Presencia e influencia de sintomatología sugestiva de trastorno por déficit de atención e hiperactividad en adultos con un trastorno de la conducta alimentaria

  1. Ruiz Feliu, M. 1
  2. Cano Prous, A. 2
  3. Iglesias Gaspar, M.T. 3
  4. Campos Mangas, C. 4
  5. Álvarez Martínez, J.M. 1
  1. 1 Osakidetza-Servicio Vasco de Salud. Red de Salud Mental de Gipuzkoa. Centro de Salud Mental de Donostia-Amara. San Sebastián. España.
  2. 2 Clínica Universidad de Navarra. Departamento de Psiquiatría y Psicología Médica. Pamplona. España.
  3. 3 Osakidetza-Servicio Vasco de Salud. Hospital Universitario Donostia. Unidad de Epidemiología Clínica. San Sebastián. España.
  4. 4 Centro de Salud Mental de Ansoain. Servicio Navarro de Salud-Osasunbidea. Ansoain. Navarra. España.
Erakutsi afiliazioak +
Aldizkaria:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Argitalpen urtea: 2022

Alea: 45

Zenbakia: 1

Orrialdeak: 5-5

Mota: Artikulua

DOI: 10.23938/ASSN.0984 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Anales del sistema sanitario de Navarra

Garapen Iraunkorreko Helburuak

Laburpena

Background. The coexistence of eating disorders (ED) and attention deficit hyperactivity disorder (ADHD) is common. The aim of the study was to quantify the presence of ADHD symptoms in adult patients with ED and evaluate any possible correlation between both symptomatologies. Methods. Cross-sectional study of patients with ED. The following questionnaires were completed: the Eating Attitudes Test - 40 items (EAT-40), the Eating Disorder Inventory 3rd edition (EDI-3) and the abbreviated version of the Adult ADHD Self-Report Scale (ASRS v1.1). The patients who scored ≥12 points in ASRS v1.1 completed the Attention Deficit Hyperactivity Disorder Rating Scale (4th edition, ADHD-RS IV). Results. 42.6% of the 108 patients scored ≥12 in the ASRS v1.1. These subjects scored higher in bulimia and in some scales of psychological maladjustment of the EDI-3, and those with binging and/or purging behaviours scored higher in Psychobiological disorders of the EAT-40 and in Body dissatisfaction and Eating disorder risk composite scales of the EDI-3. There were no differences in ADHD-RS IV between pure restrictive syndromes (n=13) and those with binging and/or purging behaviours (n=33). We found that, in cases with binge/purge symptoms, ADHD symptoms correlated higher with ED symptoms and with general psychological maladjustment. Conclusion. ADHD symptoms are common in the clinical population with ED, and more in groups with binge/purge symptoms, although they are not necessarily more intense. The correlation between ADHD symptoms and ED is higher in cases with binging and/or purging behaviours. ADHD symptoms involve more psychological maladjustment and more serious ED symptomatology in cases with binge/purge symptoms.

