title: Comorbid attention-deficit/hyperactivity disorder in borderline patients defines an impulsive subtype of borderline personality disorder.
abstract: In order to examine the impulsive profile of a BPD sample with comorbid ADHD, adult patients who met criteria for BPD were assessed for ADHD with the CAADID and the WURS. A high rate of ADHD in the BPD sample was found, with sixty-nine (38.1%) BPD patients diagnosed as having comorbid adult ADHD. BPD-ADHD group had higher rates of general substance use disorder (59.4% vs. 38.4%), antisocial personality disorder (7.2% vs. 0.9%) and obsessive-compulsive personality disorder (21.7% vs. 6.3%). The BPD group without comorbid adult ADHD showed a higher rate of mood disorders (62.5% vs. 37.7%), panic disorders (54.5% vs. 23.1%) and benzodiazepine abuse (18.8% vs. 5.8%). Only in BPD patients without ADHD was comorbid avoidant personality disorder found. BPD patients could be distinguished in two clear subgroups related to the adult ADHD comorbidity. BPD-ADHD patients showed a more homogeneous and impulsive profile while BPD without ADHD comorbidity had more anxiety and depressive disorders.
authors.affiliation: Psychiatry Department, Hospital Universitari Vall d’Hebron, Passeig Vall d’Hebron 119–129, Barcelona, Spain. maferrer@vhebron.net
authors.forename: Marc
authors.initials: M
authors.lastname: Ferrer
authors.forename: Oscar
authors.initials: O
authors.lastname: Andión
authors.forename: Josep
authors.initials: J
authors.lastname: Matalí
authors.forename: Sergi
authors.initials: S
authors.lastname: Valero
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Navarro
authors.forename: Josep Antoni
authors.initials: JA
authors.lastname: Ramos-Quiroga
authors.forename: Rafael
authors.initials: R
authors.lastname: Torrubia
authors.forename: Miguel
authors.initials: M
authors.lastname: Casas
mesh_terms: D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D001883:Borderline Personality Disorder / Q000150:complications / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D015897:Comorbidity; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D007175:Impulsive Behavior / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology; D055815:Young Adult