PMID- 34867628
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211207
IS  - 1664-1078 (Print)
IS  - 1664-1078 (Electronic)
IS  - 1664-1078 (Linking)
VI  - 12
DP  - 2021
TI  - Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the 
      Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating 
      Among Bariatric Surgery Candidates?
PG  - 745857
LID - 10.3389/fpsyg.2021.745857 [doi]
LID - 745857
AB  - Background: Addictive-like eating and attention-deficit/hyperactivity disorder 
      (ADHD) are both common among persons seeking treatment for severe obesity. Given 
      that ADHD and addictive-like eating, especially binge eating (BE) and food 
      addiction (FA), are both strongly associated with personality dimensions and 
      emotion dysregulation, it is possible emotional and personality characteristics 
      contribute to the link between addictive-like eating behaviors and ADHD in people 
      with severe obesity. This study aimed to investigate the psychological factors 
      associated with BE and FA in bariatric surgery candidates, and to explore the 
      mediational role of emotional factors (emotion dysregulation and alexithymia) and 
      personality dimensions in the association between ADHD and BE. Method: Two 
      hundred and eighty-two (n = 282) bariatric surgery candidates were recruited 
      during the systematic preoperative psychiatric assessment (University Hospital of 
      Tours, France). We assessed significant BE (Binge Eating Scale), probable adult 
      ADHD (Wender Utah Render Scale and Adult ADHD Self-Report Scale), FA (Yale Food 
      Addiction Scale 2.0, YFAS 2.0), emotion dysregulation (Difficulties in Emotion 
      Regulation Scale-16), alexithymia (Toronto Alexithymia Scale-20) and personality 
      dimensions (Big Five Inventory). Mediation analyses were performed using the 
      PROCESS macro for IBM SPSS Statistics 22. Results: Prevalence of probable adult 
      ADHD, significant BE and FA were 8.2, 19.1, and 26.6%, respectively. Participants 
      who screened positive for addictive-like eating showed higher prevalence of 
      probable adult ADHD, as well as higher scores on adult and childhood ADHD 
      symptoms. They also reported lower conscientiousness, but higher emotion 
      dysregulation, higher alexithymia, and higher neuroticism. Only BE (as opposed to 
      FA) was also associated with lower scores on agreeableness and openness. Analysis 
      of the association between adult ADHD and BE suggests that emotion dysregulation, 
      conscientiousness, agreeableness, and neuroticism are total mediators and 
      alexithymia a partial mediator. Conclusion: Our findings suggest a significant 
      association between ADHD and addictive-like eating among bariatric surgery 
      candidates, and also suggest a significant role of emotion dysregulation and 
      personality dimensions in this association. For individuals with ADHD and 
      obesity, eating may be a way to cope with negative emotions, potentially 
      increasing the risk for addictive-like eating behavior.
CI  - Copyright (c) 2021 El Archi, Brunault, De Luca, Cortese, Hankard, Bourbao-Tournois, 
      Ballon, Reveillere and Barrault.
FAU - El Archi, Sarah
AU  - El Archi S
AD  - Qualipsy, EE 1901, Universite de Tours, Tours, France.
FAU - Brunault, Paul
AU  - Brunault P
AD  - Qualipsy, EE 1901, Universite de Tours, Tours, France.
AD  - CHRU de Tours, Service d'Addictologie Universitaire, Equipe de Liaison et de 
      Soins en Addictologie, Tours, France.
AD  - INSERM U1253 Imagerie et Cerveau (iBrain), Tours, France.
FAU - De Luca, Arnaud
AU  - De Luca A
AD  - CHRU de Tours, Centre Specialise de l'Obesite, Tours, France.
AD  - Inserm U1069 Universite de Tours, Tours, France.
FAU - Cortese, Samuele
AU  - Cortese S
AD  - Academic Unit of Psychology, Center for Innovation in Mental Health, University 
      of Southampton, Southampton, United Kingdom.
AD  - Clinical and Experimental Sciences (CNS and Psychiatry), Faculty of Medicine, 
      University of Southampton, Southampton, United Kingdom.
AD  - Solent NHS Trust, Southampton, United Kingdom.
AD  - Hassenfeld Children's Hospital at NYU Langone, New York University Child Study 
      Center, New York, NY, United States.
AD  - Division of Psychiatry and Applied Psychology, School of Medicine, University of 
      Nottingham, Nottingham, United Kingdom.
FAU - Hankard, Regis
AU  - Hankard R
AD  - CHRU de Tours, Centre Specialise de l'Obesite, Tours, France.
AD  - Inserm U1069 Universite de Tours, Tours, France.
FAU - Bourbao-Tournois, Celine
AU  - Bourbao-Tournois C
AD  - CHRU de Tours, Service de Chirurgie Digestive et Endocrinienne, 
      Chambray-les-Tours, France.
FAU - Ballon, Nicolas
AU  - Ballon N
AD  - CHRU de Tours, Service d'Addictologie Universitaire, Equipe de Liaison et de 
      Soins en Addictologie, Tours, France.
AD  - INSERM U1253 Imagerie et Cerveau (iBrain), Tours, France.
FAU - Reveillere, Christian
AU  - Reveillere C
AD  - Qualipsy, EE 1901, Universite de Tours, Tours, France.
FAU - Barrault, Servane
AU  - Barrault S
AD  - Qualipsy, EE 1901, Universite de Tours, Tours, France.
AD  - CHRU de Tours, Service d'Addictologie Universitaire, Centre de Soins 
      d'Accompagnement et de Prevention en Addictologie d'Indre-et-Loire (CSAPA-37), 
      Tours, France.
AD  - Laboratoire de Psychopathologie et Processus de Sante, Universite Paris 
      Descartes, Paris, France.
LA  - eng
PT  - Journal Article
DEP - 20211119
PL  - Switzerland
TA  - Front Psychol
JT  - Frontiers in psychology
JID - 101550902
PMC - PMC8641657
OTO - NOTNLM
OT  - ADHD
OT  - addictive disorders
OT  - addictive-like eating
OT  - bariatric surgery
OT  - binge eating disorder
OT  - emotion dysregulation
OT  - impulsivity
OT  - personality dimensions
COIS- NB reports personal fees from Lundbeck, Astra-Zeneca and D&A Pharma, unrelated to 
      the submitted work. PB reports personal fees and non-financial support from 
      Lundbeck, personal fees from Astra-Zeneca and D&A Pharma, unrelated to the 
      submitted work. SC declares honoraria and reimbursement for travel and 
      accommodation expenses for lectures from the following non-profit associations: 
      Association for Child and Adolescent Central Health (ACAMH), Canadian ADHD 
      Alliance Resource (CADDRA), British Association of Pharmacology (BAP), and from 
      Healthcare Convention for educational activity on ADHD. The remaining authors 
      declare that the research was conducted in the absence of any commercial or 
      financial relationships that could be construed as a potential conflict of 
      interest.
EDAT- 2021/12/07 06:00
MHDA- 2021/12/07 06:01
PMCR- 2021/11/19
CRDT- 2021/12/06 09:05
PHST- 2021/07/22 00:00 [received]
PHST- 2021/10/27 00:00 [accepted]
PHST- 2021/12/06 09:05 [entrez]
PHST- 2021/12/07 06:00 [pubmed]
PHST- 2021/12/07 06:01 [medline]
PHST- 2021/11/19 00:00 [pmc-release]
AID - 10.3389/fpsyg.2021.745857 [doi]
PST - epublish
SO  - Front Psychol. 2021 Nov 19;12:745857. doi: 10.3389/fpsyg.2021.745857. eCollection 
      2021.