Comparable emotional dynamics in women with ADHD and borderline personality disorder

Borderline Personality Disorder and Emotion Dysregulation

Caroline Skirrow¹  Iris Reinhard²  Paul Moran³  Talar R. Moukhtarian⁴  Celine Ryckaert⁴  Philip Asherson⁴  Ulrich Ebner-Priemer⁵ 

[1] Cambridge Cognition, Cambridge, UK;School of Psychological Science, University of Bristol, Bristol, UK;Central Institute of Mental Health, Division of Biostatistics, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany;Centre for Academic Mental Health, School of Social & Community Medicine, University of Bristol, Bristol, UK;King’s College London, Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, London, UK;Mental m-health lab, Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany;Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany;

关键词: Emotional dysregulation;    Attention-deficit/hyperactivity disorder;    Borderline personality disorder;    Experience sampling method;    Transdiagnostic;   

DOI  :  10.1186/s40479-021-00144-y

来源: Springer

【 摘 要 】

BackgroundEmotional dysregulation (ED) is a core diagnostic symptom in borderline personality disorder (BPD) and an associated feature of attention-deficit/hyperactivity disorder (ADHD). We aimed to investigate differences in dynamical indices of ED in daily life in ADHD and BPD.MethodsWe used experience sampling method (ESM) and multilevel modelling to assess momentary changes in reports of affective symptoms, and retrospective questionnaire measures of ED in a sample of 98 adult females with ADHD, BPD, comorbid ADHD+BPD and healthy controls.ResultsWe found marked differences between the clinical groups and healthy controls. However, the ESM assessments did not show differences in the intensity of feeling angry and irritable, and the instability of feeling sad, irritable and angry, findings paralleled by data from retrospective questionnaires. The heightened intensity in negative emotions in the clinical groups compared to controls was only partially explained by bad events at the time of reporting negative emotions, suggesting both reactive and endogenous influences on ED in both ADHD and BPD.ConclusionsThis study supports the view that ED is a valuable trans-diagnostic aspect of psychopathology in both ADHD and BPD, with similar levels of intensity and instability. These findings suggest that the presence or severity of ED should not be used in clinical practice to distinguish between the two disorders.

【 授权许可】

CC BY