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Eating Disorder Behaviours and Substance Use in Women Attending Treatment for Substance Use Disorders: a Latent Class Analysis

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Abstract

Women with substance use disorders have a greater prevalence of eating disorders which can interfere with long-term recovery. In a sample of women (N = 1099) attending treatment centres for substance use issues, this study identified three distinct classes based on substance type and eating disorder (ED) behaviours using latent class analysis. Class 1 (29.5%) had the highest rates of ED behaviours, methamphetamine and tobacco use. Class 2 (60.5%) had some weight-related concerns and 100% tobacco use. Class 3 (9.9%) had some weight-related concerns, and 78.0% reported alcohol as the main substance of use. Compared to women in Classes 2 and 3, women in Class 1 had higher rates of lifetime physical and sexual abuse, and the poorest quality of life. Most women in treatment have weight-related concerns, a subset has more severe clinical profiles with significant co-morbidity. Tailoring treatment to address ED concerns in women may improve treatment outcomes.

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A/Prof Kelly holds research consultancies with The Salvation Army and conducts ongoing collaborative research with The Salvation Army.

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Robinson, L.D., Kelly, P.J., Larance, B.K. et al. Eating Disorder Behaviours and Substance Use in Women Attending Treatment for Substance Use Disorders: a Latent Class Analysis. Int J Ment Health Addiction 20, 2006–2023 (2022). https://doi.org/10.1007/s11469-021-00497-z

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