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Impulsivity in relation to stress in patients with borderline personality disorder with and without co-occurring attention-deficit/hyperactivity disorder: an exploratory study.
J Nerv Ment Dis. 2013 Feb; 201(2):116-23.JN

Abstract

Impulsivity is regarded as a key feature in borderline personality disorder (BPD). However, discrepancies in previous research indicate that the role of impulsivity in BPD is not yet fully understood. For example, state-dependent impulsivity in individuals with BPD may be related to co-occurring psychiatric conditions such as attention-deficit/hyperactivity disorder (ADHD) and to emotional states. We assessed self-reports of trait and state impulsivity and response inhibition before and after an experimental stress induction in 15 patients with BPD without ADHD, 15 patients with BPD and ADHD, 15 patients with ADHD, and 15 healthy participants. The patients in both BPD subgroups reported a stress-dependent increase of state impulsivity, which was not observed in the other groups. Response inhibition was impaired in the patients with BPD and ADHD but not in those without ADHD compared with the healthy participants. We suggest that stress levels and co-occurring ADHD should receive attention in future studies on impulsivity in BPD.

Authors+Show Affiliations

Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany. Annegret.Krause-Utz@zi-mannheim.deNo 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

23364120

Citation

Krause-Utz, Annegret, et al. "Impulsivity in Relation to Stress in Patients With Borderline Personality Disorder With and Without Co-occurring Attention-deficit/hyperactivity Disorder: an Exploratory Study." The Journal of Nervous and Mental Disease, vol. 201, no. 2, 2013, pp. 116-23.
Krause-Utz A, Sobanski E, Alm B, et al. Impulsivity in relation to stress in patients with borderline personality disorder with and without co-occurring attention-deficit/hyperactivity disorder: an exploratory study. J Nerv Ment Dis. 2013;201(2):116-23.
Krause-Utz, A., Sobanski, E., Alm, B., Valerius, G., Kleindienst, N., Bohus, M., & Schmahl, C. (2013). Impulsivity in relation to stress in patients with borderline personality disorder with and without co-occurring attention-deficit/hyperactivity disorder: an exploratory study. The Journal of Nervous and Mental Disease, 201(2), 116-23. https://doi.org/10.1097/NMD.0b013e31827f6462
Krause-Utz A, et al. Impulsivity in Relation to Stress in Patients With Borderline Personality Disorder With and Without Co-occurring Attention-deficit/hyperactivity Disorder: an Exploratory Study. J Nerv Ment Dis. 2013;201(2):116-23. PubMed PMID: 23364120.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impulsivity in relation to stress in patients with borderline personality disorder with and without co-occurring attention-deficit/hyperactivity disorder: an exploratory study. AU - Krause-Utz,Annegret, AU - Sobanski,Esther, AU - Alm,Barbara, AU - Valerius,Gabriele, AU - Kleindienst,Nikolaus, AU - Bohus,Martin, AU - Schmahl,Christian, PY - 2013/2/1/entrez PY - 2013/2/1/pubmed PY - 2013/3/19/medline SP - 116 EP - 23 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 201 IS - 2 N2 - Impulsivity is regarded as a key feature in borderline personality disorder (BPD). However, discrepancies in previous research indicate that the role of impulsivity in BPD is not yet fully understood. For example, state-dependent impulsivity in individuals with BPD may be related to co-occurring psychiatric conditions such as attention-deficit/hyperactivity disorder (ADHD) and to emotional states. We assessed self-reports of trait and state impulsivity and response inhibition before and after an experimental stress induction in 15 patients with BPD without ADHD, 15 patients with BPD and ADHD, 15 patients with ADHD, and 15 healthy participants. The patients in both BPD subgroups reported a stress-dependent increase of state impulsivity, which was not observed in the other groups. Response inhibition was impaired in the patients with BPD and ADHD but not in those without ADHD compared with the healthy participants. We suggest that stress levels and co-occurring ADHD should receive attention in future studies on impulsivity in BPD. SN - 1539-736X UR - https://www.unboundmedicine.com/medline/citation/23364120/Impulsivity_in_relation_to_stress_in_patients_with_borderline_personality_disorder_with_and_without_co_occurring_attention_deficit/hyperactivity_disorder:_an_exploratory_study_ L2 - https://doi.org/10.1097/NMD.0b013e31827f6462 DB - PRIME DP - Unbound Medicine ER -