Physical exercise in attention deficit hyperactivity disorder – evidence and implications for the treatment of borderline personality disorder

Mehren, Aylin; Reichert, Markus; Coghill, David; Müller, Helge; Braun, Niclas; Philipsen, Alexandra

doi:10.1186/s40479-019-0115-2

Cited by 51 publications

(34 citation statements)

References 146 publications

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“…Children with behavioural disorders may be more attracted to physical activity, or their parents encourage physical activity as a means to dealing with behavioural issues. Indeed, physical activity has been identified as an effective means to manage ADHD symptoms and behavioural disorders [44,45]. So in this context, the findings are not completely unexpected.…”

Section: Discussionmentioning

confidence: 92%

24-Hour Movement Behaviors and Internalizing and Externalizing Behaviors Among Youth

Sampasa‐Kanyinga

Colman

Goldfield

et al. 2021

Journal of Adolescent Health

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The Canadian 24-Hour Movement Guidelines for Children and Youth (≥60 minutes of moderate-to-vigorous physical activity per day, ≤2 hours of recreational screen time per day, and 9-11 hours of sleep per night for 5-13 years old) are associated with better physical health, but less is known about how these behaviours are related to mental health. This study examined the association of meeting these guideline recommendations with internalizing and externalizing behaviours among children. Methods: A large and broadly representative cross-sectional sample of 9-to 11-year-old U.S. children (N = 11,875) from the Adolescent Brain and Cognitive Development (ABCD) study was analyzed. Internalizing and externalizing behaviours were measured using the Child Behaviour Check List (CBCL). Associations were examined using negative binomial regression adjusted for several confounders. Results: Compared to meeting none of the recommendations, meeting recommendations for screen time and sleep but not physical activity was associated with a lower prevalence ratio of total, internalizing, and externalizing behaviours. Meeting two or all three recommendations was more strongly associated with these outcomes than meeting one recommendation or none. The prevalence ratio (PR) of the group meeting all three recommendations was 0.77 (95% CI: 0.68-−0.86) for total problem scores, 0.78 (95% CI: 0.68−0.89) for internalizing problem scores, and 0.79 (95% CI: 0.68-0.91) for externalizing problem scores. Conclusions: Meeting the 24-hour movement guidelines was associated with a lower risk of internalizing and externalizing behaviours in children. These associations were mainly explained by meeting the screen time and sleep duration recommendations.

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Section: Discussionmentioning

confidence: 92%

24-Hour Movement Behaviors and Internalizing and Externalizing Behaviors Among Youth

Sampasa‐Kanyinga

Colman

Goldfield

et al. 2021

Journal of Adolescent Health

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“…The BSL-23 covers DSM Section II BPD diagnostic criteria (e.g., affective instability, suicidality, transient psychotic symptoms) in addition to other affective experiences typical of borderline pathology (e.g., shame, self-criticism, mistrustfulness, and helplessness). The severity grades proposed by Kleindienst et al [ 28 ] received robust empirical support from established assessments for psychopathology across three samples. Items are scored on a five-point Likert scale.…”

Section: Methodsmentioning

confidence: 98%

“…Patients were first asked to complete a computerized self-report battery of questionnaires, and then took part in a clinical interview led by a clinical psychologist, who produced a detailed evaluation report. In line with the objectives of the present study, a total of 211 patients 1 (133 women, M age = 33.66, SD = 10.97) were selected based on the presence of at least moderate borderline pathology according to cutoffs recently proposed by Kleindienst et al [ 28 ] for the short version of the Borderline Symptom List ( [ 29 ]; see below). According to these proposed grades of borderline symptom severity, 26.5% had a moderate level of pathology (score 0.7–1.7; n = 56), 40.8% had a high level (1.7–2.7; n = 86), 25.1% had a very high level (2.7–3.5; n = 53), and 6.6% had an extremely high level (3.5–4; n = 14).…”

Section: Methodsmentioning

confidence: 99%

Latent profiles of patients with borderline pathology based on the alternative DSM-5 model for personality disorders

