Psychiatry Department, Hospital Universitari Vall d’Hebron, Passeig Vall d’Hebron 119–129, Barcelona, Spain.
J Pers Disord. 2010 Dec;24(6):812-22. doi: 10.1521/pedi.2010.24.6.812.
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.
为了研究伴注意缺陷多动障碍（ADHD）共病的边缘型人格障碍（BPD）样本的冲动特征，我们使用 CAADID 和 WURS 对符合 BPD 标准的成年患者进行 ADHD 评估。在 BPD 样本中发现了很高的 ADHD 发生率，69 名（38.1%）BPD 患者被诊断为伴发成人 ADHD。BPD-ADHD 组有更高的一般物质使用障碍（59.4%比 38.4%）、反社会人格障碍（7.2%比 0.9%）和强迫型人格障碍（21.7%比 6.3%）发生率。无伴发成人 ADHD 的 BPD 组表现出更高的心境障碍（62.5%比 37.7%）、惊恐障碍（54.5%比 23.1%）和苯二氮䓬类药物滥用（18.8%比 5.8%）发生率。仅在无 ADHD 的 BPD 患者中发现了伴发回避型人格障碍。BPD 患者可以分为两个明确的亚组，与成人 ADHD 共病有关。BPD-ADHD 患者表现出更同质和冲动的特征，而无 ADHD 共病的 BPD 患者则有更多的焦虑和抑郁障碍。
