ADHD 症状和饮食障碍症状的严重程度：一项相关性研究。
The severity of ADHD and eating disorder symptoms: a correlational study.
机构信息
Psychiatric Services Aargau AG, Baden, Switzerland.
出版信息
BMC Psychiatry. 2013 Feb 1;13:44. doi: 10.1186/1471-244X-13-44.
Abstract
BACKGROUND
Attention deficit/hyperactivity disorders (ADHD) and eating disorders (ED) share several clinical features. Research on the association between ADHD and ED is still quite sparse and findings are ambiguous.
METHODS
Correlations between the severity of ADHD key features (Barratt Impulsiveness Scale, and Attention Deficit/Hyperactivity Disorder-Self-Rating questionnaire) and the severity of specific ED symptoms (Structured Interview for Anorexia and Bulimia Nervosa) were examined in 32 female patients diagnosed with ED.
RESULTS
Most correlations between the severity of ADHD features and the severity of ED symptoms were low (r<0.30) and did not reach statistical significance. The only exception was a statistically significant, but counterintuitive association between impulsivity and the avoidance of fattening food.
CONCLUSIONS
The findings in this small sample suggest a weak link between the severity of ADHD key features and the severity of single ED symptoms in female patients with ED. The role of ADHD features for the development, maintenance, and treatment of EDs seems to be intricate and requires further study.
摘要
背景
注意缺陷多动障碍（ADHD）和饮食障碍（ED）有一些共同的临床特征。关于 ADHD 和 ED 之间关联的研究仍然相当稀少，研究结果也存在分歧。
方法
在 32 名被诊断为 ED 的女性患者中，检查了 ADHD 主要特征（巴瑞特冲动量表和 ADHD 自评问卷）严重程度与特定 ED 症状（神经性厌食和贪食症的结构性访谈）严重程度之间的相关性。
结果
ADHD 特征严重程度与 ED 症状严重程度之间的大多数相关性都较低（r<0.30），且不具有统计学意义。唯一的例外是冲动性与避免发胖食物之间存在具有统计学意义但违反直觉的关联。
结论
该小样本研究结果表明，ED 女性患者的 ADHD 主要特征严重程度与单一 ED 症状严重程度之间存在微弱联系。ADHD 特征在 ED 的发展、维持和治疗中的作用似乎很复杂，需要进一步研究。
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本文引用的文献
1
Diagnostic crossover and outcome predictors in eating disorders according to DSM-IV and DSM-V proposed criteria: a 6-year follow-up study.根据 DSM-IV 和 DSM-V 提出的标准，进食障碍的诊断交叉和结局预测因素：一项 6 年随访研究。
Psychosom Med. 2011 Apr;73(3):270-9. doi: 10.1097/PSY.0b013e31820a1838. Epub 2011 Jan 21.
2
The comorbidity of eating disorders and attention-deficit hyperactivity disorder.饮食失调与注意力缺陷多动障碍的共病情况。
Eat Disord. 2010 Jan-Feb;18(1):81-9. doi: 10.1080/10640260903439623.
3
Multidimensional self reports as a measure of characteristics in people with eating disorders.多维自我报告作为评估进食障碍患者特征的一种手段。
Eat Weight Disord. 2009 Jun-Sep;14(2-3):e84-91. doi: 10.1007/BF03327804.
4
Eating disorders.进食障碍。
Lancet. 2010 Feb 13;375(9714):583-93. doi: 10.1016/S0140-6736(09)61748-7.
5
A systematic review of impulsivity in eating disorders.进食障碍中冲动性的系统评价。
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6
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7
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Braz J Psychiatry. 2008 Dec;30(4):384-9. doi: 10.1590/s1516-44462008000400014.
8
Attention-deficit hyperactivity symptoms and disorder in eating disorder inpatients.饮食失调住院患者的注意力缺陷多动症状及障碍
Int J Eat Disord. 2009 May;42(4):375-8. doi: 10.1002/eat.20627.
9
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Curr Psychiatry Rep. 2008 Oct;10(5):419-23. doi: 10.1007/s11920-008-0067-5.
10
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