注意缺陷多动障碍儿童的多模式治疗研究中的神经性贪食症症状。
Bulimia nervosa symptoms in the multimodal treatment study of children with ADHD.
机构信息
Department of Psychology, University of Virginia, Charlottesville, Virginia 22904-4400, USA.
出版信息
Int J Eat Disord. 2010 Apr;43(3):248-59. doi: 10.1002/eat.20692.
OBJECTIVE
We investigated body image dissatisfaction and bingeing/purging characteristics of bulimia nervosa (BN) in the ongoing prospective follow-up of the Multimodal Treatment Study of Children with attention-deficit/hyperactivity disorder (ADHD).
METHOD
Participants were 337 boys and 95 girls with ADHD and 211 boys and 53 girls forming a local normative comparison group (LNCG), reassessed in midadolescence (mean age, 16.4), 8 years after original recruitment.
RESULTS
Youth with childhood ADHD showed more BN symptoms in midadolescence than did LNCG youth, and girls demonstrated more BN symptoms than did boys, with effect sizes between small and medium. Childhood impulsivity, as opposed to hyperactivity or inattention, best predicted adolescent BN symptoms, particularly for girls. Among youth with ADHD, treatment received during the follow-up period was not associated with BN pathology.
DISCUSSION
Both boys and girls with ADHD may be at risk for BN symptoms in adolescence because of the impulsivity central to both disorders.
目的
我们在儿童注意缺陷/多动障碍（ADHD）的多模式治疗研究的持续前瞻性随访中，调查神经性贪食症（BN）的身体意象不满和暴食/清除特征。
方法
参与者为 337 名患有 ADHD 的男孩和 95 名女孩，以及 211 名患有 ADHD 的男孩和 53 名女孩组成的当地正常对照组（LNCG），在青少年中期（平均年龄 16.4 岁）重新评估，即原始招募后 8 年。
结果
童年患有 ADHD 的青少年在青少年中期表现出更多的 BN 症状，女孩比男孩表现出更多的 BN 症状，其效应大小介于小和中之间。与多动或注意力不集中相比，童年期冲动性最能预测青少年 BN 症状，尤其是对女孩而言。在 ADHD 青少年中，随访期间接受的治疗与 BN 病理无关。
讨论
由于这两种疾病都以冲动为核心，因此患有 ADHD 的男孩和女孩在青春期都可能有 BN 症状的风险。
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