ADHD in adolescents with borderline personality disorder
ADHD in adolescents with borderline personality disorder
BACKGROUND: The aims of this study were to assess the prevalence of a comorbid Attention Deficit Hyperactivity Disorder (ADHD) diagnosis in Borderline Personality Disorder (BPD), and its impact on the clinical presentation of BPD in adolescents, and to determine which type of impulsivity specifically characterizes adolescents with BPD-ADHD.
METHODS: ADHD diagnoses were sought in a sample of 85 DSM-IV BPD adolescents drawn from the EURNET BPD. Axis-I and -II disorders were determined with the K-SADS-PL and the SIDP-IV, respectively. Impulsivity was assessed with the BIS-11.
RESULTS: 11% (N = 9) of BPD participants had a current ADHD diagnosis. BPD-ADHD adolescents showed higher prevalence of Disruptive disorders (Chi2 = 9.09, p = 0.01) and a non-significant trend for a higher prevalence of other cluster B personality disorders (Chi2 = 2.70, p = 0.08). Regression analyses revealed a significant association between Attentional/Cognitive impulsivity scores and ADHD (Wald Z = 6.69; p = 0.01; Exp(B) = 2.02, CI 95% 1.19-3.45).
CONCLUSIONS: Comorbid ADHD influences the clinical presentation of adolescents with BPD and is associated with higher rates of disruptive disorders, with a trend towards a greater likelihood of cluster B personality disorders and with higher levels of impulsivity, especially of the attentional/cognitive type. A subgroup of BPD patients may exhibit developmentally driven impairments of the inhibitory system persisting since childhood. Specific interventions should be recommended for this subsample of BPD adolescents.
158-167
Speranza, Mario
cab43d57-ac56-422f-a8c2-404eda2ff4dc
Revah-Levy, Anne
cc652fb5-c10a-4613-93ab-3c7b7297a59b
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Falissard, Bruno
a5030786-d94f-4b6c-8091-48b5cfd15630
Pham-Scottez, Alexandra
c4dddd3c-fb7a-43b7-8986-7cb1151be00e
Corcos, Maurice
485ed211-d43b-45a3-9610-646eac2166dd
September 2011
Speranza, Mario
cab43d57-ac56-422f-a8c2-404eda2ff4dc
Revah-Levy, Anne
cc652fb5-c10a-4613-93ab-3c7b7297a59b
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Falissard, Bruno
a5030786-d94f-4b6c-8091-48b5cfd15630
Pham-Scottez, Alexandra
c4dddd3c-fb7a-43b7-8986-7cb1151be00e
Corcos, Maurice
485ed211-d43b-45a3-9610-646eac2166dd
Speranza, Mario, Revah-Levy, Anne, Cortese, Samuele, Falissard, Bruno, Pham-Scottez, Alexandra and Corcos, Maurice
(2011)
ADHD in adolescents with borderline personality disorder.
BMC Psychiatry, 11 (1), .
(doi:10.1186/1471-244x-11-158).
(PMID:21961882)
Abstract
BACKGROUND: The aims of this study were to assess the prevalence of a comorbid Attention Deficit Hyperactivity Disorder (ADHD) diagnosis in Borderline Personality Disorder (BPD), and its impact on the clinical presentation of BPD in adolescents, and to determine which type of impulsivity specifically characterizes adolescents with BPD-ADHD.
METHODS: ADHD diagnoses were sought in a sample of 85 DSM-IV BPD adolescents drawn from the EURNET BPD. Axis-I and -II disorders were determined with the K-SADS-PL and the SIDP-IV, respectively. Impulsivity was assessed with the BIS-11.
RESULTS: 11% (N = 9) of BPD participants had a current ADHD diagnosis. BPD-ADHD adolescents showed higher prevalence of Disruptive disorders (Chi2 = 9.09, p = 0.01) and a non-significant trend for a higher prevalence of other cluster B personality disorders (Chi2 = 2.70, p = 0.08). Regression analyses revealed a significant association between Attentional/Cognitive impulsivity scores and ADHD (Wald Z = 6.69; p = 0.01; Exp(B) = 2.02, CI 95% 1.19-3.45).
CONCLUSIONS: Comorbid ADHD influences the clinical presentation of adolescents with BPD and is associated with higher rates of disruptive disorders, with a trend towards a greater likelihood of cluster B personality disorders and with higher levels of impulsivity, especially of the attentional/cognitive type. A subgroup of BPD patients may exhibit developmentally driven impairments of the inhibitory system persisting since childhood. Specific interventions should be recommended for this subsample of BPD adolescents.
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Accepted/In Press date: 30 September 2011
Published date: September 2011
Organisations:
Clinical Neuroscience
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Local EPrints ID: 380412
URI: http://eprints.soton.ac.uk/id/eprint/380412
ISSN: 1471-244X
PURE UUID: 67ac744e-c76b-4f87-939c-6d5b92063558
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Date deposited: 14 Sep 2015 12:45
Last modified: 15 Mar 2024 03:52
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Author:
Mario Speranza
Author:
Anne Revah-Levy
Author:
Bruno Falissard
Author:
Alexandra Pham-Scottez
Author:
Maurice Corcos
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