Abstract
Objective
Past and current symptoms of Attention Deficit Hyperactivity Disorder (ADHD) were assessed in a clinical sample of severely obese females.
Method
Core symptoms of ADHD were examined in 75 consecutive, severely obese (BMI ≥35) women referred to a medical specialist for the non-surgical treatment of obesity. Subjects completed both a retrospective report of childhood symptoms of ADHD (Wender Utah Scale) and two standardized adult ADHD symptom scales.
Results
The frequency of clinically suggestive elevations in ADHD scores was substantially and significantly higher than the normative samples in 9 out of 11 symptom subscales. Inattentive symptoms, but not hyperactive symptoms of ADHD, were frequently reported. Overall, 26.7% of the sample reported significant symptoms of ADHD in both childhood and adulthood.
Conclusions
This preliminary study suggests that severely obese women report significant symptomatology related to both childhood and adult ADHD.
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References
Barkley R.A.: ADHD and the nature of self-control. New York, The Guilford Press, 1997.
Brown T.E.: Brown attention-deficit disorder scales. New York, Harcourt Brace & Company, 1996.
Tannock R., Schachar R.J.: Executive dysfunction as an underlying mechanism of behavior and language problems in attention deficit hyperactivity disorder. In: Beitchman J.H., Cohen N.J., Konstantareas M.M. (Eds.), Language, learning, and behavior disorders. New York, Cambridge University Press, 1996, pp. 128–155.
American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 4th ed., Washington, DC, APA, 1994.
Schweickert L.A., Strober M., Moskowitz A.: Efficacy of methylphenidate in bulimia nervosa comorbid with attention-deficit hyperactivity disorder: A case report. Int. J. Eat. Disord., 21, 299–301, 1997.
Sokol M.S., Gray N.S., Goldstein A., Kaye W.H.: Methylphenidate treatment for bulimia nervosa associated with a cluster B personality disorder. Int. J. Eat. Disord., 25, 233–237, 1999.
Altfas J.R.: Prevalence of attention deficit/hyperactivity disorder among adults in obesity treatment. BioMed Central Psychiatry, 2(9). 2002. (from http://www.biomedcentral.com/1471-244x/2/9).
Holtkamp K., Konrad K., Müller B., Heussen N., Herpertz S., Herpertz-Dahlmann B., Hebebrand J.: Overweight and obesity in children with attention-deficit/hyperactivity disorder. Int. J. Obes., 28, 1–5, 2004.
Levitan R.D., Masellis M., Lam R.W., Muglia P., Basile V.S., Jain U., Kaplan A.S., Tharmalingam S., Kennedy S.H., Kennedy J.L.: Childhood inattention and dysphoria and adult obesity associated with the dopamine D4 receptor gene in overeating women with seasonal affective disorder. Neuropsychopharmacology, 29, 179–186, 2004.
Ward M.F., Wender P.H., Reimherr F.W.: The Wender Utah Rating Scale: An aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am. J. Psychiatry, 150, 885–890, 1993.
Wender P.H.: Attention-deficit hyperactivity disorder in adults. New York, Oxford University Press, 1995.
Conners C.K., Erhardt D., Sparrow E.P.: Conners’ Adult ADHD Rating Scales (CAARS). Toronto, Canada, Multi-Health Systems Inc., 1999.
Quinn P.O., Nadeau K.G.: Revisiting DSM-IV: Developing gender appropriate diagnostic criteria. In: Quinn P.O., Nadeau K.G. (Eds.), Gender issues and AD/HD: Research, diagnosis and treatment. Silver Spring, MD, Advantage Books, 2002, pp. 82–107.
Brown T.E.: Emerging understandings of attentiondeficit disorders and comorbidities. In: Brown T.E. (Ed.), Attention-deficit disorders and comorbidities in children, adolescents, and adults. Washington DC, American Psychiatric Press Inc., 2000, pp. 3–55.
Levy L.D.: Conquering obesity: Your guide to successful weight management, 2nd ed., Toronto, Canada, Key Porter Books Limited, 2002.
Jequier E., Tappy L.: Regulation of body weight in humans. Physiol. Rev., 79, 451–480, 1999.
Polivy J., Herman C.P.: Etiology of binge eating: Psychological mechanisms. In: Fairburn C.G., Wilson G.T. (Eds.), Binge eating: Nature, assessment, and treatment. New York, The Guilford Press, 1993, pp. 173–274.
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Fleming, J.P., Levy, L. & Levitan, R. Symptoms of attention deficit hyperactivity disorder in severely obese women. Eat Weight Disord 10, e10–e13 (2005). https://doi.org/10.1007/BF03354661
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DOI: https://doi.org/10.1007/BF03354661