Physical exercise in attention deficit hyperactivity disorder – evidence and implications for the treatment of borderline personality disorder
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A growing body of literature indicates a potential role for physical exercise in the treatment of attention deficit hyperactivity disorder (ADHD). Suggested effects include the reduction of ADHD core symptoms as well as improvements in executive functions. In the current review, we provide a short overview on the neurophysiological mechanisms assumed to underlie the beneficial effects of exercise. Further, we review the current evidence from experimental studies regarding both acute exercise and long-term interventions in ADHD. While the positive effects observed after acute aerobic exercise are promising, very few well-designed long-term intervention studies have been conducted yet. Moreover, although exercise effects have not yet been studied in borderline personality disorder (BPD), in the end of this paper we derive hypotheses why exercise could also be beneficial for this patient population.
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There is increasing consensus that brief or low-intensity interventions may be best suited for addressing the early stages of BPD, characterized by low to moderate risk profiles.
“This matches a clinical staging perspective, with increasing consensus that such interventions, whether brief or low-intensity, may be best suited for addressing the early stages of BPD, characterized by low to moderate risk profiles [32].”
From The (cost-)effectiveness of early intervention (MBT-early) versus standard protocolized treatment (CBT) for emerging borderline personality disorder in adolescents (the EARLY study): a study protocol for a randomized controlled trial (2024) · cites this paper as [32]
The Background (‘Implications for BPD’) cautiously proposes studying exercise as a possible adjunctive intervention for BPD, and the Conclusions say its effects in BPD have not yet been researched. Searches for clinical staging, early stages, low-to-moderate risk profiles, and brief or low-intensity interventions found no passage addressing which interventions are best suited to early-stage BPD. (LLM, conf=0.76)
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Self-citation
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Remeeus, M. G. A., Clarke, S. L., Feenstra, D. J., Van Eeren, H., Smits, M. L., Debruyne, S., Kouijzer, M. E. J., Luyten, P., Scholte, R. H. J., & Hutsebaut, J. (2024) · Trials · doi:10.1186/s13063-024-08095-9 · Cited by 3 · see citing works
- Authors
- Mehren, A., Reichert, M., Coghill, D., Müller, H. H. O., Braun, N., & Philipsen, A.
- Affiliations
- Carl von Ossietzky Universität Oldenburg (DE)
- Karlsruhe Institute of Technology (DE)
- Royal Children's Hospital (AU)
- University of Bonn (DE)
- Corresponding author
- Mehren, Aylin
- Venue
- Borderline Personality Disorder and Emotion Dysregulation
- Published
- 2020-01-06
- Volume
- 7
- Issue
- 1
- Pages
- 1-1
- ISSN
- 2051-6673 (ISSN-L)
- PMC
- PMC6945516
- OpenAlex
- W2999121762
- Cited by
- 86
- References
- 156
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 12 · 2023: 30 · 2022: 13 · 2021: 10 · 2020: 3 · 2018: 1
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Borderline Personality Disorder and Emotion Dysregulation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- Repository KITopen (Karlsruhe Institute of Technology) (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Discovery Research Portal (University of Dundee) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- KITopen (cc-by)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- physical activity, attention deficit hyperactivity disorder, borderline personality disorder, executive function, acute aerobic exercise, long-term exercise intervention, neurophysiological mechanisms, ADHD symptom reduction, exercise therapy
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