Personality Disorder in Adult Attention-Deficit/Hyperactivity Disorder: Attrition and Change During Long-term Treatment
| Autor: | Thomas E. Gift, Tammy A. Steans, Paul H. Wender, Frederick W. Reimherr, Barrie K. Marchant |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty media_common.quotation_subject Sadistic personality disorder Poison control Personality Disorders 03 medical and health sciences Young Adult 0302 clinical medicine Double-Blind Method medicine Personality Attention deficit hyperactivity disorder Humans 0501 psychology and cognitive sciences Big Five personality traits Psychiatry media_common Cross-Over Studies Methylphenidate 05 social sciences Middle Aged medicine.disease Emotional dysregulation Personality disorders Long-Term Care 030227 psychiatry Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Patient Compliance Female Psychology medicine.drug Clinical psychology |
| Zdroj: | The Journal of nervous and mental disease. 204(5) |
| ISSN: | 1539-736X |
| Popis: | Personality disorders (PDs) are commonly found in adults with attention-deficit/hyperactivity disorder (ADHD) and are associated with increased ADHD symptoms and psychosocial impairment. To assess the impact of PDs or personality traits on retention rates in ADHD trials and whether treating ADHD affects the expression of PD, data were analyzed from 2 methylphenidate trials. Assessment of PDs and personality traits included using the Wisconsin Personality Disorders Inventory IV and the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Personality Disorders. Attention-deficit/hyperactivity disorder symptoms were evaluated using the Wender-Reimherr Adult Attention Deficit Disorder Scale. Major findings were that subjects with cluster A, cluster B, passive-aggressive, or more than 1 PD showed more attrition. Subjects dropping out also had more schizoid and narcissistic traits. Attention-deficit/hyperactivity disorder symptoms (p < 0.001) and all personality traits (range, p = 0.03 to p = 0.001) improved, but there was almost no correlation between changes on these 2 measures. Conversely, of 11 Wisconsin Personality Disorders Inventory IV items that improved most, 8 resembled ADHD or oppositional defiant disorder symptoms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|