{
  "abstract": "Despite established appetite-stimulating effects of cannabis use, binge eating is seldom assessed in these samples. Its prevalence, clinical importance, and demographic reach among people with cannabis-involved drug use disorder are largely unknown. We analyzed 12,591 adults from the Collaborative Psychiatric Epidemiology Surveys who completed the eating disorder and substance use modules. Using design-weighted estimation, we estimated prevalence of binge eating among adults with a cannabis-involved drug use disorder and examined whether binge eating marks greater burden and disability and whether it differs by demographic group. Recurrent binge eating affected 11.2% of adults with a cannabis-involved drug use disorder (95% CI [8.4, 14.7]). Separately, 5.5% met criteria for DSM-IV binge eating disorder. Prevalence rose across levels of cannabis involvement (adjusted OR per level = 2.11, 95% CI [1.75, 2.55]). Adults with both conditions had the highest prevalence of suicidal ideation, suicide attempts, major depression, and generalized anxiety disorder. At least one lifetime suicide attempt was reported by 27.8% of this group and by only 3.3% of adults with neither condition. Binge eating alone was associated with a level of functional disability comparable to cannabis-involved drug use disorder alone, while adults with both conditions had the highest WHODAS time out of role and role impairment scores. Among adults with cannabis-involved drug use disorder, binge eating also marked a more damaging drug course. Among adults with a cannabis-involved drug use disorder, recurrent binge eating was more prevalent among women (17.4%) than men (8.6%). Men nevertheless made up an estimated 54.1% of affected adults. Prevalence ranged from 9.7% to 12.3% across racial and ethnic groups. Findings indicate that binge eating is common and linked with adverse outcomes among those with cannabis-involved drug use disorder, thus warranting targeted interventions.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "Elizabeth W. Lampe"
    },
    {
      "name": "Ya-Wen Yama Chang"
    },
    {
      "name": "Nicholas C. Jacobson"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ft2x8ekncqasn.bib",
  "cited_by": 0,
  "doi": "10.31234/osf.io/ut5g2_v1",
  "fulltext_url": null,
  "id": "ft2x8ekncqasn",
  "issns": [],
  "landing_url": "https://osf.io/preprints/psyarxiv/ut5g2_v1/",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "bepress",
      "Clinical Psychology"
    ],
    [
      "bepress",
      "Feeding and Eating Disorders"
    ],
    [
      "bepress",
      "Social and Behavioral Sciences"
    ],
    [
      "bepress",
      "Substance Abuse and Addiction"
    ],
    [
      "openalex",
      "3203|Eating Disorders and Behaviors"
    ]
  ],
  "openalex": "W7225091620",
  "pdf_url": "https://osf.io/ut5g2/download",
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-02",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/ft2x8ekncqasn.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T12:21:21Z",
      "native_id": "ut5g2",
      "source": "osf",
      "url": "https://osf.io/preprints/psyarxiv/ut5g2_v1/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "bepress:Clinical Psychology",
      "subfield": "psychiatry"
    }
  ],
  "title": "Prevalence, Burden, and Disability Associated with Co-occurring Binge Eating Among U.S. Adults with Cannabis-Involved Drug Use Disorder",
  "title_text": "Prevalence, Burden, and Disability Associated with Co-occurring Binge Eating Among U.S. Adults with Cannabis-Involved Drug Use Disorder",
  "type": "preprint",
  "updated_at": "2026-11-04T12:21:42Z",
  "url": "https://research.draconitic.com/paper/ft2x8ekncqasn",
  "venue": "PsyArXiv",
  "versions": []
}