Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study
Attention-deficit/hyperactivity disorder (ADHD) and its symptoms have been shown to be present in patients with eating disorders (EDs) and are associated with increased psychopathology and more dysfunctional personality traits. This study aimed to assess if the presence of ADHD symptoms in patients...
| Authors: | ; ; ; ; ; ; ; ; |
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| Format: | Article |
| Publication date: | 2020 |
| Country: | España |
| Institution: | Universitat Autònoma de Barcelona |
| Repository: | Dipòsit Digital de Documents de la UAB |
| Language: | English |
| OAI Identifier: | oai:ddd.uab.cat:252777 |
| Online Access: | https://ddd.uab.cat/record/252777 https://dx.doi.org/urn:doi:10.3390/jcm9072305 |
| Access Level: | Open access |
| Keyword: | Attention-deficit/hyperactivity disorder ADHD Eating disorders Longitudinal Treatment outcome Dropout |
| _version_ | 1878729126529990656 |
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| author | Testa, Giulia|||0000-0003-4200-8062 |
| author2 | Baenas Soto, Isabel Maria|||0000-0001-7415-0616 Vintró Alcaraz, Cristina|||0000-0001-9453-8810 Granero, Roser|||0000-0001-6308-3198 Agüera, Zaida|||0000-0003-4453-4939 Sánchez Díaz, Isabel María|||0000-0001-5874-8204 Riesco, Nadine|||0000-0002-6336-4907 Jiménez Murcia, Susana|||0000-0002-3596-8033 Fernández Aranda, Fernando|||0000-0002-2968-9898 |
| author2_role | author author author author author author author author |
| author_browse | Agüera, Zaida|||0000-0003-4453-4939 Baenas Soto, Isabel Maria|||0000-0001-7415-0616 Fernández Aranda, Fernando|||0000-0002-2968-9898 Granero, Roser|||0000-0001-6308-3198 Jiménez Murcia, Susana|||0000-0002-3596-8033 Riesco, Nadine|||0000-0002-6336-4907 Sánchez Díaz, Isabel María|||0000-0001-5874-8204 Testa, Giulia|||0000-0003-4200-8062 Vintró Alcaraz, Cristina|||0000-0001-9453-8810 |
| author_facet | Testa, Giulia|||0000-0003-4200-8062 Baenas Soto, Isabel Maria|||0000-0001-7415-0616 Vintró Alcaraz, Cristina|||0000-0001-9453-8810 Granero, Roser|||0000-0001-6308-3198 Agüera, Zaida|||0000-0003-4453-4939 Sánchez Díaz, Isabel María|||0000-0001-5874-8204 Riesco, Nadine|||0000-0002-6336-4907 Jiménez Murcia, Susana|||0000-0002-3596-8033 Fernández Aranda, Fernando|||0000-0002-2968-9898 |
| author_role | author |
| collection | Dipòsit Digital de Documents de la UAB |
| description | Attention-deficit/hyperactivity disorder (ADHD) and its symptoms have been shown to be present in patients with eating disorders (EDs) and are associated with increased psychopathology and more dysfunctional personality traits. This study aimed to assess if the presence of ADHD symptoms in patients with EDs affects their short and long-term therapy outcome. A total of 136 consecutively treated ED patients were considered in this study. Baseline pre-treatment evaluation included the Adult ADHD Self-Report Scale (ASRS v1.1) for ADHD symptoms and the assessment of eating symptomatology using the Eating Disorders Inventory (EDI-2). Treatment outcome was evaluated in terms of ED symptoms after cognitive behavioral therapy (CBT) and dropout rate during treatment. Furthermore, we evaluated ED symptoms in treatment completers after a follow-up of 8 years on average. Path analyses assessed the potential mediational role of the EDI-2 total score in the relationship between ADHD and treatment outcome. Results showed that baseline symptoms of ADHD indirectly affected treatment outcome after CBT; the ASRS positive screening was related to higher eating symptomatology (standardized coefficient B = 0.41, p = 0.001, 95% CI: 0.26 to 0.55), and the presence of high ED levels contributed to the increase of dropout (B = 0.15, p = 0.041, 95% CI: 0.03 to 0.33) and a worse treatment outcome (B = 0.18, p = 0.041, 95% CI: 0.01 to 0.35). No direct effect was found between the ASRS positive screening with the risk of dropout (B = -0.08, p = 0.375) and worse treatment outcome (B = -0.07, p = 0.414). These results suggest the relevance of identifying specific treatment approaches for patients with ADHD symptoms and severe eating symptomatology. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_01f02e91fa6bc00a0b40220a3c49f96c |
