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Eating Disorders and Substance Use

1. While many experts recommend integrated treatment of substance use disorders (SUDs), and Eating Disorders (EDs), an analysis of 351 publicly funded SUD treatment programs found that:

A. Only 19 percent offered treatment for co-occurring EDs

B. Only half the programs screened for EDs

C. Only 12 percent of those that did screen used a standardized instrument

D. Only 5 percent had formal referral arrangements with ED treatment providers


Anorexia Nervosa

2. The mortality rate for anorexia nervosa is high, with more than 10 percent of those diagnosed with the disorder dying from it.

A. True

B. False


What is the Relationship Between EDs and SUDs?

3. A recent review of clinical and community studies found that women with either an SUD or an ED were three times as likely to develop the other disorder as were women who had neither.

A. True

B. False


4. Attempts to lose weight by purging (with or without binge eating) have been associated with stimulant/ amphetamine and _________ abuse.

A. Alcohol

B. Opioid

C. Sleeping pill

D. None of the above


5. A person in recovery from an ED often uses substances to cope with the stresses of recovery, while a person in recovery from an SUD may use disordered eating to cope with or to compensate for the lack of chemical reinforcement.

A. True

B. False


Exhibit 9: The SCOFF Questionnaire

6. The SCOFF Questionnaire is a screening device for eating disorders which asks each of the following EXCEPT':

A. Do you make yourself Sick (induce vomiting) because you feel uncomfortably full?

B. Do you worry you have lost Control over how much you eat?

C. Do you find yourself Over-exercising to compensate for overeating?

D. Do you believe yourself to be Fat when others say you are too thin?

E. Would you say that Food dominates your life?


Referring Clients for Further Assessment and Treatment

7. Treatment of the SUD should generally come first when integrated treatment for both disorders is unavailable, because a client with an active SUD will be less likely to engage in and benefit from ED treatment.

A. True

B. False


Cognitive–Behavioral Therapy

8. Cognitive-Behavioral Therapy (CBT) approaches, used widely in SUD treatment, have been tailored for treating EDs, and appear to be the most effective in treating anorexia nervosa.

A. True

B. False


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