title: Screening of adult ADHD among patients presenting for bariatric surgery.
abstract: BACKGROUND
  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.
  
  
  METHODS
  Candidates for bariatric surgery (N = 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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Psychology, Uppsala University, Box 1225, 75142, Uppsala, Sweden. sven.alfonsson@psyk.uu.se
authors.forename: Sven
authors.initials: S
authors.lastname: Alfonsson
authors.forename: Thomas
authors.initials: T
authors.lastname: Parling
authors.forename: Ata
authors.initials: A
authors.lastname: Ghaderi
mesh_terms: D000328:Adult; D001007:Anxiety / Q000175:diagnosis*; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D003863:Depression / Q000175:diagnosis*; D001068:Feeding and Eating Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D009767:Obesity, Morbid / Q000453:epidemiology / Q000523:psychology / Q000601:surgery*; D018579:Patient Selection; D011446:Prospective Studies; D011788:Quality of Life; D057566:Self Report