ADHD symptomatology in eating disorders: a secondary psychopathological measure of severity?
ADHD symptomatology in eating disorders: a secondary psychopathological measure of severity?
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DOI：
10.1186/1471-244x-13-166
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发表时间：
2013-06-11
期刊：
影响因子：
4.4
通讯作者：
Menchon JM
中科院分区：
文献类型：
--
作者：
Fernández-Aranda F;Agüera Z;Castro R;Jiménez-Murcia S;Ramos-Quiroga JA;Bosch R;Fagundo AB;Granero R;Penelo E;Claes L;Sánchez I;Riesco N;Casas M;Menchon JM
注意力缺陷多动障碍（ADHD）通常被描述为精神疾病。虽然一些研究发现儿童时期的异常饮食模式与ADHD之间存在正相关，但缺乏关于ADHD和饮食失调（艾德）的研究。这项探索性研究的目的是：1）评估艾德的ADHD症状水平，并确定艾德亚型之间是否存在差异; 2）分析ADHD症状的存在是否与更严重的进食障碍症状和更大的一般精神病理学相关; 3）评估ADHD症状水平是否与特定的气质和性格特征相关。纳入191例女性艾德患者。采用EDI-2、ASRS-v1.1、SCL-90-R和TCI-R进行评估。ADHD症状水平在贪食症、未另行说明的进食障碍和暴饮暴食亚型中相似，而在暴食症患者中较低。强迫和敌对与ADHD症状呈显著正相关。路径模型显示，ADHD与高新奇寻求和低自我导向相关，而艾德严重程度受ADHD严重程度和低自我导向的影响。暴食/泻出型艾德亚型ADHD症状水平较高，且与较严重的进食、一般和人格精神病理有关。
Attention-deficit/hyperactivity disorder (ADHD) has commonly been described in psychiatric disorders. Although several studies have found positive associations between abnormal eating patterns during childhood and ADHD, there is a lack of studies on ADHD and Eating Disorders (ED). The aims of this exploratory study were 1) to assess the ADHD symptoms level in ED and to ascertain whether there are differences among ED subtypes; 2) to analyze whether the presence of ADHD symptoms is associated with more severe eating disorder symptoms and greater general psychopathology; and 3) to assess whether the ADHD symptoms level is associated with specific temperament and character traits. 191 female ED patients were included. Assessment was carried out with the EDI-2, ASRS-v1.1, the SCL-90-R and the TCI-R. The ADHD symptoms level was similar in bulimia, eating disorder not otherwise specified and binge eating subtypes, and lower in anorexic patients. Obsessiveness and Hostility were significantly positively associated with ADHD symptoms. A path model showed that ADHD was associated with high Novelty Seeking and low Self-Directedness, whereas ED severity was influenced by ADHD severity and low Self-Directedness. Bingeing/purging ED subtypes have a high ADHD symptoms level, also related with more severe eating, general and personality psychopathology.