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Comprehensive Psychiatry 2014-Apr

Influence of attention-deficit/hyperactivity disorder on binge eating behaviors and psychiatric comorbidity profile of obese women.

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Bruno Palazzo Nazar
Raphael Suwwan
Camilla Moreira de Sousa Pinna
Monica Duchesne
Silvia Regina Freitas
Joseph Sergeant
Paulo Mattos

키워드

요약

OBJECTIVE

Previous studies have reported higher prevalence rates of attention-deficit/hyperactivity disorder (ADHD) both in eating disorders (ED) and in obese patients. We compared the psychiatric comorbidity profile of obese ADHD women with non-ADHD obese women and how ADHD symptoms impact in binge eating behaviors.

METHODS

Cross-sectional study of a clinical sample.

METHODS

171 adult women were evaluated at a specialized clinic in obesity and ED.

METHODS

Participants complete a semi-structured interview and psychopathology rating scales. A hierarchical regression model was employed to predict binge eating behavior.

RESULTS

Obese ADHD patients had a larger number of psychiatric comorbidities (p<0.001), especially Substance Abuse Disorders, and higher scores on psychopathology rating scales (p<0.05). The highest prediction for binge eating in the regression model was the presence of depressive symptoms, followed by ADHD inattention symptoms and trait-impulsivity.

CONCLUSIONS

ADHD should be routinely evaluated in obese since it is related with more severe psychopathology. Depressive symptoms can predict the presence of binge eating in obese patients.

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