ĪDHD and BPD share important symptom domains, namely impulsivity and emotion dysregulation. A high prevalence of ADHD in BPD patients of 30 to 60% was found using structured interviews and self-report questionnaires in retrospective designs. ADHD according to the DSM-V is a neurodevelopmental disorder characterized by “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development”. The DSM-V defines the main features of BPD as a “pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity”. BPD is classified as a personality disorder. Future research is needed to base treatment decisions for the comorbid condition on an evidence basis.Īttention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) are common psychiatric disorders with prevalences of about 5% for ADHD) and about 1–2% for BPD. Research on the different impulsivity features might point to a necessity of disorder-specific treatment strategies in the field of impulse control. Interesting questions in the field of gene-environment-interactions are currently dealt with by genetic and epigenetic research.įew studies have investigated treatment strategies for the comorbid condition, though the issue is highly important for the management of patients suffering from both disorders and presenting with the highest symptom scores. A population-based study confirmed the high co-occurrence and familial co-aggregation of ADHD and BPD. Genetic research confirmed genetic overlap of BPD with bipolar disorder (BD) and schizophrenic disorders, as well as genetic overlap of BD and ADHD. Thus, some authors point to the risk of misdiagnosis during childhood and the necessity to screen for traumatic experiences in both patient groups. Traumatic experiences seem independently linked to impulsivity features. For emotion regulation difficulties the ranking order ranges from ADHD to BPD to the comorbid condition, again with the patients suffering from both, ADHD and BPD, having the most pronounced emotion regulation problems.Įnvironmental influences namely adverse childhood events were shown to be linked to both ADHD and BPD. BPD individuals have more problems using context cues for inhibiting responses and their impulsivity is stress-dependent, whereas ADHD patients have more motor impulsivity and therefore difficulties interrupting ongoing responses. Main bodyĭisentangling features of impulsivity in ADHD and BPD revealed that impulsivity is a feature of both disorders with patients suffering from both ADHD and BPD having highest impulsivity ratings. Overlap in symptom domains particularly in the field of impulsivity and emotional dysregulation in attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) have stimulated further research activities since our last review from 2014.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |