Attention deficit hyperactivity disorder symptoms and disordered eating in the English general population
Abstract
Objective Attention deficit hyperactivity disorder (ADHD) symptoms and eating problems often coexist, but many of the previous studies have not taken into account key variables which may be important in this association. Thus, the goal of this study was to assess the association between ADHD symptoms and disordered eating, while taking into account of a variety of factors. Method This study used cross-sectional, nationally representative data from 7,403 people aged ≥16 years from England who participated in the 2007 Adult Psychiatric Morbidity Survey (APMS). ADHD symptoms were assessed with the Adult ADHD Self-Report Scale (ASRS) Screener. Questions from the five-item SCOFF screening instrument were used to identify possible ED. Multivariable logistic regression analyses were conducted. Results The prevalence of possible eating disorder (ED) was much higher among those with ADHD symptoms (ASRS score ≥14) compared to those without ADHD symptoms (19.2 vs. 5.7%). ADHD symptoms were associated with possible ED (odds ratio [OR] = 3.48; 95% confidence interval [CI] = 2.56-4.72) after adjustment for age, sex, and ethnicity. After further adjustment for alcohol dependence, drug use, intelligence quotient, stressful life events, perceived stress, impulsivity, depression, anxiety disorder, and borderline personality disorder (BPD) traits, the OR was attenuated to 1.32 (95% CI = 0.82-2.13). Anxiety and BPD were the factors that led to the largest degree of attenuation. Discussion A high…
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Three studies applied a cut-off of 14 using a continuous scale with a possible range of 0-24.
“Three studies applied a cut-off of 14 using a continuous scale with a possible range of 0-24 (Das et al., 2014;Jacob et al., 2018;Vingilis et al., 2015).”
From Prevalence of attention-deficit/hyperactivity disorder in older adults: a systematic review and meta-analysis (2020) · cites this paper as Jacob et al., 2018
Cites
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,482 · see citing works
Lewis, G., Pelosi, A. J., Araya, R., & Dunn, G. (1992) · Psychological Medicine · doi:10.1017/s0033291700030415 · Cited by 1,487 · see citing works
The role of impulsivity in the development of substance use and eating disorders
Dawe, S., & Loxton, N. J. (2004) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2004.03.007 · Cited by 944 · see citing works
Total, Direct, and Indirect Effects in Logit and Probit Models
Breen, R., Karlson, K. B., & Holm, A. (2013) · Sociological Methods & Research · doi:10.1177/0049124113494572 · Cited by 818 · see citing works
Frazier, T. W., Demaree, H. A., & Youngstrom, E. A. (2004) · Neuropsychology · doi:10.1037/0894-4105.18.3.543 · Cited by 792 · see citing works
The co‐morbidity of eating disorders and anxiety disorders: a review
Swinbourne, J. M., & Touyz, S. W. (2007) · European Eating Disorders Review · doi:10.1002/erv.784 · Cited by 448 · see citing works
ADHD With Comorbid Anxiety: A Review of the Current Literature
Schatz, D. B., & Rostain, A. L. (2006) · Journal of Attention Disorders · doi:10.1177/1087054706286698 · Cited by 407 · see citing works
Sartorius, N. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61245-8 · Cited by 380 · see citing works
Anorexia Nervosa and Major Depression: Shared Genetic and Environmental Risk Factors
Wade, T. D., Bulik, C. M., Neale, M., & Kendler, K. S. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.3.469 · Cited by 375 · see citing works
Swinbourne, J., Hunt, C., Abbott, M., Russell, J., St Clare, T., & Touyz, S. (2012) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867411432071 · Cited by 316 · see citing works
Racial and ethnic disparities in ADHD diagnosis from kindergarten to eighth grade
Morgan, P. L., Staff, J., Hillemeier, M. M., Farkas, G., & Maczuga, S. (2013) · PEDIATRICS · doi:10.1542/peds.2012-2390 · Cited by 302 · see citing works
Stress, Hypothalamic-Pituitary-Adrenal Axis and Eating Disorders
Lo Sauro, C., Ravaldi, C., Cabras, P. L., Faravelli, C., & Ricca, V. (2008) · Neuropsychobiology · doi:10.1159/000138912 · Cited by 215 · see citing works
Ziobrowski, H., Brewerton, T. D., & Duncan, A. E. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2017.11.026 · Cited by 52 · see citing works
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Dobrosavljevic, M., Solares, C., Cortese, S., Andershed, H., & Larsson, H. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.07.042 · Cited by 94 · see citing works
- Authors
- Jacob, L., Haro, J. M., & Koyanagi, A.
- Affiliations
- Université Paris Cité (FR)
- Instituto de Salud Carlos III (ES)
- Corresponding author
- Jacob, Louis
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2018-08
- Volume
- 51
- Issue
- 8
- Pages
- 942-952
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W2891694493
- Cited by
- 16
- References
- 13
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 5 · 2022: 1 · 2020: 5
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- European Regional Development Fund
- Instituto de Salud Carlos III
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- attention deficit hyperactivity disorder, ADHD symptoms, disordered eating, eating disorders, comorbidities, anxiety, borderline personality traits, impulsivity, stress, alcoholism, drug use, general population
- MeSH terms
- Adolescent, Adult, Aged, Feeding and Eating Disorders, Attention Deficit Disorder with Hyperactivity, Cross-Sectional Studies, England, Female, Humans, Male, Middle Aged, Prevalence, Young Adult
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