Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?

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 dim...

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Autores principales:	Sarah El Archi, Paul Brunault, Arnaud De Luca, Samuele Cortese, Régis Hankard, Céline Bourbao-Tournois, Nicolas Ballon, Christian Réveillère, Servane Barrault
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	addictive-like eating binge eating disorder ADHD impulsivity personality dimensions emotion dysregulation Psychology BF1-990
Acceso en línea:	https://doaj.org/article/8de112cdaf7044b1bc4dc44cc99e7ad9
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spelling	oai:doaj.org-article:8de112cdaf7044b1bc4dc44cc99e7ad92021-11-19T16:40:29ZDo Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?1664-107810.3389/fpsyg.2021.745857https://doaj.org/article/8de112cdaf7044b1bc4dc44cc99e7ad92021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.745857/fullhttps://doaj.org/toc/1664-1078Background: 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.Sarah El ArchiPaul BrunaultPaul BrunaultPaul BrunaultArnaud De LucaArnaud De LucaSamuele CorteseSamuele CorteseSamuele CorteseSamuele CorteseSamuele CorteseRégis HankardRégis HankardCéline Bourbao-TournoisNicolas BallonNicolas BallonChristian RéveillèreServane BarraultServane BarraultServane BarraultFrontiers Media S.A.articleaddictive-like eatingbinge eating disorderADHDimpulsivitypersonality dimensionsemotion dysregulationPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	addictive-like eating binge eating disorder ADHD impulsivity personality dimensions emotion dysregulation Psychology BF1-990
spellingShingle	addictive-like eating binge eating disorder ADHD impulsivity personality dimensions emotion dysregulation Psychology BF1-990 Sarah El Archi Paul Brunault Paul Brunault Paul Brunault Arnaud De Luca Arnaud De Luca Samuele Cortese Samuele Cortese Samuele Cortese Samuele Cortese Samuele Cortese Régis Hankard Régis Hankard Céline Bourbao-Tournois Nicolas Ballon Nicolas Ballon Christian Réveillère Servane Barrault Servane Barrault Servane Barrault Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?
description	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.
format	article
author	Sarah El Archi Paul Brunault Paul Brunault Paul Brunault Arnaud De Luca Arnaud De Luca Samuele Cortese Samuele Cortese Samuele Cortese Samuele Cortese Samuele Cortese Régis Hankard Régis Hankard Céline Bourbao-Tournois Nicolas Ballon Nicolas Ballon Christian Réveillère Servane Barrault Servane Barrault Servane Barrault
author_facet	Sarah El Archi Paul Brunault Paul Brunault Paul Brunault Arnaud De Luca Arnaud De Luca Samuele Cortese Samuele Cortese Samuele Cortese Samuele Cortese Samuele Cortese Régis Hankard Régis Hankard Céline Bourbao-Tournois Nicolas Ballon Nicolas Ballon Christian Réveillère Servane Barrault Servane Barrault Servane Barrault
author_sort	Sarah El Archi
title	Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?
title_short	Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?
title_full	Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?
title_fullStr	Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?
title_full_unstemmed	Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?
title_sort	do emotion dysregulation, alexithymia and personality dimensions explain the association between attention-deficit/hyperactivity disorder and binge eating among bariatric surgery candidates?
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/8de112cdaf7044b1bc4dc44cc99e7ad9
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Do Emotion Dysregulation, Alexithymia and Personality Dimensions Explain the Association Between Attention-Deficit/Hyperactivity Disorder and Binge Eating Among Bariatric Surgery Candidates?

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