Skip to main content
Top
Published in: European Child & Adolescent Psychiatry 1/2019

Open Access 01-01-2019 | Original Contribution

Do autism spectrum disorder and anorexia nervosa have some eating disturbances in common?

Authors: Louise Karjalainen, Maria Råstam, Gunilla Paulson-Karlsson, Elisabet Wentz

Published in: European Child & Adolescent Psychiatry | Issue 1/2019

Login to get access

Abstract

A possible overlap between autism spectrum disorder (ASD) and anorexia nervosa (AN), in terms of both behavioural and cognitive features, has led to new areas of research. The aim of the present study was to examine the occurrence of eating behaviours frequently seen in ASD among adolescents and young adults with AN. The participants were females within the age range 15–25 years: 36 with current AN (32 were followed up after 1 year), 19 with ASD, and 30 healthy females. The participants completed the SWedish Eating Assessment for Autism spectrum disorders (SWEAA) and the Autism Spectrum Quotient tool (AQ). AN groups had significantly higher SWEAA scores than the healthy comparison group, also when patients had gained weight. Typical autistic eating behaviours, such as selective eating, were more common in the AN groups than in the ASD group. This is the first time that SWEAA has been implemented in an AN population. Eating behaviours frequently seen in ASD seem to be frequent in AN and some remain also after weight gain.
Literature
2.
go back to reference Råstam M, Gillberg C (1992) Background factors in anorexia nervosa. A controlled study of 51 teenage cases including a population sample. Eur Child Adolesc Psychiatry 1(1):54–65PubMedCrossRef Råstam M, Gillberg C (1992) Background factors in anorexia nervosa. A controlled study of 51 teenage cases including a population sample. Eur Child Adolesc Psychiatry 1(1):54–65PubMedCrossRef
3.
go back to reference Mandy W, Tchanturia K (2015) Do women with eating disorders who have social and flexibility difficulties really have autism? A case series. Mol Autism 6:6PubMedPubMedCentralCrossRef Mandy W, Tchanturia K (2015) Do women with eating disorders who have social and flexibility difficulties really have autism? A case series. Mol Autism 6:6PubMedPubMedCentralCrossRef
4.
go back to reference Zucker NL et al (2007) Anorexia nervosa and autism spectrum disorders: guided investigation of social cognitive endophenotypes. Psychol Bull 133(6):976–1006PubMedCrossRef Zucker NL et al (2007) Anorexia nervosa and autism spectrum disorders: guided investigation of social cognitive endophenotypes. Psychol Bull 133(6):976–1006PubMedCrossRef
5.
go back to reference Krug I et al (2013) Low social interactions in eating disorder patients in childhood and adulthood: a multi-centre European case control study. J Health Psychol 18(1):26–37PubMedCrossRef Krug I et al (2013) Low social interactions in eating disorder patients in childhood and adulthood: a multi-centre European case control study. J Health Psychol 18(1):26–37PubMedCrossRef
6.
go back to reference Treasure JL (2007) Getting beneath the phenotype of anorexia nervosa: the search for viable endophenotypes and genotypes. Can J Psychiatry 52(4):212–219PubMedCrossRef Treasure JL (2007) Getting beneath the phenotype of anorexia nervosa: the search for viable endophenotypes and genotypes. Can J Psychiatry 52(4):212–219PubMedCrossRef
7.
go back to reference Oldershaw A et al (2011) Is anorexia nervosa a version of autism spectrum disorders? Eur Eat Disord Rev 19(6):462–474PubMedCrossRef Oldershaw A et al (2011) Is anorexia nervosa a version of autism spectrum disorders? Eur Eat Disord Rev 19(6):462–474PubMedCrossRef
8.
go back to reference Tchanturia K et al (2012) Poor cognitive flexibility in eating disorders: examining the evidence using the Wisconsin card sorting task. PLoS One 7(1):e28331PubMedPubMedCentralCrossRef Tchanturia K et al (2012) Poor cognitive flexibility in eating disorders: examining the evidence using the Wisconsin card sorting task. PLoS One 7(1):e28331PubMedPubMedCentralCrossRef
10.
go back to reference Roberts ME et al (2007) A systematic review and meta-analysis of set-shifting ability in eating disorders. Psychol Med 37(8):1075–1084PubMedCrossRef Roberts ME et al (2007) A systematic review and meta-analysis of set-shifting ability in eating disorders. Psychol Med 37(8):1075–1084PubMedCrossRef
