Attention deficit hyperactivity disorder and borderline personality disorder

To evaluate the association between attention deficit hyperactivity disorder (ADHD) and the diagnosis of borderline personality disorder (BPD) in adulthood, a systematic review of published follow-up data, mainly from observational studies was done. Electronic databases Medline, PsychInfo and PSYNDE...

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Bibliographic Details
Published in:Progress in neuro-psychopharmacology & biological psychiatry 2005-07, Vol.29 (6), p.865-877
Main Authors: Davids, Eugen, Gastpar, Markus
Format: Article
Language:English
Subjects:
ADHD
Attention Deficit Disorder with Hyperactivity - epidemiology
Attention Deficit Disorder with Hyperactivity - physiopathology
Attention Deficit Disorder with Hyperactivity - psychology
Attention Deficit Disorder with Hyperactivity - therapy
Attention deficit hyperactivity disorder
Behavioral inhibition
Borderline personality disorder
Borderline Personality Disorder - epidemiology
Borderline Personality Disorder - physiopathology
Borderline Personality Disorder - psychology
Borderline Personality Disorder - therapy
Comorbidity
Follow-Up Studies
Humans
Inhibition (Psychology)
Observation
Self Efficacy
Sex Characteristics
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Summary:To evaluate the association between attention deficit hyperactivity disorder (ADHD) and the diagnosis of borderline personality disorder (BPD) in adulthood, a systematic review of published follow-up data, mainly from observational studies was done. Electronic databases Medline, PsychInfo and PSYNDEXplus were searched from their earliest entries. All studies suggested significant relationships between ADHD and BPD. From a phenomenological point of view there seem to exist some similarities between these two disorders: deficits in affect regulation and impulse control, substance abuse, low self esteem and disturbed interpersonal relationship are common in both conditions. From a neuropsychological point of view dissociation in BPD might be regarded as a special form of behavioral inhibition and sustained attention comparable to ADHD. Possible therapeutic strategies of comorbid ADHD and BPD are discussed.
ISSN:0278-5846
1878-4216
DOI:10.1016/j.pnpbp.2005.04.033