The Comorbidity of ADHD and Eating Disorders in a Nationally Representative Sample
The Comorbidity of ADHD and Eating Disorders in a Nationally Representative Sample
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DOI：
10.1007/s11414-014-9422-y
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发表时间：
2015-10-01
影响因子：
1.9
通讯作者：
Olivardia, Roberto
中科院分区：
文献类型：
--
作者：
Bleck, Jennifer R.;DeBate, Rita D.;Olivardia, Roberto
有证据表明儿童注意缺陷/多动障碍（ADHD）和随后的饮食失调共病。然而，大多数研究在患者群体中评估了这种合并症，而不是在全国具有代表性的样本中，并且没有探索每种疾病亚型的差异。目前的研究旨在通过国家青少年健康纵向研究（n = 12262）的二次数据分析，调查临床（即诊断）和亚临床（即行为的存在，但不是所有的诊断标准）ADHD和饮食失调之间的关系。结果显示，临床ADHD患者更有可能经历(a)临床饮食失调，(b)临床水平的暴食和/或清洗行为，以及(c)临床水平的限制行为。那些患有亚临床多动症（注意力不集中和多动/冲动）的人更有可能经历亚临床暴食和/或净化行为，而不是亚临床限制行为。研究结果的含义涉及到二级/有针对性的预防饮食失调和三级预防，通过患者特定的治疗计划。
Evidence suggests a comorbidity of childhood attention-deficit/hyperactivity disorder (ADHD) and subsequent eating disorders. However, most studies have assessed this comorbidity among patient populations as opposed to nationally representative samples and have not explored differences by subtype of each disorder. The current study aims to investigate the association between both clinical (i.e., diagnosed) and subclinical (i.e., presence of behaviors but not all diagnostic criteria) ADHD and eating disorders via a secondary data analysis of the National Longitudinal Study of Adolescent Health (n = 12,262). Results reveal that those with clinical ADHD are more likely to experience (a) clinical eating disorder, (b) clinical-level binging and/or purging behaviors, and (c) clinical-level restrictive behaviors. Those with subclinical ADHD (both inattentive and hyperactive/impulsive) were more likely to experience subclinical binging and/or purging behaviors but not subclinical restrictive behaviors. Implications of study findings pertain to both secondary/targeted prevention of eating disorders and tertiary prevention via patient-specific treatment plans.