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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. 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.
- Sales Rank: #926610 in Books
- Published on: 2014-03-06
- Original language: English
- Number of items: 1
- Dimensions: 9.20" h x 1.70" w x 6.30" l, 3.35 pounds
- Binding: Hardcover
- 681 pages
Review
"Despite the significant co-occurrence of eating disorders and substance use disorders (SUDs), these two diagnostic groups are often studied, and treated, in isolation from one another."
"Throughout the text, thoughtful consideration is paid to providing a truly complete picture..."
"This authoritative reference skillfully lays out a framework for incorporating SUD assessment and treatment protocols into eating disorder treatment programs and vice versa, as well as provides specific tools for implementation."
"...an essential addition to your library."
-Peter Doyle, PhD, The AED Forum, June 2014
“This unique textbook addressing the evaluation and treatment of co-occurring eating disorders and substance use disorders/addictions is a valuable reference for those who treat patients with these diagnoses. … To sum up, this textbook is a useful resource for information on many aspects of the co-occurrence of eating disorders and substance use disorders/addictions.” (Katherine A. Halmi, Journal of Clinical Psychiatry, Vol. 77 (3), February, 2016)
“Eating Disorders, Addictions, and Substance Use Disorders is well-organized, comprehensive, well-written, and valuable. It informs clinicians about the overlap between SUD and ED as well as issues surrounding the treatment of comorbid ED and SUD. Throughout the book, the authors point to important future research directions. This text will serve as a valuable reference to ED and SUD researchers as well as healthcare professionals who care for patients with comorbid ED and SUD.” (Margarita Sala, Eating Disorders, The Journal of Treatment & Prevention, February, 2015)
“This is a comprehensive review of the most recent research and clinical information about the relationship between the frequently co-occurring conditions of addictions and eating disorders. … The book is designed to provide clinically relevant information for healthcare professionals, both seasoned and just entering into these fields.” (Michael Easton, Doody’s Book Reviews, August, 2014)
From the Author
From the PREFACE
In the past several decades, there have been numerous books published on the science and treatment of eating disorders (ED) and hundreds of volumes written on the diagnosis, assessment, and treatment of substance use disorders (SUD)/addictions. At least to our collective knowledge, this is the first textbook to completely focus on the co-occurrence of these disorders. This project was born out of our surprise and deep frustration with both the lack of evidence-based research and treatment protocols for this comorbid population and the lack of available treatment programs, at all levels of care, that effectively serve consumers with both ED and SUD. With up to 50 % of ED patients meeting criteria for a SUD or addiction and 1/3 of SUD patients reporting eating pathology, it is remarkable how few people in either field are fully trained to address both disorders. Additionally, we were hoping to strengthen connections between two fields that rarely communicate. With these issues in mind, we felt the time was right to assemble leading experts from each field and ask them to work together to produce a "state of-the-art" textbook that could not only educate practitioners in both fields but also promote cross-training and further collaborative research.
The 30 chapters are organized into 3 major parts. The 1st, "Research Perspectives," explores the science of ED, SUD and addictions. Our researchers were tasked with the responsibility of reviewing and reporting on what is known about each disorder independently and to discuss the similarities and differences between these disorders according to their topic. In order to make this part relevant to treatment providers, each author was asked to identify how this research can guide and inform clinical practice with dually diagnosed patients. The first two chapters focus on how animal research has informed our understanding of biological and behavioral factors that contribute to the development of ED and SUD as well as the relationship between eating and drug use behaviors. Chap. 3 explores the neurobiological mechanisms and neurotransmitter/brain circuit alterations that may be common to both disorders. The authors of Chap. 4 discuss the finding from neuroimaging studies that examine shared and distinct domains of functioning (i.e., executive control, reward/motivation, emotional reactivity, memory/learning, and interoceptive awareness). Chap. 5 reviews the current empirical literature indicating that AN, BN and SUD are influenced by genetic factors and may indeed share a similar genetic architecture. In Chap. 6, the authors examine dimensions of personality pathology and personality disorders and their relationship to both ED and SUD. Chap. 7 tackles the issue of problematic exercise. Theoretically, is pathologically excessive exercise an addiction or a compulsion? The authors discuss the emerging literature and its relationship to eating pathology, SUD and other behavioral addictions. Nutritional aspects, particularly the nutritional deficits and their clinical and neurological manifestations in both ED and SUD, are discussed in detail in Chap. 8. Chap. 9 explores the emergence of significant problems such as alcohol use disorders and ED following bariatric surgery. Chap. 10 begins with a scholarly review of effective prevention models that have been utilized in either the SUD or ED fields and concludes with proposed guidelines for the development of a program designed to address both disorders simultaneously.
