ADHD in adolescents with borderline personality disorder. - Inserm - Institut national de la santé et de la recherche médicale Access content directly
Journal Articles BMC Psychiatry Year : 2011

ADHD in adolescents with borderline personality disorder.

Abstract

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 ODD and a non-significant trend for a higher prevalence of other cluster B personality disorders. Regression analyses revealed a significant association between 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 ODD, other cluster B personality disorders, and cognitive impulsiveness. 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.
Fichier principal
Vignette du fichier
1471-244X-11-158.pdf (184.79 Ko) Télécharger le fichier
1471-244X-11-158.xml (95.4 Ko) Télécharger le fichier
Origin : Publisher files allowed on an open archive
Format : Other
Loading...

Dates and versions

inserm-00635961 , version 1 (26-10-2011)

Identifiers

Cite

Mario Speranza, Anne Revah-Levy, Samuele Cortese, Bruno Falissard, Alexandra Pham-Scottez, et al.. ADHD in adolescents with borderline personality disorder.. BMC Psychiatry, 2011, 11 (1), pp.158. ⟨10.1186/1471-244X-11-158⟩. ⟨inserm-00635961⟩

Collections

INSERM UVSQ
293 View
249 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More