目的:调查注意缺陷多动障碍(ADHD)的症状与暴饮暴食的关系-BESC-[暴饮暴食症(BED),神经性贪食症(BN),和经常性暴饮暴食(RBE)],以及巴西城市代表性样本中的精神病和躯体合并症以及医疗保健利用情况。
方法:对里约热内卢的2,297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ADHD症状。使用饮食和体重模式问卷5评估BESC,并通过电话采访确认。标准化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利用。
结果:ADHD症状与BESC[BED,OR=13.2,95CI=4.3-40.6;BN,OR=27.5,95CI=5.9-128.7;RBE,OR=5.8,95CI=2.9-11.4)。然而,随着精神病合并症的进一步调整(抑郁症,焦虑,酒精使用和冲动),OR不再显著。ADHD和BESC参与者的医疗保健资源利用率显着提高,但在控制精神病合并症后失去了意义。
结论:ADHD与BESC的患病率增加有关,和医疗保健利用。尽管如此,在ADHD和BESC的关联中,精神病合并症之间存在重要的相互作用.
OBJECTIVE: 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.
CONCLUSIONS: 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.