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Screening of Adult ADHD Among Patients Presenting for Bariatric Surgery
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2012 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 22, no 6, 918-926 p.Article in journal (Refereed) Published
Abstract [en]

In the field of bariatric surgery, research on symptoms of adult attention deficit hyperactivity disorder (ADHD) and their interrelationships with other psychological risk factors such as depression and anxiety is scarce. The symptoms of adult ADHD seem to be common in the obese population, but they are rarely investigated before bariatric surgery. ADHD-related symptoms such as impulsivity have at the same time been identified as potential risk factors for less successful weight loss among bariatric surgery patients. The aims of the current study were to screen for symptoms of adult ADHD and to investigate their relationships with other psychological risk factors. Candidates for bariatric surgery ( = 187) were anonymously screened for symptoms of anxiety, depression, and adult ADHD, in addition to disordered eating patterns, by means of questionnaires. The relations between these symptoms were investigated. In the current sample, 10% of patients screened positively for adult ADHD, and the symptoms of adult ADHD were significantly correlated with those of anxiety, depression, and disordered eating. The results show that adult ADHD is more common in this clinical group than in the general population (4%) and that adult ADHD is associated with disordered eating patterns, depression, and anxiety. Further prospective research, using multivariate analysis, is needed to investigate whether the symptoms of adult ADHD, and their interaction with anxiety, depression, or disordered eating, may possibly constitute a risk factor in terms of difficulties in adhering to the post-surgery regime and its potential unfavorable outcome.

Place, publisher, year, edition, pages
2012. Vol. 22, no 6, 918-926 p.
Keyword [en]
Bariatric surgery, Adult ADHD, Anonymous screening, Disordered eating, Binge eating disorder
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-175606DOI: 10.1007/s11695-011-0569-9ISI: 000304117100013OAI: oai:DiVA.org:uu-175606DiVA: diva2:532879
Available from: 2012-06-12 Created: 2012-06-11 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Impulsivity, Negative Mood, and Disordered Eating in Obesity
Open this publication in new window or tab >>Impulsivity, Negative Mood, and Disordered Eating in Obesity
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Bariatric surgery is a life-altering procedure that leads to substantial weight loss for most patients with obesity. Psychiatric conditions that may interfere with eating behavior and other behavioral prescriptions after surgery are common. Disordered eating is an established risk factor for inferior weight loss but the effects of negative mood and impulsivity are largely unknown. This thesis aims to investigate the prevalence of and associations between these potential risk factors and eating behavior in bariatric surgery patients.

Study I assessed the prevalence of adult Attention Deficits/Hyperactivity Disorder (ADHD) symptoms in bariatric surgery patients. Symptoms of adult ADHD were elevated compared to the normal population and associated with symptoms of disordered eating, anxiety, and depression.

Study II investigated whether treatment with Behavioral Activation (BA) could ameliorate binge eating and other symptoms of disordered eating in patients with obesity and Binge Eating Disorder. The results showed that BA was effective in increasing activity levels and improving mood but not in ameliorating binge eating in these patients.

Study III was a prospective study on disordered eating, symptoms of depression and anxiety, symptoms of adult ADHD, and alcohol risk consumption before surgery and at follow-up after 12 months. After controlling for age, no variable measured before surgery could predict weight loss after surgery. Disordered eating after surgery was associated with inferior weight loss in men and a subgroup of older female participants.

The present thesis concludes that symptoms of adult ADHD are common among bariatric surgery patients and associated with disordered eating. There is no indication that symptoms of adult ADHD are associated with short-term inferior weight loss after surgery. However, adult ADHD may be a risk factor for postsurgical alcohol abuse. The treatment study showed no direct association among activity, mood, and binge eating. BA, while effective in improving mood, was found not to be an effective treatment for BED, at least in the short group format investigated.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2014. 78 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 100
Keyword
Obesity, Eating disorder, Depression, ADHD
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:uu:diva-226380 (URN)978-91-554-8993-9 (ISBN)
Public defence
2014-09-26, Betty Pettersson-salen, Blåsenhus, von Kraemers allé 1A, Uppsala, 10:15 (Swedish)
Opponent
Supervisors
Available from: 2014-09-04 Created: 2014-06-16 Last updated: 2014-09-08

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Alfonsson, SvenParling, ThomasGhaderi, Ata

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