Attention-deficit hyperactivity symptoms and disorder in eating disorder inpatients

Int J Eat Disord. 2009 May;42(4):375-8. doi: 10.1002/eat.20627.

Abstract

Objective: The objective of this study was to determine the prevalence of attention-deficit hyperactivity disorder (ADHD) symptoms and a DSM-IV ADHD diagnosis in women admitted for treatment of an eating disorder.

Method: One hundred eighty-nine inpatient women with an eating disorder were interviewed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and ADHD interview from the Multi-international Psychiatric Interview (MINI).

Results: Twenty-one percent of the sample reported at least six current ADHD symptoms, but the estimated prevalence rate for a diagnosis of ADHD in this population was only 5.8% (95% CI: 2.6%-9.5%). Most current ADHD inattentive symptoms appeared after childhood suggesting late-onset non-ADHD origins. Current inattention symptoms in those without a diagnosis of ADHD correlated with higher BMI (p < .0001), symptoms of bulimia nervosa and current level of depression symptoms (p = .025).

Discussion: Although current ADHD symptoms were commonly endorsed in this population, clinicians should carefully examine for childhood symptom-onset of ADHD.

MeSH terms

  • Adolescent
  • Age of Onset
  • Anorexia Nervosa / epidemiology*
  • Anorexia Nervosa / psychology
  • Attention Deficit Disorder with Hyperactivity / epidemiology*
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Bulimia Nervosa / epidemiology*
  • Bulimia Nervosa / psychology
  • Comorbidity
  • Female
  • Follow-Up Studies
  • Humans
  • Inpatients
  • Longitudinal Studies
  • Male
  • Predictive Value of Tests
  • Prevalence
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Young Adult