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注意缺陷多动障碍与儿童和青少年时期的饮食障碍:最新综述

ADHD and eating disorders in childhood and adolescence: An updated minireview.

机构信息

Child Psychopathology Unit, Scientific Institute, IRCCS E. Medea, 23842 Bosisio Parini, Italy.

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.

出版信息

J Affect Disord. 2023 Jan 15;321:265-271. doi: 10.1016/j.jad.2022.10.016. Epub 2022 Nov 7.

Abstract

INTRODUCTION

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders with overactivity, inattention, and impulsivity as core characteristics. Recent studies suggest that 20 % of children with ADHD also develop eating disorders (EDs), including anorexia nervosa, bulimia nervosa and binge eating disorder. However, little is still known about the association between ADHD and EDs through childhood and adolescence. Therefore, in the present work, we aimed at summarizing the studies investigating ADHD and EDs in childhood and adolescence over the last 10 years.

METHODS

A bibliographic search on PubMed was performed and only studies that considered participants with a clinical diagnosis of ADHD, patients with an additional diagnosis of EDs and patients under 18 years old were included. A total of 7 studies were retrieved and included in the review.

RESULTS

The majority of the reviewed studies (N = 5) found an association between ADHD and EDs, while the remaining, which focused on EDs symptomatology, reported either lower ED symptoms in ADHD sample or no association between ADHD and EDs.

LIMITATIONS

the majority of studies were cross-sectional and therefore did not allow to explore the longitudinal casual relation between ADHD and EDs in the developmental age range considered.

CONCLUSIONS

This review suggests that children and adolescents with ADHD should be monitored for EDs. However, more work is still needed to better understand the clinical implications of the comorbidity between ADHD and EDs and its prospective impact on the life of children and adolescents with ADHD.

摘要

简介

注意力缺陷多动障碍(ADHD)是最常见的神经发育障碍之一,其核心特征为多动、注意力不集中和冲动。最近的研究表明,20%的 ADHD 儿童也会发展为饮食障碍(EDs),包括神经性厌食症、神经性贪食症和暴食症。然而,对于 ADHD 与 EDs 在儿童和青少年时期之间的关联,我们仍知之甚少。因此,在本研究中,我们旨在总结过去 10 年中研究 ADHD 和 EDs 在儿童和青少年中的研究。

方法

在 PubMed 上进行了文献检索,仅纳入考虑参与者临床诊断为 ADHD、患有 EDs 附加诊断或年龄在 18 岁以下的研究。共检索到 7 项研究,并纳入综述。

结果

大多数综述研究(N=5)发现 ADHD 与 EDs 之间存在关联,而其余研究则侧重于 EDs 的症状表现,报告 ADHD 样本中的 ED 症状较低,或 ADHD 与 EDs 之间无关联。

局限性

大多数研究为横断面研究,因此无法在考虑的发育年龄段探索 ADHD 和 EDs 之间的纵向因果关系。

结论

本综述表明,应监测患有 ADHD 的儿童和青少年是否存在 EDs。然而,仍需要更多的研究来更好地理解 ADHD 和 EDs 共病的临床意义及其对 ADHD 儿童和青少年生活的前瞻性影响。

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