Past Issues
Association between Attention Defi cit Hyperactivity Disorder Symptoms and Bulimia among College Students
Yin-To Liao, Yi-Chen Lee, Nien-Che Hung, Shu-Hsin Lee,Jun-Cheng Weng, Vincent Chin-Hung Chen
Background: Attention defi cit hyperactivity disorder (ADHD) prevalence is
increasing in eating disorder patients, especially in bulimia nervosa. ADHD may
be associated with bulimia and binge eating because both disorders share certain
clinical features. Objective: The purpose of the present study was to explore the
association between ADHD symptoms and bulimia symptoms in Taiwan. Methods:
We recruited 409 college students from a medical school. We assessed the
participants with Adult ADHD Self-Report Scale Chinese Version (ASRS), the
Bulimic Investigatory Test, Edinburgh (BITE), Chinese version of the Patient
Health Questionnaire (PHQ-9), and the Family APGAR scale. Multiple regression
was performed to investigate the relationship between the bulimic and binge eating
symptoms with the age, gender, depression symptoms, family support and
ADHD symptoms. Results: College students screened positive with bulimia had
signifi cantly higher depression, hyperactivity and impulsivity symptoms than
those screened negative (p < 0.05). The ASRS inattention and hyperactivity/impulsivity
scores were modestly correlated with BITE symptoms, severity and total
scores. The result of subsequent linear regression showed that hyperactivity/impulsivity
and depression symptoms were constantly associated with BITE symptoms,
severity and total scores. Conclusions: The present study showed that hyperactivity,
impulsivity and depression symptoms are associated with binge eating
behaviors. Assessment for eating disorder in ADHD patients may be indicated.
Key Word | ADHD, bulimia, binge eating, depression |
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