Eating disorders, addictions and substance use disorders : research, clinical and treatment perspectives

Eating disorders, addictions, and substance use disorders are each challenging in their own right, but they also commonly co-occur, causing major challenges for clinicians. Emerging research suggests that there are common substrates at the neuroanatomical, neurochemical, and psychological levels. While randomized controlled trials have revealed a number of effective psychotherapeutic and psychopharmacologic treatments for the individual conditions, little is known about integrative interventions for these comorbidities. This book presents cutting-edge research on the overlap of these complex disorders and reviews integrative assessment strategies and treatment approaches, including enhanced cognitive behavioral therapy, dialectical behavior therapy, abstinence approaches, motivational enhancement, mindfulness meditation, and pharmacotherapy. The issue of whether eating-disordered behaviors such as dieting, binge eating, and excessive exercise are merely other forms of addictive behavior is examined. The authors argue both for and against the concept of food addiction in research, clinical treatment, and public policy. The book will be of interest to psychiatrists, addiction medicine physicians, mental health/substance abuse clinicians, dieticians, researchers, and those affected by the disorders Front Matter....Pages i-xxv Front Matter....Pages 1-1 Animal Models of Eating Disorders, Substance Use Disorders, and Addictions....Pages 3-21 The Relationship Between Feeding and Drug-Seeking Behaviors....Pages 23-45 The Role of Neurotransmitter Systems in Eating and Substance Use Disorders....Pages 47-70 Neuroimaging of Eating Disorders, Substance Use Disorders, and Addictions: Overlapping and Unique Systems....Pages 71-89 Genetic Vulnerability to Eating Disorders and Substance Use Disorders....Pages 91-106 Dimensions of Personality and Neuropsychological Function in Eating Disorders, Substance Use Disorders, and Addictions....Pages 107-126 Exercise Addiction and Compulsive Exercising: Relationship to Eating Disorders, Substance Use Disorders, and Addictive Disorders....Pages 127-144 Nutritional Aspects of Eating Disorders, Addictions, and Substance Use Disorders....Pages 145-161 Bariatric Surgery and Substance Use Disorders, Eating Disorders, and Other Impulse Control Disorders....Pages 163-176 Prevention of Eating Disorders and Substance Misuse in Adolescence: Toward a Developmental Contextual Perspective....Pages 177-196 Front Matter....Pages 197-197 Introduction to Eating Disorders for Substance Abuse Specialists....Pages 199-226 Introduction to Substance Use Disorders for the Eating Disorder Specialist....Pages 227-266 Are Eating Disorders Addictions?....Pages 267-299 Assessment of Eating Disorders, Substance Use Disorders, and Addictions....Pages 301-322 Medical Complications of Eating Disorders, Substance Use Disorders, and Addictions....Pages 323-362 The Role of Negative Affect in Eating Disorders and Substance Use Disorders....Pages 363-378 The Role of Stress, Trauma, and PTSD in the Etiology and Treatment of Eating Disorders, Addictions, and Substance Use Disorders....Pages 379-404 Relationship of Behavioral Addictions to Eating Disorders and Substance Use Disorders....Pages 405-428 Compulsive Buying: Relationship to Eating Disorders, Substance Use Disorders, and Other Impulse Control Disorders....Pages 429-438 Muscle Dysmorphia: Where Body Image Obsession, Compulsive Exercise, Disordered Eating, and Substance Abuse Intersect in Susceptible Males....Pages 439-457 Front Matter....Pages 459-459 Integrated Treatment Principles and Strategies for Patients with Eating Disorders, Substance Use Disorder, and Addictions....Pages 461-489 Motivational Interviewing in the Treatment of Substance Use Disorders, Addictions, and Eating Disorders....Pages 491-507 Nutrition Therapy for Eating Disorders, Substance Use Disorders, and Addictions....Pages 509-532 Cognitive Behavior Therapy for Co-occurring of Eating and Substance Use Disorders....Pages 533-546 Mindfulness Approaches in the Treatment of Eating Disorders, Substance Use Disorders, and Addictions....Pages 547-562 Family and Couples Therapy for Eating Disorders, Substance Use Disorders, and Addictions....Pages 563-586 Self-Help Approaches in the Treatment of Eating Disorders, Substance Use Disorders, and Addictions....Pages 587-608 Positive and Negative Aspects of Exercise in the Treatment of Eating Disorders and Substance Use Disorders....Pages 609-623 Alternative and Complementary Therapies in the Treatment of Eating Disorders, Addictions, and Substance Use Disorders....Pages 625-647 Civil Commitment in the Treatment of Eating Disorders and Substance Abuse: Empirical Status and Ethical Considerations....Pages 649-664 Back Matter....Pages 665-681 Eating Disorders, Addictions, And Substance Use Disorders Are Each Challenging In Their Own Right, But They Also Commonly Co-occur, Causing Major Challenges For Clinicians. Emerging Research Suggests That There Are Common Substrates At The Neuroanatomical, Neurochemical, And Psychological Levels. While Randomized Controlled Trials Have Revealed A Number Of Effective Psychotherapeutic And Psychopharmacologic Treatments For The Individual Conditions, Little Is Known About Integrative Interventions For These Comorbidities. This Book Presents Cutting-edge Research On The Overlap Of These Complex Disorders And Reviews Integrative Assessment Strategies And Treatment Approaches, Including Enhanced Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Abstinence Approaches, Motivational Enhancement, Mindfulness Meditation, And Pharmacotherapy. The Issue Of Whether Eating-disordered Behaviors Such As Dieting, Binge Eating, And Excessive Exercise Are Merely Other Forms Of Addictive Behavior Is Examined. The Authors Argue Both For And Against The Concept Of Food Addiction In Research, Clinical Treatment, And Public Policy. Research Perspectives: Relationship Between Feeding And Drug Seeking Behaviors -- Animal Models Of Eating Disorders -- Activity Anorexia -- Role Of Neurotransmitter Systems -- Dimensions Of Personality And Neuropsychological Function -- Imaging Findings -- Genetic Aspects: Do Eds, Addictions, And Suds Share Genetic Vulnerabilities -- The Role Of Epigenetics -- Clinical Perspectives: Epidemiology Of Eds, Addictions And Suds -- Assessment -- Nutritional Aspects -- Are Eds Addictive Disorders? -- The Role Of Stress, Trauma And Ptsd -- The Role Of Obesity -- Eds, Addictions And Suds Following Bariatric Surgery -- Prevention And Public Policy Issues. Treatment Perspectives: General Principles Of Treating The Comorbid Patient -- The Use Of Cbt -- Mindful Based Treatments -- The Use Of Self-help Approaches -- The Use Of Motivational Interviewing And Met -- The Use Of Family Therapy -- Nutritional Interventions -- The Use Of Exercise -- The Use Of Alternative And Complementary Therapies -- Ethics And The Role Of Compulsory Hospitalization -- The Role Of Invitational Intervention. Timothy D. Brewerton, Amy Baker Dennis, Editors. Includes Bibliographical References And Index.