Recovery

Journal Articles by David Wiss

Peer-Reviewed Journal Articles by David A. Wiss MS RDN

(ORCID Link Takes You Directly To The Articles)

Wiss, D. A., Avena, N., & Rada, P. (2018). Sugar addiction: From evolution to revolution. Frontiers in Psychiatry, 9(545). doi:10.3389/fpsyt.2018.00545

Wiss, D. A., Schellenberger, M., & Prelip, M. L. (2018). Rapid assessment of nutrition services in Los Angeles substance use disorder treatment centers. Journal of Community Health. https://doi.org/10.1007/s10900-018-0557-2

Wiss, D. A., Schellenberger, M., & Prelip, M. L. (In Press). Registered dietitian nutritionists in substance use disorder treatment centers. Journal of the Academy of Nutrition and Dietetics. doi:10.1016/j.jand.2017.08.113

Wiss, D. A., Criscitelli, K., Gold, M., & Avena, N. (2017). Preclinical evidence for the addiction potential of highly palatable foods: Current developments related to maternal influence. Appetite.doi:10.1016/j.appet.2016.12.019

Wiss, D. A., & Brewerton, T. B. (2016). Incorporating food addiction into disordered eating: The disordered eating and food addiction nutrition guide (DEFANG). Eating and Weight Disorders. doi:10.1007/s40519-016-0344-y

Wiss, D. A., & Waterhous, T. S. (2014). Nutrition therapy for eating disorders, substance use disorders, and addictions. In Brewerton, T. D., & Dennis, A. B., Eating disorders, substance use disorders, and addictions (pp. 509-532). Heidelberg, Germany: Springer Publishing.

Specter, S. E., & Wiss, D. A. (2014). Muscle dysmorphia: Where body image obsession, compulsive exercise, disordered eating, and substance abuse intersect in susceptible males. In Brewerton, T. D., & Dennis, A. B., Eating disorders, substance use disorders, and addictions (pp. 439-457). Heidelberg, Germany:Springer Publishing.

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Recent Podcasts with David Wiss

Recent Podcasts with David Wiss

Nourished Brain Solutions podcast with Sarah Thomsen Ferreria MS, MPH, RD

Mindfully Nourished Solutions: Integrative Nutrition-Gut-Brain Connection

Linking Nutrition and Addiction (recorded July 9, 2018)

This conversation covers all of the basics linking nutrition to Substance Use Disorders and to recovery. This is a great example of how much can be covered in one hour on podcasts with David Wiss.

 

The Exploding Human with Bob Nickman

Gut Health & More (recorded August 10, 2018)

This conversation discusses the significance of maintaining a healthy gut for optimal health. We talk about testing that is available, and larger public health issues. There will be more podcasts with David Wiss in the future, so stay tuned!

2014

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Journal Publication: Nutrition Services in Los Angeles Substance Use Disorder Treatment

Rapid Assessment of Nutrition Services in Los Angeles Substance Use Disorder Treatment

One of our research studies “Rapid Assessment of Nutrition Services in Los Angeles Substance Use Disorder Treatment Centers” was recently published in the Journal of Community Health.

We assessed the prevalence of nutrition services in Los Angeles treatment centers and found that is was quite low! The article offers some important ideas about the addiction crisis.

Much thanks to Maria Schellenberger and Dr. Michael Prelip for their assistance with this research.

Link to article: http://link.springer.com/article/10.1007/s10900-018-0557-2
Direct download HERE

Journal Publication: Nutrition Services in Los Angeles Substance Use Disorder Treatment

Abstract

The objective of this study was to determine the prevalence of nutrition services and utilization of registered dietitian nutritionists at substance use disorder treatment centers in Los Angeles. This cross-sectional descriptive study utilized phone interviews with facilities within a 25-mile radius of the Los Angeles metropolitan area using the Substance Abuse and Mental Health Services Administration Treatment Services Locator to identify facilities that included a listing of substance abuse as primary focus of care (n=128). Facilities were asked if they offered any kind of nutrition services, the type of services that were offered, and the credential of the professional providing the services. We compared facilities that offered a residential level of care to those offering outpatient services only. The Fisher’s exact test was used to determine statistical significance. The study showed that only 39 sites (30.5%) offered any type of nutrition services on site, and the odds of a residential level of care offering nutrition services was 2.7 times higher than outpatient only facilities (p=0.02). Of the 39 facilities offering nutrition services, only 8 (20.5%) utilized a registered dietitian nutritionist. Overall fewer than 7% of the facilities utilized the services of a dietitian. Recovery programs for substance use disorder should consider using a registered dietitian nutritionist as a member of the treatment team, which may contribute to better clinical outcomes.