11.
go back to reference Lopez C et al (2008) Central coherence in eating disorders: a systematic review. Psychol Med 38(10):1393–1404PubMedCrossRef Lopez C et al (2008) Central coherence in eating disorders: a systematic review. Psychol Med 38(10):1393–1404PubMedCrossRef
12.
go back to reference Lopez C et al (2008) An examination of the concept of central coherence in women with anorexia nervosa. Int J Eat Disord 41(2):143–152PubMedCrossRef Lopez C et al (2008) An examination of the concept of central coherence in women with anorexia nervosa. Int J Eat Disord 41(2):143–152PubMedCrossRef
13.
go back to reference Harrison A et al (2012) Social emotional functioning and cognitive styles in eating disorders. Br J Clin Psychol 51(3):261–279PubMedCrossRef Harrison A et al (2012) Social emotional functioning and cognitive styles in eating disorders. Br J Clin Psychol 51(3):261–279PubMedCrossRef
14.
go back to reference Southgate L, Tchanturia K, Treasure J (2008) Information processing bias in anorexia nervosa. Psychiatry Res 160(2):221–227PubMedCrossRef Southgate L, Tchanturia K, Treasure J (2008) Information processing bias in anorexia nervosa. Psychiatry Res 160(2):221–227PubMedCrossRef
15.
go back to reference Fairburn CG et al (1999) Risk factors for anorexia nervosa: three integrated case-control comparisons. Arch Gen Psychiatry 56(5):468–476PubMedCrossRef Fairburn CG et al (1999) Risk factors for anorexia nervosa: three integrated case-control comparisons. Arch Gen Psychiatry 56(5):468–476PubMedCrossRef
16.
go back to reference Gillberg IC et al (1996) The cognitive profile of anorexia nervosa: a comparative study including a community-based sample. Compr Psychiatry 37(1):23–30PubMedCrossRef Gillberg IC et al (1996) The cognitive profile of anorexia nervosa: a comparative study including a community-based sample. Compr Psychiatry 37(1):23–30PubMedCrossRef
17.
go back to reference Russell TA et al (2009) Aspects of social cognition in anorexia nervosa: affective and cognitive theory of mind. Psychiatry Res 168(3):181–185PubMedCrossRef Russell TA et al (2009) Aspects of social cognition in anorexia nervosa: affective and cognitive theory of mind. Psychiatry Res 168(3):181–185PubMedCrossRef
18.
go back to reference Råstam M (2008) Eating disturbances in autism spectrum disorders with focus on adolescent and adult years. Clin Neuropsy 5(1):31–42 Råstam M (2008) Eating disturbances in autism spectrum disorders with focus on adolescent and adult years. Clin Neuropsy 5(1):31–42
19.
go back to reference Karlsson L, Rastam M, Wentz E (2013) The SWedish Eating Assessment for Autism spectrum disorders (SWEAA)-Validation of a self-report questionnaire targeting eating disturbances within the autism spectrum. Res Dev Disabil 34(7):2224–2233PubMedCrossRef Karlsson L, Rastam M, Wentz E (2013) The SWedish Eating Assessment for Autism spectrum disorders (SWEAA)-Validation of a self-report questionnaire targeting eating disturbances within the autism spectrum. Res Dev Disabil 34(7):2224–2233PubMedCrossRef
21.
go back to reference Westwood H et al (2016) Using the autism-spectrum quotient to measure autistic traits in anorexia nervosa: a systematic review and meta-analysis. J Autism Dev Disord 46(3):964–977PubMedCrossRef Westwood H et al (2016) Using the autism-spectrum quotient to measure autistic traits in anorexia nervosa: a systematic review and meta-analysis. J Autism Dev Disord 46(3):964–977PubMedCrossRef
22.
go back to reference Westwood H et al (2018) Assessing ASD in adolescent females with anorexia nervosa using clinical and developmental measures: a preliminary investigation. J Abnorm Child Psychol 46(1):183–192PubMedCrossRef Westwood H et al (2018) Assessing ASD in adolescent females with anorexia nervosa using clinical and developmental measures: a preliminary investigation. J Abnorm Child Psychol 46(1):183–192PubMedCrossRef
24.
go back to reference Wentz E et al (2009) Adolescent-onset anorexia nervosa: 18-year outcome. Br J Psychiatry 194(2):168–174PubMedCrossRef Wentz E et al (2009) Adolescent-onset anorexia nervosa: 18-year outcome. Br J Psychiatry 194(2):168–174PubMedCrossRef
25.
go back to reference American Psychiatric Association A (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Arlington American Psychiatric Association A (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Arlington
