Attention‐deficit hyperactivity symptoms and disorder in eating disorder inpatients

Yates, William R.; Lund, Brian C.; Johnson, Craig; Mitchell, Jeff; McKee, Patrick A.

doi:10.1002/eat.20627

Cited by 42 publications

(37 citation statements)

References 11 publications

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“…Of these, seven articles met full criteria for inclusion and one article was identified from the reference lists of the included articles. Thus, eight articles are summarized in the present review [17][18][19][20][21][22][23][24]. Figure 1 depicts the article selection and review process.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies were comprised of large samples of youth with ADHD ascertained within clinical settings or specialized camps designed for research in children with ADHD [17][18][19][20]. One study was comprised of inpatients hospitalized for eating isorders [23]. Biederman, [17] Yoshimasu, [24] and Mid kami [20] and their colleagues conducted retrospective cohort studies while the remainder examined associations within cross-sectional or case-control studies.…”

Section: Resultsmentioning

confidence: 99%

“…Biederman, [17] Yoshimasu, [24] and Mid kami [20] and their colleagues conducted retrospective cohort studies while the remainder examined associations within cross-sectional or case-control studies. Half of the studies included only female samples (n = 4) [17,20,21,23] while the other half included both males and females (n = 4) [18,19,22,24]. The quality rating scores using modified Downs & Black criteria [15] ranged from 12 to 18; all were above the midpoint, indicative of acceptable quality, and there were no outliers.…”

Section: Resultsmentioning

confidence: 99%

“…Of the eight studies included in this review, two studies [17,24] documented an association between ADHD and ED, and three studies found associations between ADHD and EP [19,20,22]. Of the three studies that failed to find an association, two had very small samples of ADHD youth (12 and 10 youth respectively) [21,23]. The third study [18], conducted in China, also failed to find an association but the sample was composed primarily of boys (86% of the sample) and the average age was under 13 yrs., which may have contributed to the null findings, given that ED arises in adolescence and is more commonly found in girls.…”

Section: Discussionmentioning

confidence: 98%

“…No youth met full diagnostic criteria for BN in either of the studies, but did show symptoms of EP, the details of which are described below. Yates et al [23] assessed the prevalence of ADHD among inpatients with eating disorders. Of 189 cases examined, only 10 (5.3%) met criteria of childhood-onset of ADHD.…”

Section: Adhd and Diagnosed Eating Disorders (Ed)mentioning

confidence: 99%

See 4 more Smart Citations

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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Section: Adhd and Diagnosed Eating Disorders (Ed)mentioning

confidence: 99%

See 3 more Smart Citations

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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Bulimia nervosa patient diagnosed with previously unsuspected ADHD in adulthood: Clinical case report, literature review, and diagnostic challenges

Ioannidis

Serfontein

Müller

2013

Intl J Eating Disorders

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There is increasing literature suggesting a link between attention-deficit hyperactivity disorder (ADHD) and eating disorders (EDs), especially bulimia nervosa. ADHD is under-diagnosed in girls and children of high intelligence are typically missed. We identified a case of a 23-year-old woman suffering from severe bulimia nervosa and previously unsuspected ADHD in adulthood; we diagnosed and treated her with extended-release methylphenidate. We performed a literature review on the ADHD and bulimia nervosa comorbidity. We discuss the reasons why her ADHD remained undiagnosed and the difficulties in diagnosing ADHD in patients with EDs. We suggest that identifying comorbid ADHD is crucial for these patients and argue for the use of a structured interview, collateral history and investigation of onset of symptoms to establish a diagnosis of ADHD in adults with bulimia nervosa. Comorbidities and overlap of symptomatology need to be taken into account.

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Group Narrative Therapy for Women With Attention-Deficit/Hyperactivity Disorder

2015

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Attention‐deficit hyperactivity symptoms and disorder in eating disorder inpatients

Abstract: Although current ADHD symptoms were commonly endorsed in this population, clinicians should carefully examine for childhood symptom-onset of ADHD.

Cited by 42 publications

References 11 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 patient diagnosed with previously unsuspected ADHD in adulthood: Clinical case report, literature review, and diagnostic challenges

Group Narrative Therapy for Women With Attention-Deficit/Hyperactivity Disorder

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