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Attention-deficit hyperactivity disorder as a potentially aggravating factor in borderline personality disorder
Open accessAbstract
Background: Clinical experience suggests that people with borderline personality disorder often meet criteria for attention-deficit hyperactivity disorder (ADHD). However, empirical data are sparse. Aims: To establish the prevalence of childhood and adult ADHD in a group of women with borderline personality disorder and to investigate the psychopathology and childhood experiences of those with and without ADHD. Method: We assessed women seeking treatment for borderline personality disorder (n=118) for childhood and adult ADHD, co-occurring Axis I and Axis II disorders, severity of borderline symptomatology and traumatic childhood experiences. Results: Childhood (41.5%) and adult (16.1%) ADHD prevalence was high. Childhood ADHD was associated with emotional abuse in childhood and greater severity of adult borderline symptoms. Adult ADHD was associated with greater risk for co-occurring Axis I and II disorders. Conclusions: Adults with severe borderline personality disorder frequently show a history of childhood ADHD symptomatology. Persisting ADHD correlates with frequency of co-occurring Axis I and II disorders. Severity of borderline symptomatology in adulthood is associated with emotional abuse in childhood. Further studies are needed to differentiate any potential causal relationship between ADHD and borderline personality disorder.
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“The comorbidity between ADHD and the different emotional instability disorders is remarkably large.”
From Top-Down Dysregulation—From ADHD to Emotional Instability (2016) · cites this paper as Philipsen et al., 2008
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“For example, 42% comorbidity between ADHD and BPD was reported in adolescence and 16% in adulthood in a BPD sample (Philipsen et al., 2008)”
From Top-Down Dysregulation—From ADHD to Emotional Instability (2016) · cites this paper as Philipsen et al., 2008
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“Although all these disorders have a high rate of comorbidity with ADHD and with ADHD symptoms, they are unquestionably different from classical DSM-5 ADHD.”
From Top-Down Dysregulation—From ADHD to Emotional Instability (2016) · cites this paper as Philipsen et al., 2008
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“For example, 42% comorbidity between ADHD and BPD was reported in adolescence and 16% in adulthood in a BPD sample (Philipsen et al., 2008) while the prevalence of BPD in a cohort of 81 patients with ADHD was 37% (Anckarsater et al., 2006).”
Background
Metadata
- Authors
- Philipsen, A., Limberger, M. F., Lieb, K., Feige, B., Kleindienst, N., Ebner-Priemer, U., Barth, J., Schmahl, C., & Bohus, M.
- Affiliations
- University of Freiburg (DE)
- Central Institute of Mental Health (DE)
- Corresponding author
- Bohus, Martin
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2008-02
- Volume
- 192
- Issue
- 2
- Pages
- 118-123
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2154147886
- Cited by
- 220
- References
- 39
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 6 · 2023: 12 · 2022: 3 · 2021: 8 · 2020: 10 · 2019: 8 · 2018: 16 · 2017: 18 · 2016: 16 · 2015: 20 · 2014: 20 · 2013: 12 · 2012: 10
- FWCI
- 16.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- attention deficit hyperactivity disorder, borderline personality disorder, ADHD prevalence, childhood emotional abuse, childhood trauma, comorbidities, women
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Borderline Personality Disorder, Female, Humans, Middle Aged, Psychopathology, Severity of Illness Index, Prevalence
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