Emotion dysregulation in attention-deficit/hyperactivity disorder and borderline personality disorder

Moukhtarian, Talar R.; Mintah, Ruth Sabea; Moran, Paul; Asherson, Philip

doi:10.1186/s40479-018-0086-8

Cited by 40 publications

(45 citation statements)

References 116 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, our results are not representative of the non-severe cases of ADHD. It is well known that both ADHD and BPD are highly associated with other psychiatric disorders and behavioral problems [36,37]. However, our study revealed that the ADHD+BPD group demonstrated a greater number of psychiatric symptoms and behavioral problems compared to the ADHD or BPD groups.…”

Section: Discussioncontrasting

confidence: 65%

Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting

Akça

Wall

Sharp

2020

bord personal disord emot dysregul

View full text Add to dashboard Cite

Background: With increased consensus regarding the validity and reliability of diagnosing Borderline Personality Disorder (BPD) in adolescents, clinicians express concern over the distinction between BPD and Attention-Deficit/ Hyperactivity Disorder (ADHD), and its co-morbidity in clinical settings. The goal of this study was to evaluate differences between BPD, ADHD and BPD + ADHD in terms of co-morbid psychiatric disorders and a range of selfreported behavioral problems in adolescents. Methods: Our sample consisted of N = 550 inpatient adolescents with behavioral and emotional disorders that have not responded to prior intervention. We took a person-centered approach (for increase clinical relevance) and compared adolescents with ADHD, BPD and ADHD+BPD in terms of co-occurring psychiatric disorders and behavioral problems. We performed a regression analysis to test whether BPD symptoms make an incremental contribution to the prediction of psychiatric symptoms over ADHD symptoms. Results: The severity of almost all co-occurring disorders, aggression, self-harm, suicidal thoughts, and substance use, were higher in the ADHD+BPD group. Borderline symptoms made an incremental contribution to the prediction of psychiatric symptoms beyond the contribution of ADHD. Conclusion: Severity and co-morbidity may be helpful factors in distinguishing between ADHD and BPD in clinical practice and the co-morbidity of these two disorders may indicate a worse clinical outcome.

show abstract

Section: Discussioncontrasting

confidence: 65%

Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting

Akça

Wall

Sharp

2020

bord personal disord emot dysregul

View full text Add to dashboard Cite

show abstract

Section: Differential Diagnosis and Comorbiditymentioning

confidence: 99%

“…Both ADHD and borderline personality disorder (BPD) may be considered developmental since they emerge during childhood or adolescence [182]. ADHD and BPD share similar clinical features including impulsivity, affective instability, emotional dysregulation, and unstable interpersonal relationships [182][183][184]. On the other hand, symptoms such as chronic suicidality, self-mutilation, feelings of abandonment and emptiness, stress-related paranoid ideation or dissociation are typical of BPD but not of ADHD [184,185].…”

Section: Differential Diagnosis and Comorbiditymentioning

confidence: 99%

Development of the Korean Practice Parameter for Adult Attention-Deficit/Hyperactivity Disorder

Bahn

Lee

Yoo

et al. 2020

J Korean Acad Child Adolesc Psychiatry

View full text Add to dashboard Cite

Objectives: Adult attention-deficit/hyperactivity disorder (ADHD) is an important mental health problem that needs resolution, especially considering the high rates of ADHD continuation from childhood to adolescence/adulthood and the high prevalence of ADHD in adults. Adults with ADHD have lifelong negative impacts and require close monitoring with long-term follow-up. Hence, the establishment of a Korean practice parameter for adult ADHD is necessary to minimize discontinuation of treatment and enable information sharing among Korean mental health professionals. Methods: The Korean practice parameter was developed using an evidence-based approach consisting of expert consensus survey coupled with literature review. Letter-Number Sequencing. Although pharmacotherapy is recommended as the first-line of treatment for adult ADHD, we recommend that it be followed by a multimodal and multidisciplinary approach including psychoeducation, pharmacotherapy, cognitive behavior therapy and coaching. Conclusion: The Korean practice parameter introduces not only general information for the diagnosis and treatment of adult ADHD on a global scale, but also the process of diagnosis and treatment options tailored to the Korean population.The etiology of ADHD is complex and includes both genetic and environmental factors. However, several studies suggest that the causes of ADHD are largely genetic and the disorder has high heritability [7]. Genetic factorsSeveral studies have shown that ADHD has a strong genetic influence and is inherited across generations [8][9][10][11]. Extensive reports from twin and adoption studies have consistently shown high heritability of approximately 75% for childhood ADHD [12], countering the initial estimates of 30-50% [13-15]. These differences might be due to rater effects, which when controlled for, reduced the incompatibility between childhood and adult ADHD [16].

show abstract

“…Emotional dysregulation (ED) is a set of symptoms that have been considered a core clinical feature of BPD and have been assigned a key role in the main etiopathogenic models of the disorder [5]. However, in recent years, the number of studies highlighting the relevant role that ED can also play in ADHD [6,7] has increased. For differential diagnosis, suicidal behavior has been considered more typical of BPD than of ADHD [8], whereas primary attentional cognitive deficits are significantly more frequent in ADHD than in BPD [8,9].…”

Section: Introductionmentioning

confidence: 99%

The role of environmental influences in the complex relationship between borderline personality disorder and attention-deficit/hyperactivity disorder: review of recent findings

Calvo

Lara

Serrat

et al. 2020

bord personal disord emot dysregul

View full text Add to dashboard Cite

Background: In recent years, the existence of possible developmental pathways from childhood Attention-Deficit/ Hyperactivity Disorder (ADHD) to adult Borderline Personality Disorder (BPD) has been suggested. The existence of common genetic factors has been described but there is little evidence on the role of environmental factors in the possible transition from one disorder to another throughout life. The main goal of this work is to review the literature about the existing evidence on childhood traumas as factors that mediate the risk of developing BPD in children with ADHD. Methods: A literature search was conducted using PubMed, Science Direct and PsychInfo databases. Criteria included studies of BPD and ADHD relationships and childhood traumas as environmental influences from epidemiological or clinical samples. Results: The review only identified 4 studies that matched the search criteria. All studies retrospectively analyzed childhood traumas, and adult patients with BPD, with or without comorbid ADHD, were the most frequently mentioned. The analyzed evidence reinforces the relationship between the number of childhood traumas and higher clinical severity. Three of these analyzed studies describe an increased the risk of children with ADHD who report emotional and sexual traumatic experiences to develop BPD in adulthood. Conclusions: The experience of traumatic childhood events, especially those of an emotional type, may have a mediating effect of an increased risk of developing adult BPD in childhood ADHD patients. However, to consider them as risk factors, more studies, and especially longitudinal studies, are necessary to clarify the probable transactional process between the two disorders. Evidence from these studies may be helpful to develop early intervention programs to reduce the functional impairment associated with the two disorders.

show abstract

Emotion dysregulation in attention-deficit/hyperactivity disorder and borderline personality disorder

Cited by 40 publications

References 116 publications

Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting

Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting

Development of the Korean Practice Parameter for Adult Attention-Deficit/Hyperactivity Disorder

The role of environmental influences in the complex relationship between borderline personality disorder and attention-deficit/hyperactivity disorder: review of recent findings

Contact Info

Product

Resources

About