The focus of mental health research in emerging fields should be driven by the priorities of people with relevant lived experience. Autism and ADHD are childhood-onset neurodevelopmental conditions that are associated with a range of health inequalities, including increased risk for eating disorders. The evidence base for how best to support neurodivergent individuals who experience disordered eating is still in its infancy, but research suggests that existing clinical approaches are not currently fit for purpose. In this Personal View, through community consultation with autistic people and people with ADHD who have experienced disordered eating, we present a comprehensive ranked list of research topics that people with lived experience prioritise. These priorities could be clustered into two areas: improving outcomes and identifying causal mechanisms. Within the theme of improving disordered eating outcomes, priorities are the improvement of treatment, the need for neurodiversity training in clinical services, and the identification and minimisation of unintended adverse effects of psychological intervention. Within the theme of identifying causal mechanisms, priorities are the identification of risk factors and a better understanding of the effect of autistic or ADHD neurocognitive profiles as potential contributors to eating disorder vulnerability. The final top ten research priorities are contextualised in terms of how they compare to the existing literature on the overlap between autism or ADHD and eating disorders, and concrete suggestions are made for how to implement these research priorities as testable hypotheses. Research informed by these priorities will build necessary understanding of the reasons behind the increased risk for eating disorders in neurodivergent people, and how to best support people who are affected by disordered eating to live positive and fulfilling lives

中文翻译：

---

饮食失调、自闭症和 ADHD 的重叠：有生活经验的成年人确定的未来研究重点


新兴领域的心理健康研究重点应由具有相关生活经验的人的优先事项驱动。自闭症和多动症是儿童期发病的神经发育疾病，与一系列健康不平等有关，包括饮食失调的风险增加。如何最好地支持经历饮食失调的神经多样性个体的证据基础仍处于起步阶段，但研究表明，现有的临床方法目前并不适合目的。在这个个人观点中，通过与自闭症患者和经历过饮食失调的多动症患者的社区咨询，我们提出了一个全面的研究主题排名列表，这些主题是有生活经验的人优先考虑的。这些优先事项可以归纳为两个领域：改善结果和确定因果机制。在改善饮食失调结果的主题中，优先事项是改善治疗、临床服务中神经多样性培训的需求以及识别和尽量减少心理干预的意外不利影响。在确定因果机制的主题中，优先事项是确定风险因素和更好地了解自闭症或 ADHD 神经认知特征作为饮食失调脆弱性潜在因素的影响。最后的十大研究重点是根据它们与关于自闭症或 ADHD 与饮食失调之间重叠的现有文献的比较进行背景化的，并就如何将这些研究重点作为可检验的假设实施提出了具体建议。以这些优先事项为依据的研究将建立对神经多样性人群饮食失调风险增加背后的原因的必要理解，以及如何最好地支持受饮食失调影响的人过上积极和充实的生活