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Alcoholic Liver Disease Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our latest video on Alcoholic Liver Disease!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We send out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Attentional Bias

Vaping (E-cig)

Bariatric Surgery

Child Nutrition

Circadian Rhythms

Men and Eating Disorders

View last month’s video on Food Politics 

 

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about Alcoholic Liver Disease? Reach out to us, we would love to hear your thoughts!

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David Wiss Speaking Schedule 2018

Mr. David Wiss has a passion for speaking at the podium. He is not afraid of large crowds. He loves to create PowerPoint presentations summarizing the latest research related to nutrition and substance use disorder, as well as other topics such as eating disorders, microbiome, food politics, and public health. Here you will find the David Wiss speaking schedule for 2018.

Speaking Schedule 2018 

Tuesday March 6, 2018 12:00pm – 2:30pm

Sober College: 6022 Variel Avenue, Los Angeles, CA 91367

DESCRIPTION

Nutrition and Fitness in Recovery
CAMFT#140434

David Wiss, MS, RDN & Ken Niemann, MA, DC

About the Course:
We all know how important it is to pay attention to nutrition and fitness. Maintaining Body/Mind balance is especially important for those in recovery. Join the amazing David Wiss, founder of Nutrition in Recovery, and the ever-energized Ken Niemann, Fitness Director for Sober College, as they discuss the different elements of nutrition and fitness that help with neurochemical balance and optimized physical well-being.

2 Free CEUs for Addiction & Mental Health Professionals*

Open to all who register here. Free. Lunch provided.

Schedule:
12:00pm – 12:30pm – Check-in & Lunch (Not included in CE Hours)
12:30pm – 2:30pm – “Nutrition and Fitness in Recovery” (CE Course)

Friday March 16, 2018 1:15pm – 2:15pm

Alabama Dietetic Association Annual Meeting

Birmingham Jefferson Civic Center (East Hall), Birmingham, Alabama

TITLE: Nutrition for Substance Use Disorder Recovery: Gut-Brain

David Wiss MS RDN 

Lecture Objectives:

  1. Discuss the impact of addictive substances on nutritional status and gastrointestinal health
  2. Explore disordered and dysfunctional eating patterns in addicted populations
  3. Propose nutrition therapy guidelines for specific substances and for poly-substance abuse

 

More information and registration here

Saturday April 14, 2018 One Day Conference 9:00am – 3:45pm

Los Angeles District of the California Academy of Nutrition and Dietetics Annual Conference:

“One Size Does Not Fit All: Promoting Diverse Perspectives in Dietetics”

TITLE: Shortcomings of the Evidence Base in Dietetics 10:50am – 11:20am

David Wiss MS RDN 

Learning Objectives:

  1. Describe the challenges with conducting nutrition-related research
  2. Identify limitations, sources of bias, and other conflict in the current evidence base
  3. Suggest practice strategies when evidence is limited

 

More information and registration here

Saturday June 2, 2018 2:00pm – 3:30pm

West Coast Symposium on Addictive Disorders (WCSAD)

La Quinta, CA. May 31 – June 3, 2018

TITLE: Nutrition for Substance Use Disorder Recovery: Gut-Brain

David Wiss MS RDN 

DESCRIPTION

The prevalence of substance use disorders continues to rise with a significant impact on families, communities, and the healthcare system. The current opioid crisis suggests a need to re-assess entrenched treatment protocols for addictive disorders. Classically, treatment includes mental health services such as psychopharmacology and individual and group therapy sessions. There is little data about the role of physiological recovery particularly nutrition during early recovery. It is well known that substance use disorders are associated with neglected health including nutritional deficiencies. There is recent evidence linking the gut and brain, suggesting that proper dietary intake is critical for mental health. Substance use disorder treatment protocols may benefit from including nutrition services as a treatment modality.