Erreferentzia bibliografikoak

  • Citas 1. REBA-HARRELSON L, VON HOLLE A, HAMER RM, SWANN R, REYES ML, BULIK CM. Patterns and prevalence of disordered eating and weight control behaviors in women ages 25-45. Eat Weight Disord 2009; 14: 190-198. https://doi.org/10.1007/BF03325116
  • HUDSON JI, HIRIPI E, POPE HG, KESSLER RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 2007; 61: 348-358. https://doi.org/10.1016/j.biopsych.2006.03.040
  • BLINDER BJ, CUMELLA EJ, SANATHARA VA. Psychiatric comorbidities of female inpatients with eating disorders. Psychosom Med 2006; 68: 454-462. https://doi.org/10.1097/01.psy.0000221254.77675.f5
  • American Psychiatric Association. DSM-V. Manual Diagnóstico y estadístico de los trastornos mentales. 5ª edición. Madrid: Editorial Médica Panamericana, 2014.
  • KOOIJ JJS, BIJLENGA D, SALERNO L, JAESCHKE R, BITTER I, BALÁZS J et al. Updated European consensus statement on diagnosis and treatment of adult ADHD. Eur Psychiatry 2019; 56: 14-34. https://doi.org/10.1016/j.eurpsy.2018.11.001
  • DE ZWAAN M, GRUSS B, MÜLLER A, PHILIPSEN A, GRAAP H, MARTIN A et al. Association between obesity and adult ADHD in a German community-based sample. Obes Facts 2011; 4: 204-211. https://doi.org/10.1159/000329565
  • STULZ N, HEPP U, GÄCHTER C, MARTIN-SOELCH C, SPINDLER A, MILOS G. The severity of ADHD and eating disorder symptoms: a correlational study. BMC Psychiatry 2013; 13: 44. https://doi.org/10.1186/1471-244X-13-44
  • BIEDERMAN J, BALL SW, MONUTEAUX MC, SURMAN CB, JOHNSON JL, ZEITLIN S. Are girls with ADHD at risk for eating disorders? Results from a controlled five-year prospective study. J Dev Behav Pediatr 2007; 28: 302-307. https://doi.org/10.1097/DBP.0b013e3180327917
  • CORTESE S, BERNARDINA BD, MOUREN MC. Attention-deficit/hyperactive disorder (ADHD) and binge eating. Nutr Rev 2007; 65: 404-411. https://doi.org/10.1111/j.1753-4887.2007.tb00318.x
  • WENTZ E, LACEY JH, WALLER G, RÅSTAM M, TURK J, GILLBERG C. Childhood onset neuropsychiatric disorders in adult eating disorder patients. A pilot study. Eur Child Adolesc Psychiatry 2005; 431-437. https://doi.org/10.1007/s00787-005-0494-3
  • KAISARI P, DOURISH CT, HIGGS S. Attention deficit hyperactivity disorder (ADHD) and disordered eating behaviour: a systematic review and a framework for future research. Clin Psychol Rev 2017; 53: 109-121. https://doi.org/10.1016/j.cpr.2017.03.002
  • NAZAR BP, BERNADES C, PEACHEY G, SERGEANT J, MATTOS P, TREASURE J. The risk of eating disorders comorbid with attention-deficit/hyperactivity disorder: a systematic review and meta-análisis. Int J Eat Disord 2016; 49: 1045-1057. https://doi.org/10.1002/eat.22643
  • LEVIN RL, RAWANA JS. Attention-deficit/hyperactivity disorder and eating disorders across the lifespan: a systematic review of the literature. Clin Psychol Rev 2016; 50: 22-36. https://doi.org/10.1016/j.cpr.2016.09.010
  • CURTIN C, PAGOTO SL, MICK E. The association between ADHD and eating disorders/pathology in adolescents: a systematic review. Open J Epidemiol 2013; 3: 193-202. https://doi.org/10.4236/ojepi.2013.34028
  • FERNÁNDEZ-ARANDA F, AGÜERA Z, CASTRO R, JIMÉNEZ-MURCIA S, RAMOS-QUIROGA JA, BOSCH S et al. ADHD symptomatology in eating disorders: a secondary psychopathological measure of severity? BMC Psychiatry 2013; 13: 166-173. https://doi.org/10.1186/1471-244X-13-166
