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Borderline typical symptoms in adult patients with attention deficit/hyperactivity disorder.
Atten Defic Hyperact Disord. 2009 May; 1(1):11-8.AD

Abstract

Adult attention deficit/hyperactivity disorder (ADHD) and borderline personality disorder (BPD) share several clinical features, e.g. emotional lability and impulsivity. This study aimed to delineate differences and similarities between ADHD and BPD with respect to borderline typical symptomatology and gender specifics. Borderline symptomatology was assessed in 60 adult patients with ADHD with the borderline symptom list (BSL) and compared to both 60 gender- and age-matched BPD patients and control subjects. The BSL is a standardized instrument including 95 items on 7 subscales (self-perception, affect regulation, self-destruction, dysphoria, loneliness, intrusions and hostility). Adult ADHD patients showed significantly higher BSL total scores and all of the seven subscales compared to healthy controls (p < 0.001) but lower scores than BPD patients (p < 0.001). With respect to the seven subscales, the largest differences between ADHD and BPD patients were found with respect to self-destruction (d = 1.12) and affect dysregulation (d = 0.90), whereas the smallest difference was found with respect to loneliness (d = 0.36). In females, the BSL subscales "loneliness" and "hostility" did not differentiate between BPD and ADHD. Borderline typical symptoms are common in adult patients with ADHD but seem to be less pronounced than in patients with BPD. Females with ADHD and BPD share more clinical features than males. However, symptoms of self-destruction and affect dysregulation appear to be more severe in BPD patients.

Authors+Show Affiliations

Department of Psychiatry and Psychotherapy, University of Freiburg Medical School, Germany. alexandra.philipsen@uniklinik-freiburg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21432575

Citation

Philipsen, Alexandra, et al. "Borderline Typical Symptoms in Adult Patients With Attention Deficit/hyperactivity Disorder." Attention Deficit and Hyperactivity Disorders, vol. 1, no. 1, 2009, pp. 11-8.
Philipsen A, Feige B, Hesslinger B, et al. Borderline typical symptoms in adult patients with attention deficit/hyperactivity disorder. Atten Defic Hyperact Disord. 2009;1(1):11-8.
Philipsen, A., Feige, B., Hesslinger, B., Scheel, C., Ebert, D., Matthies, S., Limberger, M. F., Kleindienst, N., Bohus, M., & Lieb, K. (2009). Borderline typical symptoms in adult patients with attention deficit/hyperactivity disorder. Attention Deficit and Hyperactivity Disorders, 1(1), 11-8. https://doi.org/10.1007/s12402-009-0001-7
Philipsen A, et al. Borderline Typical Symptoms in Adult Patients With Attention Deficit/hyperactivity Disorder. Atten Defic Hyperact Disord. 2009;1(1):11-8. PubMed PMID: 21432575.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Borderline typical symptoms in adult patients with attention deficit/hyperactivity disorder. AU - Philipsen,Alexandra, AU - Feige,Bernd, AU - Hesslinger,Bernd, AU - Scheel,Corinna, AU - Ebert,Dieter, AU - Matthies,Swantje, AU - Limberger,Matthias F, AU - Kleindienst,Nikolaus, AU - Bohus,Martin, AU - Lieb,Klaus, Y1 - 2009/02/17/ PY - 2008/09/11/received PY - 2008/10/01/accepted PY - 2011/3/25/entrez PY - 2009/5/1/pubmed PY - 2011/7/20/medline SP - 11 EP - 8 JF - Attention deficit and hyperactivity disorders JO - Atten Defic Hyperact Disord VL - 1 IS - 1 N2 - Adult attention deficit/hyperactivity disorder (ADHD) and borderline personality disorder (BPD) share several clinical features, e.g. emotional lability and impulsivity. This study aimed to delineate differences and similarities between ADHD and BPD with respect to borderline typical symptomatology and gender specifics. Borderline symptomatology was assessed in 60 adult patients with ADHD with the borderline symptom list (BSL) and compared to both 60 gender- and age-matched BPD patients and control subjects. The BSL is a standardized instrument including 95 items on 7 subscales (self-perception, affect regulation, self-destruction, dysphoria, loneliness, intrusions and hostility). Adult ADHD patients showed significantly higher BSL total scores and all of the seven subscales compared to healthy controls (p < 0.001) but lower scores than BPD patients (p < 0.001). With respect to the seven subscales, the largest differences between ADHD and BPD patients were found with respect to self-destruction (d = 1.12) and affect dysregulation (d = 0.90), whereas the smallest difference was found with respect to loneliness (d = 0.36). In females, the BSL subscales "loneliness" and "hostility" did not differentiate between BPD and ADHD. Borderline typical symptoms are common in adult patients with ADHD but seem to be less pronounced than in patients with BPD. Females with ADHD and BPD share more clinical features than males. However, symptoms of self-destruction and affect dysregulation appear to be more severe in BPD patients. SN - 1866-6647 UR - https://www.unboundmedicine.com/medline/citation/21432575/Borderline_typical_symptoms_in_adult_patients_with_attention_deficit/hyperactivity_disorder_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=21432575.ui DB - PRIME DP - Unbound Medicine ER -