Moukhtarian Talar R, Mintah Ruth S, Moran Paul, Asherson Philip
1King's College London, MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, London, SE5 8AF UK.
2Centre for Academic Mental Health, Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 2BN UK.
Borderline Personal Disord Emot Dysregul. 2018 May 20;5:9. doi: 10.1186/s40479-018-0086-8. eCollection 2018.
There is ongoing debate on the overlap between Attention-Deficit/Hyperactivity Disorder (ADHD) and Borderline Personality Disorder (BPD), particularly regarding emotion dysregulation (ED). In this paper, we present a narrative review of the available evidence on the association of these two disorders from several standpoints. First, we discuss the unique and shared diagnostic criteria for ADHD and BPD, focusing particularly on ED. We consider the methodology of ecological momentary assessment and discuss why this approach could be an alternative and more accurate way to qualitatively distinguish between ADHD and BPD. We summarise key findings on the genetic and environmental risk factors for ADHD and BPD and the extent to which there are shared or unique aetiological and neurobiological risk factors. Finally, we discuss the clinical relevance of considering both disorders in the assessment of patients presenting with trait-like behavioural syndromes, distinguishing the two conditions and implications for treatment.
关于注意力缺陷多动障碍（ADHD）与边缘型人格障碍（BPD）之间的重叠，尤其是在情绪调节障碍（ED）方面，目前仍存在争议。在本文中，我们从多个角度对这两种障碍关联的现有证据进行了叙述性综述。首先，我们讨论了ADHD和BPD独特的和共有的诊断标准，特别关注情绪调节障碍。我们考虑了生态瞬时评估的方法，并讨论了为什么这种方法可能是定性区分ADHD和BPD的一种替代且更准确的方式。我们总结了ADHD和BPD的遗传和环境风险因素的关键发现，以及共有或独特的病因和神经生物学风险因素的程度。最后，我们讨论了在评估表现出特质样行为综合征的患者时考虑这两种障碍的临床相关性，区分这两种情况以及对治疗的影响。
