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Attention deficit hyperactivity disorder and borderline personality disorder.
1Department of Psychiatry and Psychotherapy, University of Duisburg-Essen - Rhine Clinics Essen - Virchowstrasse 174, 45147 Essen, Germany. eugen.davids@uni-essen.de
Summary
Attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) show significant associations in adulthood. Both conditions share phenomenological similarities, including emotional dysregulation and impulse control issues.
Area of Science:
- Psychiatry
- Neuroscience
- Clinical Psychology
Background:
- Attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) are prevalent psychiatric conditions.
- Understanding the relationship between ADHD and BPD is crucial for accurate diagnosis and effective treatment.
Purpose of the Study:
- To systematically review existing follow-up data on the association between ADHD and BPD in adulthood.
- To explore phenomenological and neuropsychological similarities between ADHD and BPD.
Main Methods:
- A systematic review of published follow-up data, primarily from observational studies.
- Searches were conducted across electronic databases: Medline, PsychInfo, and PSYNDEXplus.
Main Results:
- All reviewed studies indicated significant associations between ADHD and BPD.
- Shared features include deficits in affect regulation, impulse control, substance abuse, low self-esteem, and interpersonal relationship disturbances.
- Neuropsychological parallels, such as dissociation in BPD and attention deficits in ADHD, were noted.
Conclusions:
- ADHD and BPD exhibit significant comorbidity and share overlapping clinical features.
- Further research into the neurobiological underpinnings and therapeutic strategies for comorbid ADHD and BPD is warranted.