Association Between Attention-Deficit/Hyperactivity Disorder and Bulimia Nervosa

Surman, Craig; Randall, Edin T.; Biederman, Joseph

doi:10.4088/jcp.v67n0303

Cited by 66 publications

(53 citation statements)

References 25 publications

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“…The results also suggest that ADHD youth with comorbid behavioral health disorders or who experience punitive parenting are at higher risk. These findings are in keeping with a growing literature that has documented an association between ADHD and ED among adults, [25][26][27][28][29] and may not be surprising given that youth with ADHD are at increased risk for a host of behavioral health and substance abuse disorders. Two prior literature reviews on ADHD and ED by Cortese [30] and Nazar [31] published in 2007 and 2008 respectively, provided overviews of studies in both children and adults.…”

Section: Discussionsupporting

confidence: 85%

The association between ADHD and eating disorders/pathology in adolescents: A systematic review

Curtin¹,

Pagoto²,

Mick³

2013

OJEpi

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Background: Attention-Deficit/Hyperactivity Disorder (ADHD), one of the most common neurodevelopmental conditions of childhood, is associated with high rates of mood and behavioral disorders. Preliminary evidence suggests that ADHD may also be associated with eating disorders (ED) or eating pathology (EP). This systematic review synthesizes the extant published literature on this association among youth ages 12 -21 years. Methods: Literature searches were performed using Medline, Ovid/Psych Info, Google Scholar, and via manual inspection of bibliographies. Crosssectional, case-control, and prospective studies published in English with sample sizes larger than 50, participant ages 12 -21 years, and assessed ADHD and ED or EP, were considered for review. Case reports, feeding, and drug studies were excluded. Results: Preliminary searches yielded 337 articles; eight articles met inclusion/exclusion criteria. Two studies documented an association between ADHD and ED, and three studies found an association between ADHD and EP. Youth with ADHD were nearly 3 to 6 times more likely to develop an ED than youth without ADHD, and were also more likely to have higher rates of EP, body dissatisfaction, and desire to lose weight/ drive for thinness. Impulsivity was predictive of EP, and ADHD youth with co-occurring mood/behavioral disorders and punitive parental relationships were at higher risk. Conclusions: Five of eight studies documented an association between ADHD and ED or EP in adolescents. Future research is needed to confirm and refine further these findings. The findings have clinical implications, including the inclusion of ED/EP in screening and anticipatory guidance efforts. Evaluating whether medical management of ADHD may be efficacious in preventing and/or treating ED/EP is also warranted.

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Section: Discussionsupporting

confidence: 85%

The association between ADHD and eating disorders/pathology in adolescents: A systematic review

Curtin¹,

Pagoto²,

Mick³

2013

OJEpi

View full text Add to dashboard Cite

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“…Surman et al 18 found no increased risk for clinically diagnosed eating disorders among boys with ADHD relative to comparison boys. An intriguing association exists between childhood overweight status and ADHD (in particular impulsivity) in predominantly male samples, [19][20][21] but it is unknown how such status may translate to BN among these youth.…”

Section: Sex Differences In Bn Pathologymentioning

confidence: 96%

Bulimia nervosa symptoms in the Multimodal Treatment Study of Children with ADHD

Mikami

Hinshaw

Arnold

et al. 2009

Intl J Eating Disorders

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“…As much as one-third of patients with BN report symptoms of ADHD, 1 and females with ADHD are at sixfold higher risk for BN than controls. 2,3 ADHD, like BN, is defined by impulsivity and self-regulation issues, which may affect areas such as memory, attention, organizational skills, and dietary regulation. 4 Finally, impulsivity and lack of inhibition may play a role in triggering binges.…”

Section: Introductionmentioning

confidence: 99%

Possible association of the DRD4 gene with a history of attention‐deficit/hyperactivity disorder in women with bulimia nervosa

Yılmaz

Kaplan

Levitan

et al. 2012

Intl J Eating Disorders

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Association Between Attention-Deficit/Hyperactivity Disorder and Bulimia Nervosa

Cited by 66 publications

References 25 publications

The association between ADHD and eating disorders/pathology in adolescents: A systematic review

The association between ADHD and eating disorders/pathology in adolescents: A systematic review

Bulimia nervosa symptoms in the Multimodal Treatment Study of Children with ADHD

Possible association of the DRD4 gene with a history of attention‐deficit/hyperactivity disorder in women with bulimia nervosa

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