Gamache

Savard

Leclerc

et al. 2021

bord personal disord emot dysregul

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Background There have been multiple attempts to try to parse out heterogeneity within borderline pathology by identifying patient subtypes; thus far, these works have yielded few consistent results. Recent developments in the operationalization of borderline pathology may provide new opportunities to identify clinically and conceptually meaningful subgroups of patients. The Alternative DSM-5 Model for Personality Disorders (AMPD) offers a categorical-dimensional operationalization of Borderline personality disorder (BPD) that has yet to be tested for identification of patient subgroups. The purpose of the present study is to test whether the combination of the Criterion A elements (pertaining to level of severity) and the seven pathological facets from Criterion B that define BPD in the AMPD can yield meaningful patient profiles. Methods A total of 211 outpatients from a specialized PD treatment program (133 women, Mage = 33.66, SD = 10.97) were selected based on the presence of at least moderate borderline pathology according to cutoffs recently proposed for the Borderline Symptom List-23. Valid Criterion A (Self and Interpersonal Functioning Scale) and B (Personality Inventory for DSM-5 Faceted Brief Form) self-reports were administered to measure elements and facets that define BPD in the AMPD model; these variables were used as indicators in a latent profile analysis (LPA). Results The optimal solution generated by LPA yielded four distinct profiles: (a) Borderline traits; (b) Moderate pathology with Impulsivity; (c) Moderate pathology with Identity problems and Depressivity; and (d) Severe pathology. Clinically meaningful distinctions emerged among profiles on AMPD indicators and external variables relevant to PD, especially aggression and impulsivity. Conclusions Profiles reflected both the “severity” and “style” components imbedded within Criterion A and B of the AMPD, as they were mainly distinguished by a continuum of severity but also by some meaningful qualitative differences that may have important clinical implications for treatment planning and contracting. Results also suggest that the four Criterion A elements have independent value to identify important differences in patients with borderline pathology. They also highlight that some Criterion B facets that define BPD in the AMPD may be especially important to identify subgroups of patients, mainly Impulsivity and Depressivity.

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“…Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children or early adolescents [ 1 ] with an estimated worldwide prevalence of 7.2% [ 2 ]. In 60% of affected individuals, ADHD symptoms persist until adulthood [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Predicting the number of article citations in the field of attention-deficit/hyperactivity disorder (ADHD) with the 100 top-cited articles since 2014: a bibliometric analysis

2021

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Background Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children or early adolescents with an estimated worldwide prevalence of 7.2%. Numerous articles related to ADHD have been published in the literature. However, which articles had ultimate influence is still unknown, and what factors affect the number of article citations remains unclear as well. This bibliometric analysis (1) visualizes the prominent entities with 1 picture using the top 100 most-cited articles, and (2) investigates whether medical subject headings (i.e., MeSH terms) can be used in predicting article citations. Methods By searching the PubMed Central® (PMC) database, the top 100 most-cited abstracts relevant to ADHD since 2014 were downloaded. Citation rank analysis was performed to compare the dominant roles of article types and topic categories using the pyramid plot. Social network analysis (SNA) was performed to highlight prominent entities for providing a quick look at the study result. The authors examined the MeSH prediction effect on article citations using its correlation coefficients (CC). Results The most frequent article types and topic categories were research support by institutes (56%) and epidemiology (28%). The most productive countries were the United States (42%), followed by the United Kingdom (13%), Germany (9%), and the Netherlands (9%). Most articles were published in the Journal of the American Academy of Child and Adolescent Psychiatry (15%) and JAMA Psychiatry (9%). MeSH terms were evident in prediction power on the number of article citations (correlation coefficient = 0.39; t = 4.1; n = 94; 6 articles were excluded because they do not have MeSH terms). Conclusions The breakthrough was made by developing 1 dashboard to display 100 top-cited articles on ADHD. MeSH terms can be used in predicting article citations on ADHD. These visualizations of the top 100 most-cited articles could be applied to future academic pursuits and other academic disciplines.

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Physical exercise in attention deficit hyperactivity disorder – evidence and implications for the treatment of borderline personality disorder

Cited by 51 publications

References 146 publications

24-Hour Movement Behaviors and Internalizing and Externalizing Behaviors Among Youth

24-Hour Movement Behaviors and Internalizing and Externalizing Behaviors Among Youth

Latent profiles of patients with borderline pathology based on the alternative DSM-5 model for personality disorders

Predicting the number of article citations in the field of attention-deficit/hyperactivity disorder (ADHD) with the 100 top-cited articles since 2014: a bibliometric analysis

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