Attention-deficit/hyperactivity disorder symptoms and psychological comorbidity in eating disorder patients

Sala, Loretta; Martinotti, Giovanni; Carenti, Maria Luisa; Romo, Lucia; Oumaya, M.; Pham‐Scottez, Alexandra; Rouillon, F.; Gorwood, Philip; Janiri, Luigi

doi:10.1007/s40519-017-0395-8

Cited by 17 publications

(20 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The prevalence of ADHD in EDs ranged between 1.6% (62) and 18.0% (59). Comorbid ADHD was more often reported in patients with the AN-binge eating/purging subtype than in the AN restrictive subtype (3, 59, 63). Most of the previous investigations included mixed ED samples (AN, BN, and BED).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review: Overlap Between Eating, Autism Spectrum, and Attention-Deficit/Hyperactivity Disorder

et al. 2019

View full text Add to dashboard Cite

Background: Links between eating disorders (EDs) [e.g., anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED)] and the major neurodevelopmental disorders of autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) have been repeatedly highlighted. In both ASD and ADHD, these links range from an elevated risk for EDs to common symptomatic overlaps and etiological commonalities with EDs. Methods: We performed a systematic literature search (through July 2019) with Medline via Ovid for epidemiological data on EDs (AN, BN, and BED) in combination with both ASD and ADHD. Results: The reviewed studies showed that, on average, 4.7% of patients with certain ED diagnoses (AN, BN, or BED) received an ASD diagnosis. Reliable data on the prevalence of EDs in ASD samples are still scarce. Comorbid ASD is most commonly diagnosed in patients with AN. The prevalence of ADHD in EDs ranged between 1.6% and 18%. Comorbid ADHD was more often reported in the AN-binge eating/purging subtype and BN than in the AN restrictive subtype. The prevalence of EDs in ADHD ranged between no association and a lifetime prevalence of 21.8% of developing an ED in women with ADHD. Conclusions: Studies on the prevalence rates of EDs in ADHD and ASD and vice versa are heterogeneous, but they indicate frequent association. While there is growing evidence of clinical overlaps between the three disorders, it remains difficult to determine whether overlapping characteristics (e.g., social withdrawal) are due to common comorbidities (e.g., depression) or are instead primarily associated with EDs and neurodevelopmental disorders. Furthermore, prospective studies are required to better understand how these disorders are related and whether ADHD and ASD could be either specific or nonspecific predisposing factors for the development of EDs.

show abstract

Section: Resultsmentioning

confidence: 99%

“…To date, several studies have focused on the relationship between ADHD and EDs. In the reviewed studies, the prevalence rates for ADHD in EDs ranged between 1.6% (62) and 18.0% (59). Comorbid ADHD was more common in the AN-binge eating/purging subtype and BN than in the AN restrictive subtype.…”

Section: Discussionmentioning

confidence: 99%

Systematic Review: Overlap Between Eating, Autism Spectrum, and Attention-Deficit/Hyperactivity Disorder

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The association between eating disorders (EDs) and attention deficit hyperactivity disorder (ADHD) is a subject of great interest in recent years [1,2]. Epidemiological studies show elevated rates of ADHD in ED patients, specifically in patients with binge-eating [3,4,5,6]. Second, elevated rates of disordered eating and EDs, primarily bulimia nervosa (BN), have been found in patients with ADHD in comparison with normal controls [7,8,9].…”

Section: Introductionmentioning

confidence: 99%

The complexity of the interaction between binge-eating and attention

et al. 2019

View full text Add to dashboard Cite

Objective To investigate whether binge-eating in patients with eating disorders (EDs) is associated with attentional deficits. Methods We studied ED patients with binge-eating (n = 51), no binge-eating (n = 59) and controls (n = 58). ED patients were assessed following the stabilization of weight and ED pathology. Attention assessment included evaluation of attention deficit hyperactivity disorder (ADHD) diagnosis, the Adult ADHD Self-Report (ASRS) and ADHD Rating Scale-IV-Home Version (ADHD-RS) questionnaires, and attention functioning assessed with neuropsychological tools. The severity of eating-related pathology, depression, anxiety and obsessionality was also monitored. Results Patients with binge-eating showed more ADHD symptomatology on the ADHD-RS compared with non-binge-eating patients. No differences were found between binge-eating and non-binge-eating patients in ADHD diagnosis and neuropsychological functioning. Among the specific ED subtypes, patients with anorexia nervosa binge/purge type (AN-B/P) showed the highest rates of ADHD symptomatology on the ADHD-RS, and were characterized with sustained attention deficits. Conclusion Binge-eating is not associated with attention deficits as measured by objective neuropsychological tools. Nonetheless, it is associated with attentional difficulties as measured with the self-reported ADHD-RS. AN-B/P patients are the only ED category showing objective sustained attention deficits.

show abstract

“…Similarly, a recent systematic review suggested that there is strong empirical support for the association between eating disorders and ADHD (Levin & Rawana, 2016). It was suggested that individuals who have an eating disorder are likely to display the main symptoms of ADHD which are inattention, hyperactivity and impulsivity (Farber, 2010;Sala et al, 2017). Individuals with ADHD maybe less attentive to internal signs of hunger (Davis, Levitan, Smith, Tweed, & Curtis, 2006) or feeding problems during infancy may result in neurodevelopmental vulnerabilities with inattention symptoms being an important feature (Galler et al, 2012).…”

mentioning

confidence: 99%

Early Crying, Sleeping, and Feeding Problems and Trajectories of Attention Problems From Childhood to Adulthood

et al. 2018

View full text Add to dashboard Cite

show abstract

Attention-deficit/hyperactivity disorder symptoms and psychological comorbidity in eating disorder patients

Abstract: In our study the comorbidity between ADHD and ED appeared to be frequent, particularly among patients with AN-BP. ED inpatients with higher level of anxiety and more abnormal eating attitudes and bulimic symptoms should be assessed for potentially associated ADHD.

Cited by 17 publications

References 34 publications

Systematic Review: Overlap Between Eating, Autism Spectrum, and Attention-Deficit/Hyperactivity Disorder

Systematic Review: Overlap Between Eating, Autism Spectrum, and Attention-Deficit/Hyperactivity Disorder

The complexity of the interaction between binge-eating and attention

Early Crying, Sleeping, and Feeding Problems and Trajectories of Attention Problems From Childhood to Adulthood

Contact Info

Product

Resources

About