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Comorbidity in borderline personality disorder and adult attention deficit hyperactivity disorder in the context of impulsivity and emotional dysregulation

Published online by Cambridge University Press:  01 September 2022

R. Tóth ,
E. Kenézlői ,
B. Bajzát ,
L. Balogh ,
S. Somogyi ,
Z. Unoka  and
J. Réthelyi
R. Tóth*
Affiliation:
Hungarian Association for Behavioural, Cognitive and Schema Therapies, Psychology, Budapest, Hungary
E. Kenézlői
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
B. Bajzát
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
L. Balogh
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
S. Somogyi
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
Z. Unoka
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
J. Réthelyi
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
*
*Corresponding author.

Abstract

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Introduction

In a significant proportion of people diagnosed with Borderline Personality Disorder (BPD) and adult Attention Deficit Hyperactivity Disorder (aADHD) comorbid mental disorders, such as mood, anxiety, personality and substance use disorders can be detected. BPD and aADHD present with a partial overlap in the clinical symptoms, including increased impulsivity levels and difficulty in emotional regulation. Higher impulsivity and emotional dysregulation (ED) can result in impaired global functioning or damaged social relationships.

Objectives

The aim of this study was to assess the comorbid psychiatric diagnoses of the two patient groups, and explore the possible role of ED and impulsivity in the background of the different comorbid disorders.

Methods

Data about BPD (N=49) and aADHD (N=60) patients were analyzed based on the M.I.N.I. Plus 5.0 and SCID-5-PD structured clinical interviews. Participants were further investigated with online questionnaires: e.g. Barratt Impulsiveness Scale (BIS-11) Difficulties in Emotion Regulation Scale (DERS). For measuring the influence of impulsivity and ED in the development of comorbid disorders binary logistic regression was used.

Results

Our results showed comorbidity rates similar to previous findings in BPD patients, but lower rates were observed in aADHD. Elevated levels of ED increases the risk of suicidal ideation, mood, anxiety and eating disorders. Based on our data increased impulsivity can reduce the chance of comorbid anxiety disorders.

Conclusions

The results provide insight into the pattern of comorbid disorders, role of ED and impulsivity in people diagnosed with aADHD and BPD in Hungary. Understanding their underlying mechanisms helps to establish an accurate diagnosis, which affects treatment effectiveness.

Disclosure

No significant relationships.

Keywords

comorbidityADULT ADHDImpulsivityBPD
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S460
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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