National Drug Abuse Treatment 

  PROTOCOL NIDA-CTN-0015-A-1


Survey of Eating Disorder Symptoms among Women in Treatment for Substance Abuse Disorders

Lisa Cohen, Ph.D.
Lead Investigator

New York State Psychiatric Institute
City College of New York
North Academic Campus Room 8-132B
New York, NY 10031
lc2130@columbia.edu

 

This ancillary study is related to CTN-0015, "Women's Treatment for Trauma and Substance Use Disorders," and CTN-0019, "Reducing HIV/STD Risk Behaviors: A Research Study for Women in Drug Abuse Treatment."

The primary goal of this study was to assess the prevalence of eating disorder symptoms, their relationship to other symptoms (e.g., substance use disorder and post-traumatic stress disorder symptoms), and their impact on treatment retention and outcome among adult female participants in these two protocols, CTN-0015 (Women and Trauma) and CTN-0019 (Safer Sex for Women). Symptoms will be assessed using a brief screening instrument (the Eating Disorder Examination Questionnaire) at baseline and post-treatment.

Primary Findings (for CTN-0015 analysis): In the study group of women with co-occurring PTSD and substance use disorder (SUD), two subgroups emerged: those reporting binge eating in the 28 days prior to baseline and those who reported no binge eating. Women in the binge eating group had higher eating disorder, PTSD, and depression symptoms than those in the no-binge group. Though both groups showed significant reductions in PTSD during the study, improvements for the binge-eating group were significantly lower, suggesting they respond differently to SUD/PTSD group treatment. Identification of eating disorder symptoms among treatment-seeking women with SUD may be an important element in tailoring interventions and enhancing outcomes.

Primary Outcomes Paper (for CTN-0015 analysis): Cohen LR, Greenfield SF, Gordon SM, et al. Survey of Eating Disorder Symptoms Among Women in Treatment for Substance Abuse. American Journal on Addictions 2010;19(3):245-251. [read more]

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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