Conceptualizing adult ADHD with the DSM alternative model of personality disorder.

Autor: Jacobsson P; Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Sektionskansliet: Blå Stråket 15, vån 3, SU/Sahlgrenska University Hospital, Gothenburg, Sweden.; Region Halland, Varberg, Sweden., Hopwood CJ; University of Zurich, Zurich, Switzerland., Krueger RF; Department of Psychology, N414 Elliott Hall, 75 East River, Parkway, University of Minnesota, Minneapolis, MN, USA., Söderpalm B; Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Sektionskansliet: Blå Stråket 15, vån 3, SU/Sahlgrenska University Hospital, Gothenburg, Sweden., Nilsson T; Centre for Ethics, Law and Mental Health (CELAM), Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.; Forensic Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden.
Jazyk: angličtina
Zdroj: Personality and mental health [Personal Ment Health] 2024 Nov; Vol. 18 (4), pp. 369-386. Date of Electronic Publication: 2024 Sep 06.
DOI: 10.1002/pmh.1632
Abstrakt: Personality traits and personality disorders are related to ADHD and indicate dysfunction in clinical populations. The goals of this study were to examine how the DSM-5 Alternative Model of Personality Disorder (AMPD) a) indicates the presence of ADHD and b) communicates information about dysfunction over and above ADHD diagnosis. A sample of 330 adult psychiatric patients with and without ADHD (60% female; mean age 33 years) were assessed for ADHD symptoms, personality impairment, maladaptive personality traits, and functional life impairment domains. The maladaptive personality domain Disinhibition and particularly the lower order facet of Distractibility distinguished between individuals with psychiatric difficulties with and without ADHD. Distractibility is strongly related to the ADHD symptom dimension Inattentiveness, and Antagonism to Hyperactivity/impulsivity. General personality impairment augmented ADHD diagnosis in predicting life impairments. The AMPD has utility in ADHD assessments for diagnosis and prognosis.
(© 2024 The Author(s). Personality and Mental Health Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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