1 Translational Research Center, University Hopsital of Psychiatry and psychotherapy, University of Bern, Switzerland.
2 Orygen, The National Centre of Excellence in Youth Mental Health & Centre for Youth Mental Health, University of Melbourne, Australia.
J Atten Disord. 2019 Oct;23(12):1396-1406. doi: 10.1177/1087054717698814. Epub 2017 Apr 2.
Emotion dysregulation has been described as a central feature of both borderline personality disorder (BPD) and attention-deficit/hyperactivity disorder (ADHD). The current study aims to compare emotion regulation among ADHD, BPD, and healthy controls (HC). Eighty adults with ADHD, 55 with BPD, and 55 HC completed self-report assessments of ADHD and BPD symptoms, psychosocial functioning, and emotion regulation skills. Principal components analysis (PCA) was conducted on the emotion regulation items, followed by multivariate analyses of group differences in emotion regulation. PCA yielded four components: "Being Aware of Emotions," "Making Sense of Emotions," "Modifying and Accepting Emotions," and "Confronting Emotions With Self-Encouragement." The last component best distinguished the two patient groups from the HC. No differences were found between adults with ADHD and BPD. Adults with ADHD and BPD report comparable difficulties in encouraging oneself to attend inner aversive experiences, without engaging in impulsive behavior.
情绪调节障碍已被描述为边缘型人格障碍（BPD）和注意缺陷多动障碍（ADHD）的核心特征。本研究旨在比较 ADHD、BPD 和健康对照组（HC）之间的情绪调节。80 名 ADHD 成年人、55 名 BPD 成年人和 55 名 HC 完成了 ADHD 和 BPD 症状、社会心理功能和情绪调节技能的自我报告评估。对情绪调节项目进行了主成分分析（PCA），然后对情绪调节的组间差异进行了多变量分析。PCA 产生了四个成分：“意识到情绪”、“理解情绪”、“调节和接受情绪”和“用自我鼓励面对情绪”。最后一个成分最好地区分了两个患者组和 HC。ADHD 组和 BPD 组之间没有发现差异。ADHD 和 BPD 成年人报告在鼓励自己面对内在痛苦体验时存在类似的困难，而不会表现出冲动行为。
