Time to notice neurodiversity in eating disorder services: a three-year real-world analysis of autism, ADHD, and AuDHD - Summary - MDSpire

Time to notice neurodiversity in eating disorder services: a three-year real-world analysis of autism, ADHD, and AuDHD

  • By

  • Lauren Makin

  • Karina Allen

  • Kate Tchanturia

  • April 10, 2026

  • 0 min

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Objective:

To compare eating disorder (ED) psychopathology, psychological distress, and functioning among adult patients with either suspected or confirmed diagnoses of Autism, ADHD, both (AuDHD), or neither.

Key Findings:
  • 2.6% of patients were classified as AuDHD, 3.5% as Autistic-only, and 6.5% as ADHD-only, highlighting the need for targeted interventions.
  • EDE-Q scores were highest in the ADHD-only group and lowest in the Neither group, indicating varying levels of psychopathology.
  • CORE10 and WSAS scores were highest in AuDHD and lowest in Neither, suggesting significant functional impairments.
Interpretation:

Patients with Autism and/or ADHD exhibited greater psychological distress and poorer functioning, particularly when both conditions were present, underscoring the necessity for tailored treatment approaches.

Limitations:
  • Small sample size for AuDHD group.
  • No formal hypotheses were pre-specified.
  • Potential biases in self-reported diagnoses may affect the findings.
Conclusion:

Screening for neurodivergence in ED services may enhance person-centered care and improve treatment outcomes.

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