Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting

Akça, Ömer Faruk; Wall, Kiana; Sharp, Carla

doi:10.1186/s40479-020-00122-w

Cited by 5 publications

(7 citation statements)

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“…This includes overlaps with ADHD, mood disorders and schizophrenia spectrum disorders. ADHD occurs in around 26% of those with adult ASD (Lugo-Marín et al, 2019), and around 30%-40% of those with BPD (Akça et al, 2020). The overlap of BPD and ASD in some studies may be confounded by comorbid BPD and ADHD.…”

Section: Discussionmentioning

confidence: 99%

Overlap of autism spectrum disorder and borderline personality disorder: A systematic review and meta‐analysis

May

Pilkington

Younan³

et al. 2021

Autism Research

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Autism spectrum disorder (ASD) and borderline personality Disorder (BPD) share features, including social and emotion regulation difficulties. The evidence for the overlap in prevalence and clinical characteristics was systematically reviewed. Ovid Medline, PsycInfo, and PubMed were searched until November 30, 2020 using keywords relating to BPD and ASD. Studies that reported on the overlap of ASD and BPD diagnoses or traits and used a case, cohort, or casecontrolled design were included. Of 1633 screened studies, 19 were included, of which 12 reported data suitable for meta-analysis. Most samples were of small, clinically ascertained groups, with 11 having high risk of bias. The pooled prevalence of BPD in ASD was 4% [95% CI 0%-9%] and of ASD in BPD, 3% [95% CI 1%-8%]. There were inconsistent findings across clinical areas. The prevalence of a dual diagnosis of BPD in ASD cohorts and of ASD in BPD cohorts was within population prevalence estimates of each disorder. Based on this data we were not able to assess whether there is misdiagnosis of one in favor of the other. Neurocognitive differences may underlie similar behavioral symptoms, but further research using larger, well-validated samples is needed. Lay SummaryAutism spectrum disorder (ASD) and borderline personality disorder (BPD) have overlaps in their symptoms. The overlap in how frequently they co-occur and their presentation was systematically reviewed. We searched the key databases and including all studies that reported on the overlap of ASD and BPD diagnoses or traits and used a case, cohort or case-controlled design. Of 1633 studies, 19 were included, of which 12 reported data suitable for pooling. Most samples were of small, clinical groups, with 11 having high risk of bias. The pooled prevalence of BPD in ASD was 4% [95% CI 0%-9%] and of ASD in BPD, 3% [95% CI 1%-8%]. There were inconsistent findings across studies comparing ASD and BPD related symptoms and problems. The prevalence of a dual diagnosis of BPD in ASD cohorts and of ASD in BPD cohorts was similar to the population prevalence of each disorder. Further research using larger, well-validated samples is needed.

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Section: Discussionmentioning

confidence: 99%

Overlap of autism spectrum disorder and borderline personality disorder: A systematic review and meta‐analysis

May

Pilkington

Younan³

et al. 2021

Autism Research

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“…Borderline Personality Disorder (BPD) is a severe mental disorder characterized by a pervasive pattern of instability in affect regulation, pronounced impulsive and self-damaging behavior, unstable identity and difficulties in emotion regulation [ 1 ]. Although historically the diagnosis of BPD in adolescence has been long debated, in recent years there has been increased evidence to suggest that BPD symptoms are present in childhood and adolescence, and that BPD can be reliably diagnosed in adolescence [ 2 – 6 ]. In fact, Miller et al (2008) had already pointed to the existence of a body of evidence indicating that BPD is reliably diagnosed in adolescence and its reliability and validity is comparable with adults [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Identification of adolescents with BPD is still difficult. There is a remarkable clinical overlap between BPD and other psychopathological disorders that begin in childhood or adolescence, such as attention-deficit/hyperactivity disorder (ADHD) and clinicians express concern over the distinction between BPD and ADHD [ 2 ]. ADHD is a highly prevalent disorder in adolescence, and impulsivity and emotional instability, classically considered core symptoms of BPD, are part of its clinical characteristics [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…These authors also reported that youth who continued to meet criteria for ADHD diagnosis in adolescence had higher rates of BPD compared to youth who remitted from ADHD. As a result, research into the relationship between BPD and ADHD has increased, and data has even been presented on possible etiopathogenic bases that are common to both disorders [ 2 , 12 , 19 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Discrimination of Borderline Personality Disorder (BPD) and Attention-Deficit/Hyperactivity Disorder (ADHD) in adolescents: Spanish version of the Borderline Personality Features Scale for Children-11 Self-Report (BPFSC-11) Preliminary results

