Association Between Attention-Deficit/Hyperactivity Disorder and Bulimia Nervosa: Analysis of 4 Case-Control Studies.
J Clin Psychiatry 2006;67(3):351-354
© Copyright 2017 Physicians Postgraduate Press, Inc.
Purchase This PDF for $40.00
If you are not a paid subscriber, you may purchase the PDF.
(You'll need the free Adobe Acrobat Reader.)
Receive immediate full-text access to JCP. You can subscribe to JCP online-only ($86) or print + online ($156 individual).
With your subscription, receive a free PDF collection of the NCDEU Festschrift articles. Hurry! This offer ends December 31, 2011.
If you are a paid subscriber to JCP and do not yet have a username and password, activate your subscription now.
As a paid subscriber who has activated your subscription, you have access to the HTML and PDF versions of this item.
Click here to login.
Did you forget your password?
Still can't log in? Contact the Circulation Department at 1-800-489-1001 x4 or send email
Background: Impulsivity is a common
feature of attention-deficit/hyperactivity
disorder (ADHD), and evidence suggests that
impulsivity traits may be an indicator of poor prognosis
for individuals with bulimia nervosa. To identify whether there is an association between
ADHD and bulimia nervosa, the authors
systematically examined data from children and adults with
and without ADHD.
Method: We systematically identified rates
of bulimia nervosa in individuals with and without ADHD (DSM-III-R criteria) in our 2 large
pediatric and 2 large adult samples (N = 522
children, 742 adults). Subjects were assessed from the
late 1980s to February 1999.
Results: In the 2 samples of adults with
and without ADHD, significantly greater rates of
bulimia nervosa were identified in women with versus without ADHD (12% vs. 3%, p < .05 for
1 sample and 11% vs. 1%, p < .05 for the other sample). No significant differences in rates
of bulimia nervosa were identified in men or children with ADHD when compared to
sex-matched control subjects.
Conclusion: Although preliminary and
requiring further confirmation, these findings
suggest that ADHD may be associated with bulimia
nervosa in some women. If confirmed, this association between bulimia nervosa and ADHD
could have important clinical and therapeutic