| institution | Universitat Autònoma de Barcelona |
| instname_str | Universitat Autònoma de Barcelona |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:ddd.uab.cat:252777 |
| publishDate | 2020 |
| publishDateSort | 2020 |
| reponame_str | Dipòsit Digital de Documents de la UAB |
| spelling | Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study Testa, Giulia|||0000-0003-4200-8062 Baenas Soto, Isabel Maria|||0000-0001-7415-0616 Vintró Alcaraz, Cristina|||0000-0001-9453-8810 Granero, Roser|||0000-0001-6308-3198 Agüera, Zaida|||0000-0003-4453-4939 Sánchez Díaz, Isabel María|||0000-0001-5874-8204 Riesco, Nadine|||0000-0002-6336-4907 Jiménez Murcia, Susana|||0000-0002-3596-8033 Fernández Aranda, Fernando|||0000-0002-2968-9898 Attention-deficit/hyperactivity disorder ADHD Eating disorders Longitudinal Treatment outcome Dropout Attention-deficit/hyperactivity disorder (ADHD) and its symptoms have been shown to be present in patients with eating disorders (EDs) and are associated with increased psychopathology and more dysfunctional personality traits. This study aimed to assess if the presence of ADHD symptoms in patients with EDs affects their short and long-term therapy outcome. A total of 136 consecutively treated ED patients were considered in this study. Baseline pre-treatment evaluation included the Adult ADHD Self-Report Scale (ASRS v1.1) for ADHD symptoms and the assessment of eating symptomatology using the Eating Disorders Inventory (EDI-2). Treatment outcome was evaluated in terms of ED symptoms after cognitive behavioral therapy (CBT) and dropout rate during treatment. Furthermore, we evaluated ED symptoms in treatment completers after a follow-up of 8 years on average. Path analyses assessed the potential mediational role of the EDI-2 total score in the relationship between ADHD and treatment outcome. Results showed that baseline symptoms of ADHD indirectly affected treatment outcome after CBT; the ASRS positive screening was related to higher eating symptomatology (standardized coefficient B = 0.41, p = 0.001, 95% CI: 0.26 to 0.55), and the presence of high ED levels contributed to the increase of dropout (B = 0.15, p = 0.041, 95% CI: 0.03 to 0.33) and a worse treatment outcome (B = 0.18, p = 0.041, 95% CI: 0.01 to 0.35). No direct effect was found between the ASRS positive screening with the risk of dropout (B = -0.08, p = 0.375) and worse treatment outcome (B = -0.07, p = 0.414). These results suggest the relevance of identifying specific treatment approaches for patients with ADHD symptoms and severe eating symptomatology. https://ddd.uab.cat/record/252777 https://dx.doi.org/urn:doi:10.3390/jcm9072305 |
| spellingShingle | Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study Testa, Giulia|||0000-0003-4200-8062 Attention-deficit/hyperactivity disorder ADHD Eating disorders Longitudinal Treatment outcome Dropout |
| title | Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study |
| title_full | Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study |
| title_fullStr | Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study |
| title_full_unstemmed | Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study |
| title_short | Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study |
| title_sort | Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study |
| topic | Attention-deficit/hyperactivity disorder ADHD Eating disorders Longitudinal Treatment outcome Dropout |
| topic_facet | Attention-deficit/hyperactivity disorder ADHD Eating disorders Longitudinal Treatment outcome Dropout |
| url | https://ddd.uab.cat/record/252777 https://dx.doi.org/urn:doi:10.3390/jcm9072305 |