Learning Objectives:

  1. Discuss the impact of addictive substances on nutritional status and gastrointestinal health
  2. Explore disordered and dysfunctional eating patterns in addicted populations
  3. Propose nutrition therapy guidelines for specific substances and for poly-substance abuse

 

More information here (registration opens in March)

Thursday July 12, 2018 1:15pm-2:15pm

9th Annual National Collegiate Recovery Conference – Associate of Recovery in Higher Education

Houston, TX. July 9- July 12, 2018.

TITLE: Nutrition for Substance Use Disorder Recovery: Gut-Brain

David Wiss MS RDN 

DESCRIPTION

The prevalence of substance use disorders continues to rise with a significant impact on families, communities, and the healthcare system. The current opioid crisis suggests a need to re-assess entrenched treatment protocols for addictive disorders. Classically, treatment includes mental health services such as psychopharmacology and individual and group therapy sessions. There is little data about the role of physiological recovery particularly nutrition during early recovery. It is well known that substance use disorders are associated with neglected health including nutritional deficiencies. There is recent evidence linking the gut and brain, suggesting that proper dietary intake is critical for mental health. Substance use disorder treatment protocols may benefit from including nutrition services as a treatment modality.

Learning Objectives:

  1. Describe the connection between gastrointestinal health and mental health, particularly as it related to alcoholand opiates.
  2. Explain the rationale behind offering nutrition services in addiction treatment settings
  3. Apply  knowledge learned about the importance of nutrition for addiction recovery at theirworkplace or treatment center.

 

More information here

Friday July 27, 2018 10:15am – 11:45am

The Adolescent and Young Adult Collective

Los Angeles, CA July 26- July 27, 2018

TITLE: Nutrition for Mental Health: Understanding the Gut-Brain Axis

David Wiss MS RDN 

DESCRIPTION

With a changing food environment and an evolving human brain, adolescents and young adults are facing new challenges in developing a meaningful relationship to food. Most recently, we have discovered that the microorganisms inhabiting our gastrointestinal tract (the “second brain”) impact mental well-being. Do we need educational protocols for the second brain? This presentation will discuss the implications of gut health and the importance of nutrition in recovery from substance use disorders, eating disorders, depression, and anxiety.

More information here

Sunday October 21, 2018 1:30pm-3:00pm

The Food and Nutrition Conference and Expo (FNCE)

Washington, D.C. October 20-23, 2018

TITLE: Nutrition Interventions Amidst an Opioid Epidemic: The Emerging Role of the RDN

David Wiss MS RDN 

DESCRIPTION

The evolving opioid crisis continues to create a devastating impact on individuals, families, communities, and the healthcare system. Emerging evidence supports the positive impact of nutrition interventions during recovery from alcohol and drug abuse. This presentation will outline the various roles of the RDN as a member of the treatment team.

More information here

Tuesday November 13, 2018 1:00pm-2:30pm

American Public Health Association (APHA) Annual Meeting

San Diego Convention Center, November 10-14, 2018

TITLE: Nutrition Interventions for Substance Use Disorder Recovery

David Wiss MS RDN 

DESCRIPTION

With substance use disorder rates rising, there is an urgent need for new and effective treatment modalities. The utilization of nutrition services in addiction treatment has not been standardized, but there is a growing trend towards incorporating registered dietitian nutritionists into the treatment team. Nutrition therapy should address the most serious medical and nutritional conditions first and then target the psychological and behavioral aspects of eating. This comprehensive overview explores the impact of alcohol, cocaine, methamphetamine, and opioids on nutritional status. This presentation places particular emphasis on gut health, microbiome, and associated neural interactions. Homeostatic and hedonic mechanisms of eating behavior are discussed in the context of eating disorders and food addiction. In summarizing the available published evidence on human subjects, a case is made for both individual nutrition counseling and group education, as well as the implementation of food service guidelines in treatment settings. Given the current crisis of addictive disorders, consideration should be given to prioritizing efforts to improve eating habits and overall health in recovery programs. By promoting positive recovery outcomes, nutrition may reduce costs and improve resource allocation. Public health measures promoting nutrition standards in treatment settings should be implemented. Guidelines for nutrition interventions will be proposed, and a summary of where more information is needed will point towards future directions.

