York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada.
York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada.
Clin Psychol Rev. 2016 Dec;50:22-36. doi: 10.1016/j.cpr.2016.09.010. Epub 2016 Sep 22.
Attention-deficit/hyperactivity disorder (ADHD) and eating disorders are common and concerning mental health disorders. There is both empirical and theoretical support for an association between ADHD and eating disorders or disordered eating. This systematic review aims to summarize the extant literature on the comorbidity of ADHD and eating disorders across the lifespan, including the influences of sex, age, eating disorder diagnosis, and potential mediators. A total of 37 peer-reviewed studies on diagnosed ADHD and eating disturbances were identified through key research databases. Twenty-six studies supported a strong empirical association between ADHD and eating disorders or disordered eating. The systematic review findings suggest that children with ADHD are at risk for disordered eating, while adolescents, emerging adults, and adults are at risk for both eating disorders and disordered eating. Methodological considerations, future research, and clinical implications are discussed.
注意缺陷多动障碍（ADHD）和饮食障碍是常见且令人关注的心理健康障碍。ADHD 与饮食障碍或饮食失调之间存在着实证和理论上的关联。本系统综述旨在总结 ADHD 与饮食障碍在整个生命周期中的共病现象，包括性别、年龄、饮食障碍诊断以及潜在的中介因素的影响。通过主要研究数据库，共确定了 37 项关于确诊 ADHD 和饮食障碍的同行评议研究。其中 26 项研究支持 ADHD 与饮食障碍或饮食失调之间存在很强的实证关联。系统综述结果表明，患有 ADHD 的儿童存在饮食失调的风险，而青少年、成年初期和成年人均存在饮食障碍和饮食失调的风险。本文讨论了方法学考虑、未来研究和临床意义。