26.
go back to reference American Psychiatric Association A (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, ArlingtonCrossRef American Psychiatric Association A (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, ArlingtonCrossRef
27.
go back to reference Baron-Cohen S et al (2001) The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord 31(1):5–17PubMedCrossRef Baron-Cohen S et al (2001) The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord 31(1):5–17PubMedCrossRef
28.
go back to reference Rastam M (1992) Anorexia nervosa in 51 Swedish adolescents: premorbid problems and comorbidity. J Am Acad Child Adolesc Psychiatry 31(5):819–829PubMedCrossRef Rastam M (1992) Anorexia nervosa in 51 Swedish adolescents: premorbid problems and comorbidity. J Am Acad Child Adolesc Psychiatry 31(5):819–829PubMedCrossRef
29.
go back to reference Nielsen S et al (2015) Effects of autism spectrum disorders on outcome in teenage-onset anorexia nervosa evaluated by the Morgan-Russell outcome assessment schedule: a controlled community-based study. Mol Autism 6:14PubMedPubMedCentralCrossRef Nielsen S et al (2015) Effects of autism spectrum disorders on outcome in teenage-onset anorexia nervosa evaluated by the Morgan-Russell outcome assessment schedule: a controlled community-based study. Mol Autism 6:14PubMedPubMedCentralCrossRef
31.
go back to reference Huke V et al (2014) The clinical implications of high levels of autism spectrum disorder features in anorexia nervosa: a pilot study. Eur Eat Disord Rev 22(2):116–121PubMedCrossRef Huke V et al (2014) The clinical implications of high levels of autism spectrum disorder features in anorexia nervosa: a pilot study. Eur Eat Disord Rev 22(2):116–121PubMedCrossRef
32.
go back to reference Kinnaird E, Norton C, Tchanturia K (2017) Clinicians’ views on working with anorexia nervosa and autism spectrum disorder comorbidity: a qualitative study. BMC Psychiatry 17(1):292PubMedPubMedCentralCrossRef Kinnaird E, Norton C, Tchanturia K (2017) Clinicians’ views on working with anorexia nervosa and autism spectrum disorder comorbidity: a qualitative study. BMC Psychiatry 17(1):292PubMedPubMedCentralCrossRef
33.
go back to reference Leppanen J, Adamson J, Tchanturia K (2018) Impact of cognitive remediation therapy on neurocognitive processing in anorexia nervosa. Front Psychiatry 9:96PubMedPubMedCentralCrossRef Leppanen J, Adamson J, Tchanturia K (2018) Impact of cognitive remediation therapy on neurocognitive processing in anorexia nervosa. Front Psychiatry 9:96PubMedPubMedCentralCrossRef
34.
go back to reference Sharp CW et al (1994) Clinical presentation of anorexia nervosa in males: 24 new cases. Int J Eat Disord 15(2):125–134PubMedCrossRef Sharp CW et al (1994) Clinical presentation of anorexia nervosa in males: 24 new cases. Int J Eat Disord 15(2):125–134PubMedCrossRef
35.
go back to reference Cederlof M et al (2015) Etiological overlap between obsessive and compulsive disorder and anorexia nervosa: a longitudinal cohort, multigenerational family and twin study. World Psychiatry 14(3):333–338PubMedPubMedCentralCrossRef Cederlof M et al (2015) Etiological overlap between obsessive and compulsive disorder and anorexia nervosa: a longitudinal cohort, multigenerational family and twin study. World Psychiatry 14(3):333–338PubMedPubMedCentralCrossRef
36.
go back to reference Fairburn CG, Beglin SJ (1994) Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 16(4):363–370PubMed Fairburn CG, Beglin SJ (1994) Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 16(4):363–370PubMed
37.
go back to reference Garner D (1991) Eating disorder inventory-2: professional manual. Psychological Assessment Resources, Odessa Garner D (1991) Eating disorder inventory-2: professional manual. Psychological Assessment Resources, Odessa
Metadata
Title
Do autism spectrum disorder and anorexia nervosa have some eating disturbances in common?
Authors
Louise Karjalainen
Maria Råstam
Gunilla Paulson-Karlsson
Elisabet Wentz
Publication date
01-01-2019
Publisher
Springer Berlin Heidelberg
Published in
European Child & Adolescent Psychiatry / Issue 1/2019
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-018-1188-y

Other articles of this Issue 1/2019

European Child & Adolescent Psychiatry 1/2019 Go to the issue