Dikkat eksikliği hiperaktivite bozukluğu olan hastalarda yeme tutumları ve dürtüsellik arasındaki ilişki
Amaç: Bu çalışmada dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) olan hastalarda yeme tutumları ve dürtüsellik ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem: DEHB tanısıyla tedavi görmekte olan 56 erişkin hasta DEHB grubunu oluşturmuştur. Kontrol grubu olarak 56 sağlıklı yetişkin çalışmaya alınmıştır. DEHB ve kontrol grubuna Sosyodemografik ve klinik özellikler değerlendirme formu, Erişkin Dikkat Eksikliği Hiperaktivite Bozukluğu Kendi Bildirim Ölçeği (ASRS), Yeme Tutum Ölçeği (YTÖ), Beck Depresyon Envanteri (BDE) ve Barrat dürtüsellik ölçeği (BDÖ) uygulanmıştır. Bulgular: Sağlıklı gruba kıyasla hasta grubunda ASRS-A, ASRS-B, ASRS toplam, BDE, YTÖ, BDÖ Dikkat, Motor, Planlama ve toplam puanları istatistiksel olarak anlamlı derecede daha yüksek, YTÖ ˃30 olanların oranı istatistiksel olarak anlamlı derecede daha yüksek saptandı. Bununla birlikte hasta grubunda YTÖ ˂30 olanlara kıyasla YTÖ ˃30 olanlarda önlisans/lisans mezunu olanlar daha düşük oranda iken lise mezunu olanlar, ailede intihar, ailede ruhsal hastalık istatistiksel olarak anlamlı derecede daha yüksek oranda, ASRS-A, ASRS-B, ASRS toplam, BDÖ Planlama ve toplam puanları istatistiksel olarak anlamlı derecede daha yüksek saptandı. Sonuç: DEHB olan hastalarda yeme bozukluğu ve dürtüselliğin de eşlik olabileceği göz önünde bulundurulmalıdır. Bu fenomenlerin artan farkındalığı, DEHB olan bireyler için klinik yönetimi ve tedavi seçeneklerini geliştirebilir.
The relationship between eating attitudes and impulsivity in patients with attention deficit hyperactivity disorder
Purpose: The aim of this study was to investigate the relationship between eating attitudes and impulsivity in patients with attention deficit and hyperactivity disorder (ADHD). Materials and Methods: The ADHD group consisted of 56 adult patients. Fifty-six healthy adults without psychiatric disorders were included in the control group. Sociodemographic and clinical characteristics assessment form, Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ADHD), Eating Attitude Scale (EAS), Beck Depression Inventory (BDI) and Barrat Impulsivity Scale (BDS) were applied to ADHD and the control group. Results: Compared to the healthy group, ADHD-A, ADHD-B, ADHD total, BDI, EAS, BDS Attention, Motor, Planning and total scores were statistically significantly higher in the patient group, and the ratio of those with EAS ˃30 was statistically significantly higher. However, in the patient group with EAS >30, compared to those with EAS, associate / bachelor's degree graduates were lower, while high school graduates, family suicide, family mental illness were significantly higher, ADHD-A, ADHD-B, ADHD total, BDS Planning and total scores were statistically significantly higher. Conclusion: It could be kept in mind that in ADHD patients with ED comorbidity, inattention and impulsivity may be more pronounced. We think that the clinical management and treatment options of the patients could be developed according to these findings.
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- 1. Polanczyk GV, Willcutt EG, Salum GA, Kieling C, Rohde LA. ADHD prevalence estimates across three decades: an updated systematic review and metaregression analysis. Int J Epidemiol. 2014;43:434-42.
- 2. Ginsberg Y, Quintero J, Anand E, Casillas M, Upadhyaya HP. Underdiagnosis of attentiondeficit/hyperactivity disorder in adult patients: a review of the literature. Prim Care Companion CNS Disord. 2014;16.
- 3. Hinshaw SP. Attention deficit hyperactivity disorder (ADHD): controversy, developmental mechanisms, and multiple levels of analysis. Annu Rev Clin Psychol. 2018;14:291-316.
- 4. Joyce-Beaulieu D, Sulkowski ML. The diagnostic and statistical manual of mental disorders: (DSM-5) model of impairment. Assessing impairment: Springer; 2016:167-89.
- 5. Smink FR, van Hoeken D, Hoek HW. Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep. 2012;14:406-14.
- 6. Schaumberg K, Welch E, Breithaupt L, et al. The science behind the academy for eating disorders' nine truths about eating disorders. Eur Eat Disord Rev. 2017;25:432-50.
- 7. Shaw P, Sudre G. Adolescent attentiondeficit/hyperactivity disorder: understanding teenage symptom trajectories. Biol Psychiatry. 2021;89:152- 61.
- 8. Pauli-Pott U, Albayrak O, Hebebrand J, Pott W. Association between inhibitory control capacity and body weight in overweight and obese children and adolescents: dependence on age and inhibitory control component. Child Neuropsychol. 2010;16:592-603.
- 9. Nazar BP, Bernardes C, Peachey G, Sergeant J, Mattos P, Treasure J. The risk of eating disorders comorbid with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. Int J Eat Disord. 2016;49:1045-57.
- 10. Seitz J, Kahraman-Lanzerath B, Legenbauer T, et al. The role of impulsivity, inattention and comorbid ADHD in patients with bulimia nervosa. PLoS One. 2013;8:e63891.
