Abstract Objective: Comorbid eating disorders (EDs) and ED symptoms are highly prevalent among women with substance use disorders and may be a barrier to recovery. Higher rates of psychiatric illness are common when more than one disorder is present. Yet little is known about the rates and risk factors for EDs/ED symptoms in women attending treatment centers in Australia. The primary aim is to examine the prevalence of ED symptoms among women attending treatment centers. This study also examines past physical and sexual abuse and mental health as specific predictors of EDs/ED symptoms. Methods: Participants were 1,444 women attending residential treatment for substance use issues provided by the Salvation Army in Australia. Measures included the Addiction Severity Index, the Eating Disorder Screen for Primary Care, medication use, hospitalization, mental health, and past abuse. Results: Alcohol was the primary substance of concern for 53.3% of the women, followed by amphetamines (17.5%), and the mean age was 37.83 years (SD = 10.8). Nearly 60% of women screened positive for ED symptoms and 32% reported a previous or current ED. Women with a history of sexual abuse had significantly greater odds (1.96) of positive screening for an ED compared to those without a history of sexual abuse. Similarly, compared to women without a history of physical abuse, those who did have a history had significantly higher odds (1.59) of a positive screen for an ED. These women were also significantly more likely to have had a health care provider recommend they take medications for psychological or emotional problems in the past 30 days, χ2(1) = 8.42, p = .004, and during their lifetime, χ2(1) = 17.89, p < .001. They also had a significantly greater number of overnight hospitalizations for medical problems compared to those who screened negative, t(137) = −2.19, p = .03. Conclusions: Women with comorbid substance use issues and EDs are highly likely to have a history of past abuse. This combination of comorbidities makes treatment and recovery difficult. Increased awareness and research are required to explore integrated approaches to treatment that accommodate these vulnerabilities and improve long-term outcomes.

中文翻译：

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探索接受住宅物质使用治疗的女性饮食失调与心理健康之间的关系

摘要 目的：共病饮食失调 (EDs) 和 ED 症状在患有物质使用障碍的女性中非常普遍，可能是康复的障碍。当存在一种以上的疾病时，精神疾病的发病率较高是常见的。然而，对于在澳大利亚治疗中心就诊的女性的 ED/ED 症状发生率和风险因素知之甚少。主要目的是检查在治疗中心就诊的女性中 ED 症状的患病率。这项研究还检查了过去的身体和性虐待以及心理健康作为 ED/ED 症状的具体预测指标。方法：参与者是 1,444 名参加澳大利亚救世军提供的物质使用问题住院治疗的女性。措施包括成瘾严重程度指数、初级保健饮食障碍筛查、药物使用、住院、心理健康和过去的虐待。结果：酒精是 53.3% 的女性主要关注的物质，其次是安非他明（17.5%），平均年龄为 37.83 岁（SD = 10.8）。近 60% 的女性筛查出 ED 症状呈阳性，32% 的女性报告以前或现在患有 ED。与没有性虐待史的女性相比，有性虐待史的女性进行 ED 筛查的几率要高得多（1.96）。同样，与没有身体虐待史的女性相比，有身体虐待史的女性进行 ED 筛查阳性的几率要高得多（1.59）。这些女性在过去 30 天内也明显更有可能得到医疗保健提供者的建议，她们因心理或情绪问题而服用药物，χ2(1) = 8.42，p = .004，并且在其一生中，χ2(1) = 17.89, p < .001。与筛查结果为阴性的患者相比，他们因医疗问题过夜住院的次数也显着增加，t(137) = -2.19，p = .03。结论：有共病物质使用问题和 ED 的女性很可能有过去的滥用史。这种合并症的组合使治疗和恢复变得困难。需要提高认识和研究，以探索适应这些脆弱性并改善长期结果的综合治疗方法。这种合并症的组合使治疗和恢复变得困难。需要提高认识和研究，以探索适应这些脆弱性并改善长期结果的综合治疗方法。这种合并症的组合使治疗和恢复变得困难。需要提高认识和研究，以探索适应这些脆弱性并改善长期结果的综合治疗方法。