Article Synopsis
- The study investigates the prevalence of ADHD symptoms in adults with obesity seeking bariatric surgery, finding that 11.5% screened positive for ADHD.
- Patients with positive ADHD screenings were more likely to have anxiety disorders, panic disorders, and report worse psychological symptoms and sleep issues compared to those without ADHD symptoms.
- The research highlights associations between ADHD severity and disordered eating behaviors, as well as negative personality traits, emphasizing the need to consider ADHD in obesity treatment plans.
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Article Abstract
Purpose: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition characterized by inattention, hyperactivity, and impulsivity. A positive association between ADHD and obesity has been observed, especially in adult samples. In this study, prevalence and correlates of self-reported symptoms indicative of a positive screening for ADHD were examined in patients seeking bariatric treatment.
Material And Methods: The study sample was composed of 260 adult patients with obesity referred for bariatric surgery to the Obesity Center of the Endocrinology Unit in Pisa University Hospital between January 2006 and November 2016 (BMI ≥ 30 kg/m; mean ± standard deviation = 46.27 ± 7.45 kg/m). ADHD symptoms were identified using ADHD Symptom Check-List-90-R Screening Scale. Night-eating, binge-eating/purging behaviors, and temperamental and character traits were assessed in a subsample of 95 patients.
Results: Thirty participants had a positive screening for ADHD (11.5%, 95% CI = 7.9-16.1%). Patients with a positive screening showed significantly higher rates of anxiety disorders (40% vs. 16.5%, χ = 7.97, p = 0.005) panic disorder (40% vs. 14.3%, χ = 10.48, p = 0.001), and a higher severity of psychopathological symptoms and sleep disturbances than those without. In subsample analyses, ADHD symptoms severity was associated with more bulimic behaviors (r = 0.31-0.46), greater harm avoidance (r = 0.45-0.66), less self-directedness (r = - 0.44-0.63), and cooperativeness (r = - 0.26-0.42).
Conclusion: ADHD symptoms may be common in patients with obesity seeking bariatric treatment and are positively associated with disordered eating, internalizing features, and maladaptive character traits.
Level Of Evidence: V, cross sectional descriptive study.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11349801 | PMC |
| http://dx.doi.org/10.1007/s11695-024-07308-z | DOI Listing |
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