- 11. Steadman KM, Knouse LE. Is the relationship between ADHD symptoms and binge eating mediated by impulsivity? J Atten Disord. 2016;20:907- 12.
- 12. Doğan S, Öncü B, Varol Saraçoğlu G, Küçükgöncü S. Erişkin dikkat eksikliği hiperaktivite bozukluğu kendi bildirim ölçeği (ASRS-v1. 1): Türkçe formunun geçerlilik ve güvenilirliği. Anadolu Psikiyatri Dergisi. 2009;10:77-87.
- 13. Pazvantoğlu O, Akbaş S, Sarısoy G, Baykal S, Zabun Korkmaz I, Bekiroğlu K. DEHB tanılı çocukların ebeveynlerinde DEHB ile ilişkili bazı sorunlu yaşam olayları. Düşünen Adam. 2014;27:61-8.
- 14. Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med .1979;9:273-9.
- 15. Savasir I, Erol N. Yeme tutum testi: Anoreksiya nevroza belirtileri indeksi. Psikoloji Dergisi. 1989;7:19-25.
- 16. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71.
- 17. Hisli-Sahin N. Beck Depresyon Envanteri’nin gecerligi uzerine bir calisma. Türk Psikoloji Dergisi. 1988;6:118-26.
- 18. Arkar H, Safak C. Exploring dimensions of the Beck Depression Inventory in a clinical sample. Turk Psikoloji Dergisi. 2004;19:117-124.
- 19. Dunkel D, Froehlich S, Antretter E, Haring C. Replication of a two-factor model of the Beck Depression Inventory in alcohol dependents and suicide attempters. Psychopathology. 2002;35:228-33.
- 20. Helm HW, Jr., Boward MD. Factor structure of the Beck Depression Inventory in a university sample. Psychol Rep. 2003;92:53-61.
- 21. Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol. 1995;51:768-74.
- 22. Tamam L, Gulec H, Karatas G. .Barratt Durtusellik Olcegi kisa formu (BIS-11-KF) Turkce uyarlama calismasi. .Noropsikiyatri Ars. 2013;50:130-5.
- 23. Kaisari P, Dourish CT, Higgs S. Attention Deficit Hyperactivity Disorder (ADHD) and disordered eating behaviour: A systematic review and a framework for future research. Clin Psychol Rev. 2017;53:109-21.
- 24. Stulz N, Hepp U, Gachter C, Martin-Soelch C, Spindler A, Milos G. The severity of ADHD and eating disorder symptoms: a correlational study. BMC Psychiatry. 2013;13:44.
- 25. Viborg N, Wångby-Lundh M, Lundh L-G. Reciprocal prospective associations between disordered eating and other psychological problems in a community sample of Swedish adolescent girls. Eat Behav. 2014;15:159-63.
- 26. Nazar BP, Suwwan R, de Sousa Pinna CM, et al. Influence of attention-deficit/hyperactivity disorder on binge eating behaviors and psychiatric comorbidity profile of obese women. Compr Psychiatry. 2014;55:572-8.
- 27. Davis C, Cohen A, Davids M, Rabindranath A. Attention-deficit/hyperactivity disorder in relation to addictive behaviors: a moderated-mediation analysis of personality-risk factors and sex. Front Psychiatry. 2015;6:47.
- 28. Reinblatt SP, Leoutsakos JM, Mahone EM, Forrester S, Wilcox HC, Riddle MA. Association between binge eating and attention-deficit/hyperactivity disorder in two pediatric community mental health clinics. Int J Eat Disord. 2015;48:505-11.
- 29. Sonneville KR, Calzo JP, Horton NJ, et al. Childhood hyperactivity/inattention and eating disturbances predict binge eating in adolescence. Psychol Med. 2015;45:2511-20.
- 30. Goldschmidt AB, Hipwell AE, Stepp SD, McTigue KM, Keenan K. Weight gain, executive functioning, and eating behaviors among girls. Pediatrics. 2015;136:e856-63.
- 31. Slane JD, Burt SA, Klump KL. The road less traveled: Associations between externalizing behaviors and eating pathology. Int J Eat Disord. 2010;43:149-60.
- 32. Rastam M, Taljemark J, Tajnia A, et al. Eating problems and overlap with ADHD and autism spectrum disorders in a nationwide twin study of 9- and 12-year-old children. ScientificWorldJournal. 2013;2013:315429.
- 33. Bijlenga D, van der Heijden KB, Breuk M, et al. Associations between sleep characteristics, seasonal depressive symptoms, lifestyle, and ADHD symptoms in adults. J Atten Disord. 2013;17:261-75.
- 34. Stein D, Keller S, Ifergan IS, et al. Extreme risk-taking behaviors in patients with eating disorders. Front Psychiatry. 2020;11:89.
- 35. Ben Amor L, Lachal J. .[Impulsivity and obesity in children with Attention Deficit Hyperactivity Disorder: A clinical, neuropsychological and magnetic resonance spectroscopy exploratory study.]. Encephale. 2019;45:494-500.
- 36. Nazar BP, Trindade AP, Leslie M, et al. Eating disorders impact on vigilance and decision making of a community sample of treatment naive attentiondeficit/hyperactivity disorder young adults. Front Psychiatry. 2018;9:531.