Dysfunctional eating patterns and excessive weight gains have been observed during recovery from drug and alcohol addictions. Yet, little is known about food choice behaviors among substance abusers and the role that food plays 8 keys to recovery from an eating disorder pdf their lives. The purpose of this study was to understand how men at different stages of recovery from substance addictions experienced food and eating, weight changes, and used food in recovery. A purposive, multi-ethnic sample of 25 urban men at different stages of recovery from drug and alcohol addictions participated in qualitative interviews.
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Men in early recovery described dysfunctional eating practices such as mood and binge eating, the use of food as a substitute for drug use, and the use of food to satisfy cravings. Men in mid to later recovery expressed weight concerns and distress about efforts to lose weight. The findings also suggest that food deprivation in active addiction and interactions between stage of recovery and living environment may contribute to changes in food choice behaviors and to excess weight gains in recovery. These findings highlight behavioral interactions between food and substance abuse and opportunities for nutrition and weight interventions in recovery. Check if you have access through your login credentials or your institution. Eating disorder symptoms are related to thwarted belongingness and burdensomeness. Eating disorder symptoms are related to suicide ideation through burdensomeness.
Eating disorder symptoms may affect suicidal behavior by elevating suicide ideation. Psychological Theory of Suicide holds that suicidal ideation has two proximal causes: thwarted belongingness and perceived burdensomeness. It is unknown which ED symptoms are positively associated with suicidal ideation, and whether thwarted belongingness and perceived burdensomeness explain those associations. In each model, ED symptoms and depression were predictors, thwarted belongingness and perceived burdensomeness were mediators, and suicidal ideation was the outcome. The sample size prevented the use of latent variables for thwarted belongingness and perceived burdensomeness, and the cross-sectional data prevented testing for bidirectional relations among ED symptoms, thwarted belongingness, perceived burdensomeness, and suicidal ideation. Results underscore the importance of exploring transdiagnostic ED symptoms, including body dissatisfaction and fasting in particular, that may intensify burdensomeness and thereby contribute to suicidal ideation over and above depressive symptoms in this high-risk population.