More information here

More events to be posted soon!

We hope to see you at one of these conferences!

 

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Night Eating Syndrome Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our latest video Night Eating Syndrome!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Food Politics

Alcoholic Liver Disease

Attentional Bias

Vaping (E-cig)

Bariatric Surgery

Child Nutrition

Circadian Rhythms

Men and Eating Disorders

View last month’s video on Impulsivity

Nutrition in Recovery

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about Night Eating Syndrome? Reach out to us, we would love to hear your thoughts!

Read more

Impulsivity Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our seventh of many videos! This video is on impulsivity!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Night Eating Syndrome

Food Politics

Alcoholic Liver Disease

Attentional Bias

Vaping (E-cig)

Bariatric Surgery

Child Nutrition

Circadian Rhythms

Men and Eating Disorders

View last month’s video on Trauma & Disordered Eating

Nutrition in Recovery

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about impulsivity? Reach out to us, we would love to hear your thoughts!

Read more

Trauma & Disordered Eating Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our sixth of many videos! This video is on trauma & disordered eating!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Impulsivity and Decision Making
Night Eating Syndrome
Food Politics

View last month’s video on ADHD & Disordered Eating

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about trauma & disordered eating? Reach out to us, we would love to hear your thoughts!

Read more

ADHD & Disordered Eating Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our fifth of many videos! This video is on ADHD and disordered eating!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

We will only send out one video per month and you can unsubscribe at any time!

Within the next year you can look forward to the following topics being covered:

Trauma and Eating Disorders
Impulsivity and Decision Making
Night Eating Syndrome
Food Politics

View last month’s video on Social Media and Body Image

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Read more

Nutrition for Opioid Overdose

Nutrition for Opioid Overdose

On September 15, 2017 The Academy of Nutrition and Dietetics issued a statement to the CDC regarding Nutrition Interventions and Drug Overdose Response Investigation (DORI) Data Collections. The statement was written by Registered Dietitian Nutritionist David Wiss and essentially advocates the role of nutrition for opioid overdose.

The official statement which is reproduced below can be viewed HERE

Re: Drug Overdose Response Investigation (DORI) Data Collections (Docket No. CDC-2017-0055)

The Academy of Nutrition and Dietetics (the “Academy”) appreciates the opportunity to submit comments to the Centers for Disease Control and Prevention (CDC) in response to the data collection published in the July 17, 2017 Federal Register regarding the Drug Overdose Response Investigation (DORI) Data Collections (Docket No. CDC-2017-0055). The Academy is the world’s largest organization of food and nutrition professionals, with more than 100,000 members comprised of registered dietitian nutritionists (RDNs), nutrition and dietetic technicians, registered (NDTRs), and advanced-degree nutritionists. We are committed to improving the nation’s health through food and nutrition and providing medical nutrition therapy (MNT) and other nutrition counseling services to meet the health needs of all citizens, including those with eating disorders (EDs) or substance use disorders (SUD).

The Academy supports the proposed data collection as necessary for the proper performance of the functions of the agency, particularly given the practical utility resulting from the collections. We respectfully offer recommendations below from Academy member David A. Wiss, MS, RDN, on behalf of our Behavioral Health Nutrition Dietetic Practice Group for potential improvements to the data collections and as support for the claim that nutrition can play a very important role in promoting wellness during the recovery process, thereby helping to reduce relapse and accidental overdose or death.

