{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:05Z","timestamp":1792787705632,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Australian Government Research Training Program Scholarship","id":[{"id":"https:\/\/ror.org\/0314h5y94","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Li-Transformative Hub for Research into Eating Disorders"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>ADHD is a common neurodevelopmental disorder. Stimulants are the gold standard treatment resulting in measurable improvements in associated functional impairment. However, people with a history of comorbid anorexia nervosa (AN), an illness characterised by restricted intake and malnutrition, find it challenging to access stimulant treatment. In our clinical experience, amidst a scarce safety-profile for this population, stimulants are ceased or withheld due to concerns about appetite suppression, weight loss, and cardiac risks. We responded to the paucity of literature by reviewing the cases of people with ADHD and a history of AN who have received stimulant-treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We reviewed the medical records and personal experiences of six community patients with ADHD and a history of AN, to assess the safety and acceptability of stimulants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Side-effects included appetite suppression and stimulant induced weight loss. This did not appear to exacerbate AN-pathology. Patients experienced subjective improvement in ADHD pathology, attenuation of the negative impacts of ADHD on AN, and subjective improvements in anxiety, depression, and suicidality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These preliminary findings indicate safety and acceptability for the careful use of stimulants in people with ADHD and a history of AN and paves the way for larger studies to demonstrate clinical benefit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261441536","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T06:59:09Z","timestamp":1776063549000},"page":"464-472","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Stimulant prescription for ADHD in people with a past history of anorexia nervosa"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8952-2804","authenticated-orcid":false,"given":"Romi","family":"Goldschlager","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Goldschlager","sequence":"additional","affiliation":[{"name":"Monash University"},{"name":"Alfred Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Porta Cubas","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Wollongong Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3875-5623","authenticated-orcid":false,"given":"Jayashri","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Monash University"},{"name":"Alfred Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,12]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23650"},{"key":"e_1_3_8_4_2","first-page":"FMUT","article-title":"Treatment of eating disorders with concurrent ADHD symptoms: knowledge, knowledge gaps and clinical implications","volume":"116","author":"Svedlund NE","year":"2019","unstructured":"Svedlund NE, Norring C, Ginsberg Y, et al. Treatment of eating disorders with concurrent ADHD symptoms: knowledge, knowledge gaps and clinical implications. Lakartidningen. 2019; 116: FMUT, 31529419.","journal-title":"Lakartidningen"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40263-017-0410-7"},{"key":"e_1_3_8_6_2","article-title":"Behandling av \u00e4tst\u00f6rningar vid samtidiga ADHD-Symtom","author":"Ginsberg Y von H-J Nils Erik Svedlund, Norring C","year":"2019","unstructured":"Ginsberg Y von H-J Nils Erik Svedlund, Norring C, Ylva. Behandling av \u00e4tst\u00f6rningar vid samtidiga ADHD-Symtom. Lakartidningen 2019. https:\/\/lakartidningen.se\/klinik-och-vetenskap-1\/artiklar-1\/klinisk-oversikt\/2019\/09\/behandling-av-atstorningar-vid-samtidiga-adhd-symtom\/ (accessed 12 June 2025).","journal-title":"Lakartidningen"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20257"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2003.11.016"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/00952999209001613"},{"key":"e_1_3_8_10_2","first-page":"e6121","article-title":"Superior mesenteric artery syndrome secondary to anorexia nervosa and methamphetamine use","volume":"11","author":"Johnson BM","year":"2019","unstructured":"Johnson BM, Paladugu G. Superior mesenteric artery syndrome secondary to anorexia nervosa and methamphetamine use. Cureus 2019; 11: e6121. https:\/\/doi.org\/10.7759\/cureus.6121","journal-title":"Cureus"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20587"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291709005662"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/eat.1097"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/children10091509"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000862"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291704002892"},{"key":"e_1_3_8_17_2","volume-title":"Manual for the depression anxiety stress scales (2nd Ed)","author":"Lovibond SH","year":"1995","unstructured":"Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales (2nd Ed). 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