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Eating disorders and eating pathology in young adult and adult patients with ESSENCE.
Compr Psychiatry. 2016 Apr; 66:79-86.CP

Abstract

BACKGROUND

Little is known about the prevalence and incidence of traditional eating disorders (EDs, e.g., anorexia nervosa (AN), bulimia nervosa and binge eating disorder (BED)) in individuals with childhood onset neuropsychiatric disorders, including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorders (ASD). The aim of the present study was to examine the prevalence of EDs and eating pathology in young adults and adults with ADHD and/or ASD, and to investigate the relationship between EDs and associated symptoms, on the one hand, and other psychiatric disorders, intelligence, and BMI, on the other hand, in this population.

METHODS

In an outpatient setting, 228 consecutively referred adults were neuropsychiatrically evaluated and assessed with regard to intelligence (WAIS-III), psychiatric comorbidities (SCID-I), personality disorders (SCID-II), eating disorders (SCID-I) and eating pathology (Eating Attitudes Test (EAT)).

RESULTS

For the entire sample, a total of 18 individuals (7.9%) had a current or previous eating disorder, with AN and BED being the most frequent. The male:female ratio was 1:2.5. According to EAT, 10.1% of the individuals scored within the range of severely disturbed eating behavior, and 13% moderately disturbed eating behavior. Individuals with ADHD more often affirmed eating pathology such as focusing on thoughts of calories and body dissatisfaction compared to individuals with ASD.

CONCLUSIONS

Eating disorder symptomatology seems to be overrepresented in adults with neuropsychiatric disorders compared with the general population. The gender ratio for EDs in adults with neuropsychiatric disorders is not nearly as skewed as in the general population.

Authors+Show Affiliations

Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg, Göteborg, Sweden. Electronic address: louise.karjalainen@gnc.gu.se.Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg, Göteborg, Sweden; Department of Child and Adolescent Psychiatry, Strathclyde University, Yorkhill Hospital, Glasgow, UK; Institute of Child Health, University College London, London, UK.Child and Adolescent Psychiatry, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg, Göteborg, Sweden.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26995240

Citation

Karjalainen, Louise, et al. "Eating Disorders and Eating Pathology in Young Adult and Adult Patients With ESSENCE." Comprehensive Psychiatry, vol. 66, 2016, pp. 79-86.
Karjalainen L, Gillberg C, Råstam M, et al. Eating disorders and eating pathology in young adult and adult patients with ESSENCE. Compr Psychiatry. 2016;66:79-86.
Karjalainen, L., Gillberg, C., Råstam, M., & Wentz, E. (2016). Eating disorders and eating pathology in young adult and adult patients with ESSENCE. Comprehensive Psychiatry, 66, 79-86. https://doi.org/10.1016/j.comppsych.2015.12.009
Karjalainen L, et al. Eating Disorders and Eating Pathology in Young Adult and Adult Patients With ESSENCE. Compr Psychiatry. 2016;66:79-86. PubMed PMID: 26995240.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eating disorders and eating pathology in young adult and adult patients with ESSENCE. AU - Karjalainen,Louise, AU - Gillberg,Christopher, AU - Råstam,Maria, AU - Wentz,Elisabet, Y1 - 2016/01/06/ PY - 2015/08/10/received PY - 2015/12/31/accepted PY - 2016/3/21/entrez PY - 2016/3/21/pubmed PY - 2016/11/1/medline SP - 79 EP - 86 JF - Comprehensive psychiatry JO - Compr Psychiatry VL - 66 N2 - BACKGROUND: Little is known about the prevalence and incidence of traditional eating disorders (EDs, e.g., anorexia nervosa (AN), bulimia nervosa and binge eating disorder (BED)) in individuals with childhood onset neuropsychiatric disorders, including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorders (ASD). The aim of the present study was to examine the prevalence of EDs and eating pathology in young adults and adults with ADHD and/or ASD, and to investigate the relationship between EDs and associated symptoms, on the one hand, and other psychiatric disorders, intelligence, and BMI, on the other hand, in this population. METHODS: In an outpatient setting, 228 consecutively referred adults were neuropsychiatrically evaluated and assessed with regard to intelligence (WAIS-III), psychiatric comorbidities (SCID-I), personality disorders (SCID-II), eating disorders (SCID-I) and eating pathology (Eating Attitudes Test (EAT)). RESULTS: For the entire sample, a total of 18 individuals (7.9%) had a current or previous eating disorder, with AN and BED being the most frequent. The male:female ratio was 1:2.5. According to EAT, 10.1% of the individuals scored within the range of severely disturbed eating behavior, and 13% moderately disturbed eating behavior. Individuals with ADHD more often affirmed eating pathology such as focusing on thoughts of calories and body dissatisfaction compared to individuals with ASD. CONCLUSIONS: Eating disorder symptomatology seems to be overrepresented in adults with neuropsychiatric disorders compared with the general population. The gender ratio for EDs in adults with neuropsychiatric disorders is not nearly as skewed as in the general population. SN - 1532-8384 UR - https://www.unboundmedicine.com/medline/citation/26995240/Eating_disorders_and_eating_pathology_in_young_adult_and_adult_patients_with_ESSENCE_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-440X(15)30156-5 DB - PRIME DP - Unbound Medicine ER -