Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks

Luisa Weiner,1,2 Nader Perroud,3,4 Sébastien Weibel1,5 1Department of Psychiatry, University Hospital of Strasbourg, Strasbourg, France; 2Laboratoire De Psychologie Des Cognitions, University of Strasbourg, Strasbourg, France; 3Department of Psychiatry, University Hospitals of Geneva, Gen...

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Autores principales:	Weiner L, Perroud N, Weibel S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	adhd borderline personality disorder adults emotion regulation impulsivity Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/d67ff7d1a0354fe9a96e902564cd062f
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spelling	oai:doaj.org-article:d67ff7d1a0354fe9a96e902564cd062f2021-12-02T08:16:29ZAttention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks1178-2021https://doaj.org/article/d67ff7d1a0354fe9a96e902564cd062f2019-11-01T00:00:00Zhttps://www.dovepress.com/attention-deficit-hyperactivity-disorder-and-borderline-personality-di-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Luisa Weiner,1,2 Nader Perroud,3,4 Sébastien Weibel1,5 1Department of Psychiatry, University Hospital of Strasbourg, Strasbourg, France; 2Laboratoire De Psychologie Des Cognitions, University of Strasbourg, Strasbourg, France; 3Department of Psychiatry, University Hospitals of Geneva, Geneva, Switzerland; 4Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada; 5Inserm U1114, Strasbourg, FranceCorrespondence: Sébastien WeibelDepartment of Psychiatry, University Hospital of Strasbourg, 1 Place De L’hôpital, Strasbourg 67000, FranceTel + 33 388115157Email sebastien.weibel@chru-strasbourg.frAbstract: Attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) are particularly common disorders, that are highly comorbid in adult populations. The symptomatic overlap between adult ADHD and BPD includes impulsivity, emotional dysregulation and interpersonal impairment, which makes the differential diagnosis difficult. Our review aims at focusing on recent data on the comorbid ADHD+BPD form, as well as the risk factors involved in the emergence of the two disorders. While adult ADHD and BPD share some genetic and temperamental risk factors, adult ADHD is characterized by more severe trait-impulsivity compared to non-comorbid BPD; BPD patients display more severe trait-emotion regulation symptoms compared to non-comorbid ADHD. Patients with the comorbid ADHD+BPD form have severe symptoms in both dimensions. Early-life exposure to adverse events is a shared risk factor for the development of ADHD and BPD, but type and timing of adversity seem to play a differential role in the development of BPD and ADHD symptoms. Age of onset used to be a discriminative diagnostic criterion between ADHD, an early-onset neurodevelopmental disorder, and BPD, a late-onset psychological disorder. However, this distinction has been recently called into question, increasing the need for more research aiming at delineating the disorders from a developmental and clinical standpoint. Clinicians should carefully consider the comorbidity, and consider ADHD and BPD dimensionally, in order to provide more effective patient management. This might improve early preventive interventions, and treatment for comorbid conditions in adulthood.Keywords: ADHD, borderline personality disorder, adults, emotion regulation, impulsivityWeiner LPerroud NWeibel SDove Medical Pressarticleadhdborderline personality disorderadultsemotion regulationimpulsivityNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 3115-3129 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	adhd borderline personality disorder adults emotion regulation impulsivity Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	adhd borderline personality disorder adults emotion regulation impulsivity Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Weiner L Perroud N Weibel S Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks
description	Luisa Weiner,1,2 Nader Perroud,3,4 Sébastien Weibel1,5 1Department of Psychiatry, University Hospital of Strasbourg, Strasbourg, France; 2Laboratoire De Psychologie Des Cognitions, University of Strasbourg, Strasbourg, France; 3Department of Psychiatry, University Hospitals of Geneva, Geneva, Switzerland; 4Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada; 5Inserm U1114, Strasbourg, FranceCorrespondence: Sébastien WeibelDepartment of Psychiatry, University Hospital of Strasbourg, 1 Place De L’hôpital, Strasbourg 67000, FranceTel + 33 388115157Email sebastien.weibel@chru-strasbourg.frAbstract: Attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) are particularly common disorders, that are highly comorbid in adult populations. The symptomatic overlap between adult ADHD and BPD includes impulsivity, emotional dysregulation and interpersonal impairment, which makes the differential diagnosis difficult. Our review aims at focusing on recent data on the comorbid ADHD+BPD form, as well as the risk factors involved in the emergence of the two disorders. While adult ADHD and BPD share some genetic and temperamental risk factors, adult ADHD is characterized by more severe trait-impulsivity compared to non-comorbid BPD; BPD patients display more severe trait-emotion regulation symptoms compared to non-comorbid ADHD. Patients with the comorbid ADHD+BPD form have severe symptoms in both dimensions. Early-life exposure to adverse events is a shared risk factor for the development of ADHD and BPD, but type and timing of adversity seem to play a differential role in the development of BPD and ADHD symptoms. Age of onset used to be a discriminative diagnostic criterion between ADHD, an early-onset neurodevelopmental disorder, and BPD, a late-onset psychological disorder. However, this distinction has been recently called into question, increasing the need for more research aiming at delineating the disorders from a developmental and clinical standpoint. Clinicians should carefully consider the comorbidity, and consider ADHD and BPD dimensionally, in order to provide more effective patient management. This might improve early preventive interventions, and treatment for comorbid conditions in adulthood.Keywords: ADHD, borderline personality disorder, adults, emotion regulation, impulsivity
format	article
author	Weiner L Perroud N Weibel S
author_facet	Weiner L Perroud N Weibel S
author_sort	Weiner L
title	Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks
title_short	Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks
title_full	Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks
title_fullStr	Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks
title_full_unstemmed	Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks
title_sort	attention deficit hyperactivity disorder and borderline personality disorder in adults: a review of their links and risks
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/d67ff7d1a0354fe9a96e902564cd062f
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Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks

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