  • FERRÉ F, CAMBRA J, OVEJERO M, BASURTE-VILLAMOR I. Influencia de los síntomas del trastorno por déficit de atención con hiperactividad en adultos en la calidad de vida y funcionalidad de los trastornos de conducta alimentaria. Act Esp Psiquiatr 2017; 45: 98-107.
  • GUTIÉRREZ T, RAICH RM, SÁNCHEZ D, DEUS J. Instrumentos de evaluación psicológica de la salud. Madrid: Alianza Editorial, 2003.
  • DE IRALA J, CANO-PROUS A, LAHORTIGA-RAMOS F, GUAL-GARCÍA P, MARTÍNEZ-GONZÁLEZ M, CERVERA-ENGUIX S. Validación del cuestionario Eating attitudes Test (EAT) como prueba de cribado de trastornos de la conducta alimentaria en la población general. Med Clin 2008; 130: 487-491. https://doi.org/10.1157/13119489
  • ELOSUA P, LÓPEZ-JAÚREGUI A. Internal structure of the Spanish Adaptation of the Eating Disorder Inventory-3. Eur J Psychol Assess 2012; 28: 25-31. https://doi.org/10.1027/1015-5759/a000087
  • RAMOS-QUIROGA JA, DAIGRE C, GÓMEZ-BARROS N, NOGUEIRA M, PALOMAR G, RONCERO C et al. Validación al español de la escala de cribado del trastorno por déficit de atención/hiperactividad en adultos (ASRS v.1.1): una nueva estrategia de puntuación. Rev Neurol 2009; 48: 449-452. https://doi.org/10.33588/rn.4809.2008677
  • RICHARTE V, CORREALES M, POZUELO M, SERRA-PLA JF, IBAÑEZ P, CALVO E et al. Validación al español de la ADHD Rating Scale (ADHD-RS) en adultos: relevancia en los subtipos clínicos. Rev Psiquiatr Salud Ment 2017; 10: 185-191. https://doi.org/10.1016/j.rpsm.2017.06.003
  • SALAZAR Z, PRADO-CALDERÓN JE. Análisis de la validez discriminante del Eating Attitudes Test mediante el modelo de Rasch. Reflexiones 2014; 94: 123-135.
  • DAVIS C, LEVITAN RD, SMITH M, TWEED S, CURTIS C. Associations among overeating, overweight, and attention deficit/hyperactivity disorder: a structural equation modelling approach. Eat Behav 2006; 7: 266-274. https://doi.org/10.1016/j.eatbeh.2005.09.006
  • SVEDLUND NE, NORRING C, GINSBERG Y, VON HAUSSWOLFF-JUHLIN Y. Symptoms of attention deficit hyperactivity disorder (ADHD) among adult eating disorder patients. BMC Psychiatry 2017; 17: 19. https://doi.org/10.1186/s12888-016-1093-1
  • SEITZ J, KAHRMAN-LANZERATH B, LEGENBAUER T, SARRAR L, HERPERTZ S, SALBACH-ANDRAE H et al. The role of impulsivity, inattention and comorbid ADHD in patients with bulimia nervosa. PLos One 2013; 8: e63891. https://doi.org/10.1371/journal.pone.0063891
  • YATES WR, LUND BC, JOHNSON C, MITCHELL J, MCKEE P. Attention-deficit hyperactivity symptoms and disorder in eating disorder impatients. Int J Eating Disord 2009; 42: 375-378. https://doi.org/10.1002/eat.20627
  • BLECK J, DEBATE RD. Exploring the co-morbidity of ADHD with eating disorders and disordered eating behaviors in a nationally representative community-based sample. Eat Behav 2013; 14: 390-393. https://doi.org/10.1016/j.eatbeh.2013.05.009
  • PATTE KA, DAVIS CA, LEVITANRD, KAPLAN AS, CARTER-MAJOR J, KENNEDY JL. A behavioral genetic model of the mechanisms underlying the link between obesity and symptoms of ADHD. J Atten Disord 2016. https://doi.org/10.1177/1087054715618793
  • KAISARI P, DOURISH CT, ROTSHTEIN P, HIGGS S. Associations between core symptoms of attention deficit hyperactivity disorder and both binge and restrictive eating. Front Psychiatry 2018; 9: 103. https://doi.org/10.3389/fpsyt.2018.00103
  • GARNER DM. Eating Disorder Inventory-3. Professional Manual. Lutz, FL: Psychological Assessment Resources, 2004.
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