Advanced

Eating disorders and eating pathology in young adult and adult patients with ESSENCE

Karjalainen, Louise; Gillberg, Christopher; Råstam, Maria LU and Wentz, Elisabet (2016) In Comprehensive Psychiatry 66. p.79-86
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,... (More)
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. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Autism spectrum disorders (ASD), ADHD, Binge eating, Bulimia nervosa, Anorexia nervosa, Eating disorders
in
Comprehensive Psychiatry
volume
66
pages
79 - 86
publisher
Elsevier
external identifiers
  • scopus:84961216964
  • wos:000372760000012
ISSN
0010-440X
DOI
10.1016/j.comppsych.2015.12.009
language
English
LU publication?
yes
id
ec3a1d67-b0b9-4700-89ed-4d329fbec216 (old id 8610526)
date added to LUP
2016-02-15 14:54:56
date last changed
2017-06-25 03:55:00
@article{ec3a1d67-b0b9-4700-89ed-4d329fbec216,
  abstract     = {Background: Little is known about the prevalence and incidence of traditional eating disorders (EDs, e.g., anorexia nervosa (AN), bulimia<br/><br>
nervosa and binge eating disorder (BED)) in individuals with childhood onset neuropsychiatric disorders, including attention-deficit/<br/><br>
hyperactivity disorder (ADHD) and autism spectrum disorders (ASD). The aim of the present study was to examine the prevalence of EDs<br/><br>
and eating pathology in young adults and adults with ADHD and/or ASD, and to investigate the relationship between EDs and associated<br/><br>
symptoms, on the one hand, and other psychiatric disorders, intelligence, and BMI, on the other hand, in this population.<br/><br>
<br/><br>
Methods: In an outpatient setting, 228 consecutively referred adults were neuropsychiatrically evaluated and assessed with regard to<br/><br>
intelligence (WAIS-III), psychiatric comorbidities (SCID-I), personality disorders (SCID-II), eating disorders (SCID-I) and eating pathology (Eating Attitudes Test (EAT)).<br/><br>
<br/><br>
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<br/><br>
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<br/><br>
behavior, and 13% moderately disturbed eating behavior. Individuals with ADHD more often affirmed eating pathology such as focusing on<br/><br>
thoughts of calories and body dissatisfaction compared to individuals with ASD.<br/><br>
<br/><br>
Conclusions: Eating disorder symptomatology seems to be overrepresented in adults with neuropsychiatric disorders compared with the<br/><br>
general population. The gender ratio for EDs in adults with neuropsychiatric disorders is not nearly as skewed as in the general population.},
  author       = {Karjalainen, Louise and Gillberg, Christopher and Råstam, Maria and Wentz, Elisabet},
  issn         = {0010-440X},
  keyword      = {Autism spectrum disorders (ASD),ADHD,Binge eating,Bulimia nervosa,Anorexia nervosa,Eating disorders},
  language     = {eng},
  pages        = {79--86},
  publisher    = {Elsevier},
  series       = {Comprehensive Psychiatry},
  title        = {Eating disorders and eating pathology in young adult and adult patients with ESSENCE},
  url          = {http://dx.doi.org/10.1016/j.comppsych.2015.12.009},
  volume       = {66},
  year         = {2016},
}