Calvo

Marı́n

Vidal

et al. 2023

bord personal disord emot dysregul

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Background Although the diagnosis of Borderline Personality Disorder (BPD) during adolescence has been questioned, many recent studies have confirmed its validity. However, some clinical manifestations of BPD could be identifiable in adolescents with other pathologies, such as Attention-Deficit/Hyperactivity Disorder (ADHD). The objective of the present study is to examine the capacity of the self-report Borderline Personality Features Scale Children-11 (BPFSC-11) to discriminate between BPD and ADHD adolescents. Methods One hundred and forty-five participants were grouped based on their diagnosis: 58 with BPD, 58 with ADHD, and 29 healthy volunteers as a control group. Between-group differences and the ROC curve were performed to test if the total score for the BPFSC-11 and/or its factors can significantly discriminate between BPD and other adolescent groups. Results The results show that the total BPFSC-11 score has good discriminant capacity among adolescents diagnosed with BPD, ADHD and healthy volunteers. However, different patterns of discriminative capacity were observed between the three groups for emotional dysregulation and impulsivity/recklessness factors. Conclusions Our results support the hypothesis that the BPFSC-11 is an adequate instrument for discriminating between BPD and ADHD in adolescents, who can present significant psychopathological overlap. Tools to identify BPD in adolescence, as well as for better differential diagnosis, would improve the possibility of offering specific treatments targeting these populations.

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“…Формирование клинических симптомокомплексов и патологической структуры ПРЛ в юношеском возрасте связано с рядом факторов риска, среди которых наследственная отягощенность личностными аномалиями у родственников, наличие предшествующих расстройств поведения в детском и подростковом возрасте [7], психотравмирующих ситуаций, эпизодов применения психического, физического и сексуального насилия [8]. Одним из возможных предикторов формирования ПРЛ в юности признается наличие диагностированного ранее синдрома дефицита внимания и гиперактивности (СДВГ), симптомы которого могут с возрастом транcформироваться в клинические признаки ПРЛ [9].…”

Section: Introductionunclassified

Clinical and Psychopathological Features of Borderline Personality Disorder in Adolescence

Kuleshov¹

2022

Psychiatry

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Background: Borderline personality disorder (BPD) in adolescence has a high prevalence and a signicant polymorphism of the psychopathological structure which creates considerable difculties to conduct differential diagnostics and assessing comorbidity with other disorders. To date, special research has not been carried out to explore BPD in adolescents that highlights the relevance of the present study. Objectives: identication of the borderline personality disorder (BPD) clinical features, leading psychopathological syndromes and differential diagnostics criteria in adolescence. Patients and methods: 71 young patients (16–25 years old) with borderline personality disorder were examined by clinical psychopathological and psychometrical methods (PBQ-BPD, TAS, BIS-11). This study includes 28 women (39%) and 43 men (61%) who were examined as inpatient or outpatient in the Mental Health Research Centre in 2019–2021. Results: key symptoms complexes were identied and presented by affective instability, dissociative state with identity disturbance and addictive behavior. Based on the analysis of the clinical picture and the discovered patterns, three types of BPD in adolescents were identied: with an “affective storm” (type I); with a dominance of impulsive and addictive features such as “adrenaline addiction” (type II); with a dominance of “cognitive dissociation” and self-identity disorder (type III). Distinctive features of the clinical pictures of affective and behavioral disorders for each type of BPD in adolescence were found and psychopathological signs and their impact on further dynamics were determined, taking into account an auto-aggressive behavior and a high level of suicidality. Conclusions: the found psychopathological patterns of BPD formation in adolescence help to assess the disorders of personality and social functioning and to predict the risk of auto- aggression and suicidal activity for the diagnostic and prognostic assessment of borderline personality disorder in adolescence.

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Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting

Cited by 5 publications

References 41 publications

Overlap of autism spectrum disorder and borderline personality disorder: A systematic review and meta‐analysis

Overlap of autism spectrum disorder and borderline personality disorder: A systematic review and meta‐analysis

Discrimination of Borderline Personality Disorder (BPD) and Attention-Deficit/Hyperactivity Disorder (ADHD) in adolescents: Spanish version of the Borderline Personality Features Scale for Children-11 Self-Report (BPFSC-11) Preliminary results

Clinical and Psychopathological Features of Borderline Personality Disorder in Adolescence

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