Associations of Adult ADHD symptoms with binge eating spectrum conditions, psychiatric and somatic comorbidity, and healthcare utilization in a metropolitan Brazilian city.

IF 3.6 3区医学 Q1 PSYCHIATRY

Revista Brasileira de Psiquiatria Pub Date : 2024-07-29 DOI:10.47626/1516-4446-2024-3728

Jose Carlos Appolinario, Carlos Eduardo F de Moraes, Rosely Sichieri, Phillipa Hay, Stephen V Faraone, Paulo Mattos

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引用次数: 0

Abstract

Objectives: To investigate the associations among symptoms of attention deficit hyperactivity disorder (ADHD) with binge eating spectrum conditions - BESC - [binge eating disorder (BED), bulimia nervosa (BN), and recurrent binge eating (RBE)], and psychiatric and somatic comorbidity and healthcare utilization in a representative sample of a Brazilian city.

Methods: A household survey with 2,297 adults and residents in Rio de Janeiro was conducted. The Adult Self-Rating Scale Screener was used to assess ADHD symptoms. BESC was assessed using the Questionnaire of Eating and Weight Patterns 5 and confirmed by telephone interview. Standardized questionnaires were used to assess psychiatric comorbidity. Close-ended questions investigated somatic comorbidity and healthcare utilization.

Results: ADHD symptoms were highly associated with BESC [BED, OR=13.2, 95%CI= 4.3-40.6; BN, OR=27.5, 95%CI= 5.9-128.7; RBE, OR=5.8, 95%CI= 2.9-11.4). However, with further adjustment for psychiatric comorbidity (depression, anxiety, alcohol use and impulsivity), the ORs were no longer significant. Healthcare resource utilization was significantly higher in participants with ADHD and BESC but lost significance after controlling for the psychiatric comorbidity.

Conclusion: ADHD was associated with an increased prevalence of BESC, and healthcare utilization. Nonetheless, there was an essential interplay among psychiatric comorbidity in the associations of ADHD and BESC.

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巴西某大都市成人多动症症状与暴饮暴食谱系疾病、精神病和躯体疾病合并症以及医疗保健利用率之间的关系。

研究目的调查巴西某城市代表性样本中注意力缺陷多动障碍（ADHD）症状与暴饮暴食谱系病（BESC）[暴饮暴食障碍（BED）、神经性贪食症（BN）和复发性暴饮暴食（RBE）]、精神疾病和躯体疾病合并症以及医疗保健利用率之间的关联：对里约热内卢的 2297 名成年人和居民进行了家庭调查。成人自评量表筛选器用于评估多动症症状。使用饮食和体重模式问卷 5 评估 BESC，并通过电话访问进行确认。标准问卷用于评估精神病合并症。封闭式问题调查了躯体合并症和医疗保健使用情况：ADHD症状与BESC高度相关（BED，OR=13.2，95%CI=4.3-40.6；BN，OR=27.5，95%CI=5.9-128.7；RBE，OR=5.8，95%CI=2.9-11.4）。然而，在进一步调整精神病合并症（抑郁、焦虑、饮酒和冲动）后，OR 不再显著。ADHD患者和BESC患者的医疗资源利用率明显较高，但在控制了精神疾病合并症后，这一结果失去了显著性：结论：ADHD 与 BESC 患病率和医疗资源利用率的增加有关。结论：ADHD 与 BESC 患病率和医疗保健使用率的增加有关，但在 ADHD 和 BESC 的关联中，精神疾病合并症之间存在着重要的相互作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira de Psiquiatria 医学-精神病学

CiteScore

6.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.