Eating Patterns and Substance Use Disorders

There are several studies that document substandard eating patterns during drug use, including inadequate intake leading to micronutrient deficiencies [1-6] and malnutrition [7-11]. Abnormal preference for sweetened foods and beverages have been documented in alcoholics [12-14] and other SUDs [15, 16] particularly opioids [17-25]. While micronutrient deficiencies and malnutrition are often corrected by abstinence and recovery, dysfunctional eating patterns such as bingeing and night-eating are often exacerbated during sobriety. Early recovery should be considered a critical time to get nutritional support (e.g. dietary counseling) by a qualified professional such as an RDN.

The overlap between SUDs and EDs has received significant attention in the scientific literature [26-41]. Authors have recently begun to suggest that these disorders be treated concurrently rather than separately. In members’ personal experience working in both fields, patients will oscillate between treatments and are seldom treated concurrently. While it is true that RDNs are a requirement for ED treatment, there is no present requirement for RDNs in SUD treatment settings. Based on members’ experience working with SUD treatment centers, the use of RDNs is rare most likely because nutrition services are not covered by insurance for SUD. We note that the failure to address food and body image issues in SUD treatment is likely contributing to poor outcomes.

It is predictable that individuals entering treatment for SUD will find other substances to abuse, including food [42-45], caffeine [46, 47], and nicotine [46, 47]. While some would argue that it makes sense to allow unlimited access to such substances during early recovery, others believe that the lack of nutrition and health standards are contributing to poor treatment outcomes. Evidence suggests that gastrointestinal health is linked to mental health [48-51] with strong implications for anxiety and depression. Given what is known about the importance of gut health, it seems that improved health and nutrition should be considered a prime intervention for SUD recovery. RDNs in treatment settings are highly qualified to discuss health habits including caffeine and nicotine in the context of nutrition and gastrointestinal health.

Nutrition Education and Interventions During Treatment

Several studies have demonstrated links between nutrition education and positive outcomes in SUD treatment settings [52-57]. Some of the studies have suggested that nutrition education has led to reduced rates of relapse, but higher quality research with greater sample sizes are needed to confirm these findings. Given the opioid epidemic and alarming number of overdose and deaths, however, it seems unwise to wait for more data before using nutrition as an intervention strategy.

Nutrition interventions during recovery may promote abstinence and prevent or minimize the onset of chronic illness, improving resource allocation. A review article from the United Kingdom on the role of healthy eating advice as part of drug treatment in prisons concluded that “substance-misuse is a major factor in recidivism and if this could be reduced through improvement of nutritional status, it could be a cost effective means of helping to tackle this problem” [58]. Given the opioid epidemic, public health measures necessitating nutrition standards in treatment settings should be considered critical. There is a timely need for specialized nutrition expertise in SUD treatment centers, and RDNs are highly qualified for the job.

References

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  2. Hossain, K.J., et al., Serum antioxidant micromineral (Cu, Zn, Fe) status of drug dependent subjects: Influence of illicit drugs and lifestyle. Subst Abuse Treat Prev Policy, 2007. 2: p. 12.
  3. Mannan, S.J., et al., Investigation of serum trace element, malondialdehyde and immune status in drug abuser patients undergoing detoxification. Biol Trace Elem Res, 2011. 140(3): p. 272-83.
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  33. Dennis, A.B., T. Pryor, and T.D. Brewerton, Integrated Treatment Principles and Strategies for Patients with Eating Disorders, Substance Use Disorder, and Addictions. 2014: p. 461-489.
  34. Eichen, D.M., et al., Weight perception, substance use, and disordered eating behaviors: comparing normal weight and overweight high-school students. J Youth Adolesc, 2012. 41(1): p. 1-13.
  35. Gadalla, T. and N. Piran, Eating disorders and substance abuse in Canadian men and women: a national study. Eat Disord, 2007. 15(3): p. 189-203.
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  37. Ho, V., S. Arbour, and J.M. Hambley, Eating Disorders and Addiction: Comparing Eating Disorder Treatment Outcomes Among Clients With and Without Comorbid Substance Use Disorder. Journal of Addictions Nursing, 2011. 22(3): p. 130-137.
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  39. Root, T.L., et al., Substance use disorders in women with anorexia nervosa. Int J Eat Disord, 2010. 43(1): p. 14-21.
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