Cortese Samuele
Academic Unit of Psychology, Developmental Brain-Behaviour Laboratory, University of Southampton, Southampton.
Solent NHS Trust, Southampton, UK.
J Child Psychol Psychiatry. 2016 Jun;57(6):685-6. doi: 10.1111/jcpp.12555.
The study by Leventakou and colleagues is emblematic of a welcome change in focus in attention-deficit/hyperactivity disorder (ADHD) research. First, the authors focused on the overlooked association between ADHD and aberrant eating patterns, reflecting an emerging change in the conceptualization of ADHD as a condition affecting not only high-level cognitive processes but also more basic functions such as eating and sleeping, as well as the underlying complex metabolic and possibly inflammatory pathways. Second, the authors focused, for the first time, on the relationship between ADHD and eating disorders in preschoolers, which is of relevance for the design of preventive strategies. Third, they zoomed closely to several types of aberrant eating behaviours; besides confirming the association of ADHD symptoms to emotional overeating, they also found an intriguing relationship between impulsivity and food fussiness. Further changes in perspective focusing on the underlying mechanisms, as well as using a wide-angle lens to capture the longitudinal relationship between ADHD and aberrant eating behaviours will not only provide a more detailed (clinical) picture of individuals with ADHD but will also hopefully lead to more effective preventive/treatment strategies.
莱文科和同事们的研究体现了注意力缺陷多动障碍(ADHD)研究重点的一个可喜变化。首先,作者们关注了ADHD与异常饮食模式之间被忽视的关联,这反映出ADHD概念化方面的一种新变化,即ADHD不仅影响高级认知过程,还影响诸如饮食和睡眠等更基本的功能,以及潜在的复杂代谢和可能的炎症途径。其次,作者们首次关注了学龄前儿童中ADHD与饮食失调之间的关系,这对预防策略的设计具有重要意义。第三,他们深入研究了几种异常饮食行为;除了证实ADHD症状与情绪化暴饮暴食之间的关联外,他们还发现了冲动性与挑食之间存在有趣的关系。进一步从关注潜在机制的角度进行改变,以及用广角视角来捕捉ADHD与异常饮食行为之间的纵向关系,不仅将为ADHD患者提供更详细的(临床)情况,还有望带来更有效的预防/治疗策略。