Associations between ADHD and eating disorders in relation to comorbid psychiatric disorders in a nationally representative sample
Abstract
The objective of this study was to examine whether previously observed associations of attention-deficit/hyperactivity disorder (ADHD) with eating disorders (EDs) are at least partially attributable to other underlying psychopathology. Data came from 4719 participants aged 18-44 years in the National Comorbidity Survey Replication and the National Survey of American Life. DSM-IV diagnoses were assessed using the World Health Organization Composite International Diagnostic Interview. Multinomial logistic regression assessed associations between DSM-IV lifetime and past-12 month diagnoses of ADHD with EDs in unadjusted models and in models adjusted for demographic variables and other psychopathology. Lifetime ADHD was strongly and significantly associated with lifetime bulimia nervosa (BN), binge eating disorder (BED), and any ED in unadjusted models, but not with anorexia nervosa or subthreshold BED. After adjusting for demographic variables and psychiatric comorbidities, all associations of lifetime ADHD with EDs were substantially attenuated, and only the association of ADHD with BN remained statistically significant. Similar results were found using past-12 month diagnoses. These results suggest that previously observed associations of ADHD with EDs might be due - at least in part - to additional psychiatric disorders that are often comorbid with both ADHD and EDs.
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In a nationally representative sample of adults in the US (n = 4719), only the association between ADHD and BN remained significant after confounders were adjusted for.
“In a nationally representative sample of adults in the US (n = 4719), only the association between ADHD and BN remained significant after confounders were adjusted for [185].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [185]
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- Authors
- Ziobrowski, H., Brewerton, T. D., & Duncan, A. E.
- Affiliations
- Brown University (US)
- Medical University of South Carolina (US)
- Washington University in St. Louis (US)
- Corresponding author
- Duncan, Alexis E.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2018-02
- Volume
- 260
- Pages
- 53-59
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2768709811
- Cited by
- 52
- References
- 53
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 7 · 2023: 1 · 2022: 10 · 2021: 10 · 2020: 6 · 2019: 4 · 2018: 4
- FWCI
- 4.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- attention deficit hyperactivity disorder, eating disorders, bulimia nervosa, binge eating disorder, anorexia nervosa, psychiatric comorbidity, National Comorbidity Survey Replication, National Survey of American Life
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Female, Humans, Male, Psychopathology, Comorbidity, Logistic Models, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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