Frequency of binge eating in medication adherent patients with ADHD and its relation to impulsivity
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Abstract Background People with ADHD might have a higher likelihood of engaging in binge eating behaviors. Research has shown a connection between impulsivity and both ADHD and binge eating, yet the exact relationship between these factors is still not fully understood, with research on the topic being sparse and at times inconsistent. The aim of this study was to determine the frequency of binge eating in medication-adherent patients with ADHD and to investigate whether impulsivity plays a role in the observed connection between ADHD and binge eating. Patients and methods A cross-sectional observational study was conducted at the Okasha Institute of Psychiatry in Cairo, Egypt, including 75 patients diagnosed with ADHD according to DSM-IV criteria. Participants were assessed using the K-SADS PL, Conner’s Parent Rating Scale-revised, and screened for binge eating behaviors using the Binge Eating Scale (BES). Impulsivity was measured using the Barratt Impulsiveness Scale (BIS). Results The main findings of this study revealed that 9.3% of the participants had binge eating problems. However, binge eating was not significantly associated with the Conners subscales or types of ADHD. Importantly, a statistically significant positive correlation was found between binge eating and impulsivity scores, with a P -value of ≤ 0.001. Conclusion Binge eating is common among adolescents with ADHD, and impulsivity is likely a contributing factor. Mental health professionals should consider these insights when offering suitable interventions for those affected.
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Restrictive disorders, such as anorexia nervosa, are less commonly associated with ADHD.
“Restrictive disorders, such as anorexia nervosa, are less commonly associated.”
From ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives (2025) · cites this paper as [109]
The Introduction and Discussion report that ADHD predicted bingeing and purging, but not restrictive eating behaviors, in females; they also describe a higher risk of bulimia nervosa than of other eating disorders in adolescent girls with ADHD. This supports a narrower comparison, but the paper does not specifically establish that anorexia nervosa, or restrictive disorders generally, are less commonly associated with ADHD. No page number is available in our copy. (LLM, conf=0.83)
Experimental — accuracy not yet measuredEvidence links ADHD with binge-eating behaviors and bulimia, with a prevalence of 9-30%.
“Evidence also links ADHD with binge-eating behaviors and bulimia, with a prevalence of 9–30% [109,110].”
From ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives (2025) · cites this paper as [109]
The Introduction reports evidence linking ADHD to bulimia nervosa symptoms and binge-eating behaviors. The Conclusion reports 9.3% binge-eating prevalence in this study’s sample, and the Discussion cites 26% in another study; neither section establishes the claimed 9–30% prevalence range for binge eating and bulimia. Page numbers are unavailable in our copy. (LLM, conf=0.88)
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ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives
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“Evidence also links ADHD with binge-eating behaviors and bulimia, with a prevalence of 9–30% [109,110].”
- Authors
- Shaker, N. M., Mahmoud, D. A. M., Ahmed, M. M., & Rabie, E. S.
- Affiliations
- Ain Shams University (EG)
- Corresponding author
- Rabie, Eman S.
- Venue
- Middle East Current Psychiatry
- Published
- 2025-04-07
- Volume
- 32
- Issue
- 1
- ISSN
- 2090-5408 (ISSN-L)
- 2090-5416
- OpenAlex
- W4409202062
- Cited by
- 5
- References
- 41
- Citations by year
- 2026: 3 · 2025: 2
- FWCI
- 5.94
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Middle East Current Psychiatry (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Ain Shams University
- 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
- binge eating, attention deficit hyperactivity disorder, impulsivity, medication adherence, adolescents, Barratt Impulsiveness Scale, Binge Eating Scale, Conners' Parent Rating Scale
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