Screening for attention-deficit/hyperactivity disorder in borderline personality disorder

Weibel, Sébastien; Nicastro, Rosetta; Prada, Paco; Cole, Pierre; Rüfenacht, Eva; Pham, Eléonore; Dayer, Alexandre; Perroud, Nader

doi:10.1016/j.jad.2017.09.027

Cited by 28 publications

(16 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the contrary, the rate of false positives was lower with a threshold of 4 (7.9-30.0%). This result is in line with other studies reporting a reduced sensitivity for screening tools when comorbid disorders are present (Kok et al, 2015;Luderer et al, 2019;Weibel et al, 2018) or the need of higher thresholds for screening tools used in population having comorbid disorders (Delgadillo et al, 2011).…”

Section: Main Findingssupporting

confidence: 92%

Screening for alcohol use disorder among individuals with comorbid psychiatric disorders: Diagnostic accuracy in a sample of young Swiss men

Baggio

Baudat

Daeppen

et al. 2020

Addictive Behaviors

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Main Findingssupporting

confidence: 92%

Screening for alcohol use disorder among individuals with comorbid psychiatric disorders: Diagnostic accuracy in a sample of young Swiss men

Baggio

Baudat

Daeppen

et al. 2020

Addictive Behaviors

Self Cite

View full text Add to dashboard Cite

show abstract

“…Because of this, it is crucial that clinicians systematically inquire about the potential comorbidity. However, despite the importance of screening for ADHD in the context of BPD (and vice-versa), screening tools lack the ability to discriminate ADHD in BPD patients31 and to our knowledge, the psychometric properties of BPD screening measures in adult ADHD have yet to be investigated. Therefore, clinicians should not rely on screening measures alone to make a diagnosis; instead, clinicians working in each field (BPD and ADHD) should be knowledgeable of the other field in order to effectively detect comorbid cases in clinical practice, based on the careful intake of the patient’s psychiatric and developmental history.…”

Section: Discussionmentioning

confidence: 99%

“…These results led the authors to conclude that their self-report scale was valid, as it assessed symptoms specifically found in ADHD. In two more recent studies however, Edebol et al37 and Weibel et al31 assessed the psychometric properties of the World Health Organization Adult ADHD Self-Report Scale v1.1 (ASRS-v1.1) and found that it lacked clinical specificity in adult ADHD (i.e., its ability to discriminate BPD alone from BPD+ADHD), a finding that was likely due to shared symptoms of emotion dysregulation and impulsivity 31. In addition, inattention may also be experienced in BPD, albeit in a special form as part of dissociative states, hence diminishing its power to discriminate the two disorders at least through self-report scales32…”

Section: Psychopathological Neuropsychological and Brain Mechanismsmentioning

confidence: 95%

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

Weiner¹,

Perroud²,

Weibel³

2019

NDT

Self Cite

View full text Add to dashboard Cite

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.

show abstract

“…In the current study, we used the 25 items of the WURS, which were found to best differentiate ADHD patients from healthy controls (Ward et al, 1993). This version of the WURS is commonly used in research (e.g., Barbaresi, Weaver, Voigt, Killian, & Katusic, 2018; Weibel et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

Detection of Feigned ADHD Using the MOXO-d-CPT

et al. 2019

View full text Add to dashboard Cite

Objective: The objective of this study was to assess the MOXO-d-CPT utility in detecting feigned ADHD and establish cutoffs with adequate specificity and sensitivity. Method: The study had two phases. First, using a prospective design, healthy adults who simulated ADHD were compared with healthy controls and ADHD patients who performed the tasks to the best of their ability ( n = 47 per group). Participants performed the MOXO-d-CPT and an established performance validity test (PVT). Second, the MOXO-d-CPT classification accuracy, employed in Phase 1, was retrospectively compared with archival data of 47 ADHD patients and age-matched healthy controls. Results: Simulators performed significantly worse on all MOXO-d-CPT indices than healthy controls and ADHD patients. Three MOXO-d-CPT indices (attention, hyperactivity, impulsivity) and a scale combining these indices showed adequate discriminative capacity. Conclusion: The MOXO-d-CPT showed promise for the detection of feigned ADHD and, pending replication, can be employed for this aim in clinical practice and ADHD research.

show abstract

Screening for attention-deficit/hyperactivity disorder in borderline personality disorder

Abstract: We found a high prevalence of ADHD using structured interviews. The ASRS-v1.1 was not a sensitive screener for identifying possible ADHD cases in a BPD population, with a high number of false positives. When combined with the WURS-25, it offered improved screening.

Cited by 28 publications

References 56 publications

Screening for alcohol use disorder among individuals with comorbid psychiatric disorders: Diagnostic accuracy in a sample of young Swiss men

Screening for alcohol use disorder among individuals with comorbid psychiatric disorders: Diagnostic accuracy in a sample of young Swiss men

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

Detection of Feigned ADHD Using the MOXO-d-CPT

Contact Info

Product

Resources

About