Impulsivity in patients with borderline personality disorder: a comprehensive profile compared with healthy people and patients with ADHD
| Autor: | Pavla Linhartová, Jan Širůček, Richard Barteček, Barbora Kóša, Pavlína Hlavatá, Adéla Látalová, Martin Bareš, Barbora Jeřábková, Pavel Theiner, Anastasia Ejova, Tomáš Kašpárek |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 050103 clinical psychology Adolescent Decision Making Impulsivity behavioral disciplines and activities 03 medical and health sciences Executive Function Young Adult 0302 clinical medicine Cognition Borderline Personality Disorder mental disorders medicine Memory span Sensation seeking Humans 0501 psychology and cognitive sciences Borderline personality disorder Applied Psychology Czech Republic Working memory business.industry 05 social sciences medicine.disease Executive functions Iowa gambling task Comorbidity 030227 psychiatry Psychiatry and Mental health Memory Short-Term Attention Deficit Disorder with Hyperactivity Case-Control Studies Impulsive Behavior Female Self Report medicine.symptom business Clinical psychology |
| Zdroj: | Psychological medicine. 50(11) |
| ISSN: | 1469-8978 0033-2917 |
| Popis: | BackgroundImpulsivity is a core symptom of borderline personality disorder (BPD). Impulsivity is a heterogeneous concept, and a comprehensive evaluation of impulsivity dimensions is lacking in the literature. Moreover, it is unclear whether BPD patients manifest impaired cognitive functioning that might be associated with impulsivity in another patient group, such as ADHD, a frequent comorbidity of BPD.MethodsWe tested 39 patients with BPD without major psychiatric comorbidities and ADHD, 25 patients with ADHD, and 55 healthy controls (HC) using a test battery consisting of a self-report measure of impulsivity (UPPS-P questionnaire), behavioral measures of impulsivity – impulsive action (Go/NoGo task, stop signal task) and impulsive choice (delay discounting task, Iowa gambling task), and standardized measures of attention (d2 test), working memory (digit span), and executive functioning (Tower of London).ResultsPatients with BPD and ADHD, as compared with HC, manifested increased self-reported impulsivity except sensation seeking and increased impulsive choice; patients with ADHD but not BPD showed increased impulsive action and deficits in cognitive functioning. Negative urgency was increased in BPD as compared to both HC and ADHD groups and correlated with BPD severity.ConclusionsPatients with BPD without ADHD comorbidity had increased self-reported impulsivity and impulsive choice, but intact impulsive action and cognitive functioning. Controlling for ADHD comorbidity in BPD samples is necessary. Negative urgency is the most diagnostically specific impulsivity dimension in BPD. |
| Databáze: | OpenAIRE |
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