Childhood onset neuropsychiatric disorders in adult eating disorder patients
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Autism spectrum disorders (ASD) have been suggested to be overrepresented in anorexia nervosa. This study aimed to explore the comorbidity of ASD and other childhood onset neuropsychiatric disorders (COND) [attention-deficit/hyperactivity disorder (AD/HD) and tic disorders] in a group of severe eating disorder (ED) patients.
Thirty female ED patients from a specialist hospital clinic were examined on measures tapping into COND and personality disorders.
In our group of longstanding ED, 53% had at least one COND diagnosis; 23% had ASD, 17% had AD/HD, and 27% had a tic disorder.
These preliminary data suggest that COND may be common in patients with severe ED and should be kept in mind when treating these patients.
Key wordseating disorders autism spectrum disorders AD/HD tic disorders
attention deficit/hyperactivity disorder
childhood onset neuropsychiatric disorders
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- 1.American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. (4th edn) (DSM-IV). Washington, DC: American Psychiatric AssociationGoogle Scholar
- 2.Anckarsäter H, Stahlberg O, Larson T, Hakansson C, Jutblad S-B, Niklasson L, Nydén A, Wentz E, Westergren S, Cloninger C R, Gillberg C, Rastam M (2005) The impact of ADHD and autism spectrum disorders on temperament, character and personality development. American Journal of Psychiatry. Accepted for publicationGoogle Scholar
- 6.DuPaul GJ, Power TJ, Anastopoulus AD, Reid R (1998) ADHD Rating Scale-IV: Checklists, norms, and clinical interpretation. Guilford, New YorkGoogle Scholar
- 7.First MB, Spitzer RL, Gibbon M, Williams JBW (1997a) Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition (SCID-I/P,Version 2.0, 4/97 revision). Biometrics Research Department, New YorkGoogle Scholar
- 8.First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin L (1997b) Structured Clinical Interview for DSMIV Axis II Personality Disorders (SCIDII). Washington DC: American Psychiatric AssociationGoogle Scholar
- 10.Gillberg C (1985) Autism and anorexia nervosa: Related conditions? Nordisk Psykiatrisk Tidskrift 39:307–312Google Scholar
- 11.Gillberg C (1995) The long-term outcome of childhood empathy disorders. Eur Child Adolesc Psychiatry 5:52–56Google Scholar
- 15.Howlin P, Udwin O (2002) Outcomes in neurodevelopmental and genetic disorders. Cambridge University Press, New YorkGoogle Scholar
- 19.Kessler RC (2005) Prevalence of adult ADHD in the United States: Results from the National Comorbidity Survey Replication (NCS-R). Psychol Med (in press)Google Scholar
- 21.Leckman JF, Towbin KE, Ort SI, Cohen DJ (1988) Clinical assessment of the tic disorder severity. In: Cohen DJ, Bruun RD, Leckman JF (eds) Tourette’s syndrome and Tic Disorders. Wiley, New York, pp 55–78Google Scholar
- 25.Piran N, Lerner P, Garfinkel PE, Kennedy S H, Brouillette C (1988) Personality disorders in anorexic patients. Int J Eating Disord 7:589–599Google Scholar
- 29.Schweickert LA, Strober M, Moskowitz A (1997) Efficacy of methylphenidate in bulimia nervosa comorbid with attention-deficit hyperactivity disorder: A case report. Int J Eating Disord 21:299–301Google Scholar
- 30.Sokol MS, Gray NS, Goldstein A, Kaye WH (1999) Methylphenidate treatment for bulimia nervosa associated with a cluster B personality disorder. Int J Eating Disord 25:233–237Google Scholar
- 32.Wentz Nilsson E, Gillberg C, Gillberg IC, Råstam M (1999) Ten-year follow-up of adolescent-onset anorexia nervosa: Personality disorders. J Am Acad Child Adolesc Psychiatry 38:1389–1395Google Scholar