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

Mikami, Amori Yee; Hinshaw, Stephen P.; Arnold, L. Eugene; Hoza, Betsy; Hechtman, Lily; Newcorn, Jeffrey H.; Abikoff, Howard

doi:10.1002/eat.20692

Cited by 50 publications

(65 citation statements)

References 67 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%

“…Two studies [22,24] were performed on large populationbased datasets and a third study was based on a large community sample of adolescents [21]. 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].…”

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%

“…Two studies by Mikami and colleagues [19,20] examined the association between ADHD and BN in samples of youth attending research camps or enrolled in the Multi-Modal Treatment Study of Children with ADHD (MTA) study. 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.…”

Section: Adhd and Diagnosed Eating Disorders (Ed)mentioning

confidence: 99%

“…Three studies [19,20,22] examined the association between ADHD and the presence of eating pathologies (EPs) or symptoms of eating disorders in adolescents. Table 2 shows results for symptoms specifically related to EP that were reported by two or more of these studies.…”

Section: Adhd and Eating Pathology/eating Disorder Symptomsmentioning

confidence: 99%

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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: Adhd and Diagnosed Eating Disorders (Ed)mentioning

confidence: 99%

Section: Adhd and Eating Pathology/eating Disorder Symptomsmentioning

confidence: 99%

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

Curtin¹,

Pagoto²,

Mick³

2013

OJEpi

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Loss of Control Eating in Adults With Impulsive and/or Inattentive Tendencies

Christie,

Smith‐Spark,

Teodorini

2024

Brain and Behavior

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ObjectivePrevious research has tended to consider impulsive, inattentive, and loss of control eating (LOC) tendencies as symptoms of greater pathologies in treatment‐seeking samples. However, inattentive and impulsive tendencies and LOC often co‐occur. Although LOC is an important diagnostic component of disordered eating (ED), it has recently been argued to be a dysregulated eating behavior in its own right. The purpose of the current self‐report study was, therefore, to investigate the association between impulsive and inattentive tendencies and LOC in adults after accounting for ED.MethodA community sample of 516 adults was surveyed online about their inattentive and impulsive tendencies, LOC, and ED behaviors.ResultsA hierarchical multiple linear regression revealed ED, inattentive, and impulsive symptoms to be independent, significant, positive predictors of LOC.DiscussionThese findings suggest that the levels of inattentive and, to a lesser extent, impulsive tendencies are significantly associated with LOC in adults, even after ED is accounted for. Moreover, inattentive tendencies were found to be more significantly associated with LOC than impulsive tendencies. These are novel and important findings that can be used to inform both clinicians and individuals with inattentive and impulsive tendencies alike of this association. Considering the well‐documented adverse health and wellbeing outcomes associated with LOC, future feasibility trials are needed aimed at treating this co‐occurrence.

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The risk of eating disorders comorbid with attention‐deficit/hyperactivity disorder: A systematic review and meta‐analysis

Nazar

Bernardes

Peachey

et al. 2016

Intl J Eating Disorders

118

101

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Ha habido interés en saber si la gente con Trastorno por Déficit de Atención e Hiperactividad (TDAH) están en mayor riesgo de desarrollar un Trastorno de la Conducta Alimentaria (TCA). El objetivo de este estudio fue estimar el tamaño de esta asociación con un meta-análisis de los estudios. Métodos: Recuperamos estudios de una amplia gama base de datos, que siguen los lineamientos PRISMA. Resultados: Doce estudios encajaron con nuestro objetivo primario de investigar los TCA en poblaciones con TDAH (TDAH = 4,013/Controles = 29,404), y 5 exploraron TDAH en poblaciones con TCA (TCA = 1,044/Controles = 11,292). El odds ratio (OR) agrupado de diagnosticar cualquier TCA en el TDAH se incrementó significativamente, 3.82 (95% CI:2.34-6.24). Un nivel de riesgo similar fue encontrado en todos los síndromes de TCA [Anorexia Nervosa = 4.28 (95% CI:2.24-8.16); Bulimia Nervosa = 5.71 (95% CI:3.56-9.16) y Trastorno por Atracón = 4.13 (95% CI: 3-5.67)]. El riesgo fue significativamente mayor si el TDAH fue diagnosticado utilizando una entrevista clínica [5.89 (95% CI:4.32-8.04)] en lugar de un instrumento de auto-reporte [2.23 (95% CI:1.23-4.03)]. El odds ratio (OR) agrupado de diagnosticar TDAH en participantes con TCA fue significativamente incrementado, 2.57 (95% CI:1.30-5.11). El análisis de los subgrupos de cohort con atracones solamente produjo un riesgo de 5.77 (95% CI:2.35-14.18). Ninguna de las variables examinadas en los procedimientos de meta-regresión explicaron la varianza en el tamaño del efecto entre los estudios. Discusión: La gente con TDAH tiene un mayor riesgo de comorbilidad con un TCA y la gente con un TCA también tiene niveles altos de comorbilidad con TDAH. Los estudios futuros deberán abordar si los pacientes con esta comorbilidad tienen diferente pronóstico, curso y respuesta a tratamiento cuando son comparados con pacientes que solamente tienen uno de los trastornos. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016) © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:1045-1057).

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

Abstract: Both boys and girls with ADHD may be at risk for BN symptoms in adolescence because of the impulsivity central to both disorders.

Cited by 50 publications

References 67 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

Loss of Control Eating in Adults With Impulsive and/or Inattentive Tendencies

The risk of eating disorders comorbid with attention‐deficit/hyperactivity disorder: A systematic review and meta‐analysis

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