{"name":"University of South Florida  Tampa FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine J.","family":"Steffen","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Nursing, and Allied Sciences North Dakota State University  Fargo ND USA"},{"name":"Neuropsychiatric Research Institute  Fargo ND USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,29]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u20105","author":"APA","year":"2013"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20856"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000221254.77675.f5"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.936"},{"key":"e_1_2_5_6_1","volume-title":"Food for thought: Substance abuse and eating disorders","author":"CASA","year":"2003"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000268106"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(200003)27:2<180::AID-EAT6>3.0.CO;2-Z"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3181927389"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3663"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-007-0184-x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.152.7.1052"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004060170047"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-289"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.173.1.11"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2009.12.016"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199407)16:1<1::AID-EAT2260160102>3.0.CO;2-T"},{"key":"e_1_2_5_19_1","volume-title":"IBM SPSS statistics for windows (Version 21)","author":"IBM Corp","year":"2012"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00491-9"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.04.015"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.01.015"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483348964"},{"key":"e_1_2_5_24_1","first-page":"1263","volume-title":"Principle of addiction medicine","author":"Merlo L. 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