Part II, "Clinical Perspectives," begins with 2 chapters that are designed to initiate cross-training between fields. Chap. 11 was developed to educate substance abuse specialists that have limited knowledge or expertise in the diagnosis, assessment, and treatment of ED. Likewise, Chap. 12 provides an overview of the psychoactive properties of drugs of abuse, clinical characteristics of individuals with SUD, and evidence-based treatments for SUD. Chap. 13 confronts the highly controversial issue "Are eating disorders addictions?" The author identifies both the pros and cons of this debate and challenges professionals from both fields to review the assembled data from a theoretical, clinical, and research perspective. The authors of Chap. 14 provide a comprehensive overview of both self-report and semi-structured interview instruments currently used in both fields. The authors of Chap. 15 provide a detailed description of the medical complications commonly encountered in ED and SUD and explain the importance of medical management and monitoring throughout the treatment and recovery process. The role of negative affect in both the development and maintenance of ED and SUD is explored in depth in Chap. 16. Chap. 17 investigates the role of stress, adversity, and trauma in the etiology and treatment of ED, SUD, and behavioral addictions, with a focus on the role of PTSD in mediating their comorbidity. The emerging science of epigenetics as applied to these populations is also considered. Chap. 18 is devoted to a comprehensive discussion of behavioral addictions (gambling, kleptomania, Internet addiction, and hypersexual behavior). Chap. 19 takes a closer look at another behavioral addiction, compulsive buying disorder, and its relationship to both ED and SUD. Chap. 20 concludes this part with an informative discussion of muscle dysmorphia, body image dissatisfaction, ED, compulsive exercise, and anabolic steroid abuse in males.
Part III, "Treatment Perspectives," was designed to provide the reader with a comprehensive overview of evidence-based practices in the treatment of ED and SUD. Based on what is known from each field independently, we asked each author to make recommendations on how they could integrate these findings for the treatment of comorbid patients. We are extremely pleased, not only with their collaboration with experts from a different field but also the creative and thought-provoking recommendations that are detailed in each chapter of this part. Chap. 21 begins with a discussion of how programs currently dedicated to the treatment of either ED or SUD can modify their protocols to more effectively integrate treatments for the comorbid patient. In Chap. 22, the authors explore the evidence-based approach of motivational interviewing to help patients with both ED and SUD resolve their ambivalence about change and recovery. Nutritional therapy for dually diagnosed patients is discussed in detail in Chap. 23, with a specific emphasis on the creation of an individualized treatment plan. Chap. 24 proposes a model for combining the CBT models that currently exist in each field into a single treatment that allows for the use of modular-based integration, targeting aspects of several comorbidities and personality. Treatments that include mindfulness as a core therapeutic strategy are outlined in Chap. 25, with a special emphasis on ACT, DBT, and MBRP. The authors of Chap. 26 summarize the empirical evidence for the use of family and couples therapy in the treatment of ED and SUD and then outline how to adapt family-based treatments for adolescents with both ED and SUD. The authors of Chap. 27 provide the reader with a comprehensive review of all the self-help approaches that are currently utilized to augment treatment for individuals with ED and SUD. Chap. 28 tackles the complex issue of exercise in the treatment of patients with these comorbid disorders. Alternative and complementary therapies including yoga, acupuncture, therapeutic massage, hypnosis, herbal medicine, light therapy, spiritual healing, and art therapy are often provided in the course of treatment for both ED and SUD. The authors of Chap. 29 evaluate the effectiveness of each of these approaches. The book concludes with a discussion of ethics and the controversial topic of civil commitment in Chap. 30.
From the Back Cover
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.
Most helpful customer reviews
1 of 1 people found the following review helpful.
Must Read for Clinicians and Researchers in Addiction and Eating Disorders
By Theresa Fassihi
Eating Disorders, Addictions and Substance Use Disorders fills a much needed gap in the field. Given the high co-occurrence of these illnesses, we need to adopt treatment approaches that will address both problems for our patients if they are to achieve complete and meaningful recovery. The thoroughly researched chapters in this book highlight the opportunities and challenges for bringing the two treatment communities together to find ways to integrate their treatments to help patients with co-morbidity, rather than addressing just one problem or the other. Rather than be insulated in our areas of specialty, we need to reach out to cross-train eating disorder and addiction experts. This represents a revolutionary approach to treatment that is rarely practiced now, but needs to become the standard of care. The book contains the research and clinical expertise of leaders in both the addiction and eating disorders fields. There is no better reference on these topics.
0 of 0 people found the following review helpful.
A must-read—jam-packed with cutting-edge information!
By Jenni Schaefer
With "Eating Disorders, Addictions, and Substance Use Disorders," editors Timothy D. Brewerton, M.D., and Amy Baker Dennis, Ph.D., fill a significant gap in the literature. Theirs is the first book to focus on the co-occurrence of eating disorders (EDs), addictions, and substance use disorders (SUDs). Importantly, the editors bring light to the fact that up to 50% of ED patients meet criteria for a SUD or addiction and 1/3 of SUD patients report eating pathology. Clearly, this state-of-the art book is a must-read for professionals who treat either disorder. "Eating Disorders, Addictions, and Substance Use Disorders" is also for patients and their loved ones as well as for educators and journalists. I highly recommend this excellent book to anyone whose life has been touched by EDs, addictions, or SUDs and for those who have an interest in either topic. You won’t find a more comprehensive, well-written book than this one.
1 of 1 people found the following review helpful.
This is a must have for anyone who wants to ...
By Carolyn Costin
This is a must have for anyone who wants to keep updated in the eating disorder field. - Carolyn Costin
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