ADHD in adolescents with borderline personality disorder

BMC Psychiatry

Research Article

Mario Speranza¹  Bruno Falissard²  Anne Revah-Levy³  Alexandra Pham-Scottez⁴  Maurice Corcos⁵  Samuele Cortese⁶ 

[1] Centre Hospitalier de Versailles, Service de Pédopsychiatrie. Le Chesnay, France;INSERM U669, Univ Paris-Sud and Univ Paris Descartes, UMR-S0669, Paris, France;EA40/47 UVSQ, France;INSERM U669, Univ Paris-Sud and Univ Paris Descartes, UMR-S0669, Paris, France;INSERM U669, Univ Paris-Sud and Univ Paris Descartes, UMR-S0669, Paris, France;Centre de Soins Psychothérapeutiques de Transition pour Adolescents, Hôpital d'Argenteuil, F-95107, Argenteuil, France;INSERM U669, Univ Paris-Sud and Univ Paris Descartes, UMR-S0669, Paris, France;Clinique des Maladies Mentales et de l'Encéphale, Hôpital Sainte-Anne, Paris, France;INSERM U669, Univ Paris-Sud and Univ Paris Descartes, UMR-S0669, Paris, France;Institut Mutualiste Montsouris, Département de Psychiatrie de l'Adolescent et du Jeune Adulte, Paris, France;Institute for Pediatric Neuroscience, New York University Child Study Center, 215 Lexington Ave, 14th Floor, 10016, New York, NY, USA;

关键词: Attention Deficit Hyperactivity Disorder;    Borderline Personality Disorder;    Personality Disorder;    Attention Deficit Hyperactivity Disorder Symptom;    Borderline Personality Disorder;   

DOI  :  10.1186/1471-244X-11-158

 received in 2011-07-05, accepted in 2011-09-30,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsADHD 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.Results11% (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).ConclusionsComorbid 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.

【 授权许可】

CC BY   
© Speranza et al; licensee BioMed Central Ltd. 2011