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...

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Autores: 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
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:252777
Acceso en línea:https://ddd.uab.cat/record/252777
https://dx.doi.org/urn:doi:10.3390/jcm9072305
Access Level:acceso abierto
Palabra clave:Attention-deficit/hyperactivity disorder
ADHD
Eating disorders
Longitudinal
Treatment outcome
Dropout
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spelling Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal StudyTesta, Giulia|||0000-0003-4200-8062Baenas Soto, Isabel Maria|||0000-0001-7415-0616Vintró Alcaraz, Cristina|||0000-0001-9453-8810Granero, Roser|||0000-0001-6308-3198Agüera, Zaida|||0000-0003-4453-4939Sánchez Díaz, Isabel María|||0000-0001-5874-8204Riesco, Nadine|||0000-0002-6336-4907Jiménez Murcia, Susana|||0000-0002-3596-8033Fernández Aranda, Fernando|||0000-0002-2968-9898Attention-deficit/hyperactivity disorderADHDEating disordersLongitudinalTreatment outcomeDropoutAttention-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. 22020-01-0120202020-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/252777https://dx.doi.org/urn:doi:10.3390/jcm9072305reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2527772026-06-06T12:50:31Z
dc.title.none.fl_str_mv Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study
title Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study
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_short 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_sort Does ADHD Symptomatology Influence Treatment Outcome and Dropout Risk in Eating Disorders? A longitudinal Study
dc.creator.none.fl_str_mv 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 Testa, Giulia|||0000-0003-4200-8062
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
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
dc.subject.none.fl_str_mv Attention-deficit/hyperactivity disorder
ADHD
Eating disorders
Longitudinal
Treatment outcome
Dropout
topic Attention-deficit/hyperactivity disorder
ADHD
Eating disorders
Longitudinal
Treatment outcome
Dropout
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.
publishDate 2020
dc.date.none.fl_str_mv 2
2020-01-01
2020
2020-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/252777
https://dx.doi.org/urn:doi:10.3390/jcm9072305
url https://ddd.uab.cat/record/252777
https://dx.doi.org/urn:doi:10.3390/jcm9072305
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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