Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey.
Department of Psychology, University of Houston, Houston, TX, USA.
Nord J Psychiatry. 2021 Oct;75(7):479-486. doi: 10.1080/08039488.2021.1887349. Epub 2021 Feb 26.
Attention deficit/hyperactivity disorder (ADHD) and borderline personality disorder (BPD) have several similarities and it is difficult to distinguish these disorders in adolescents. We aimed to identify the unique correlates of mentalization abilities that may distinguish these two disorders, and to investigate the mentalization abilities of adolescents with ADHD, BPD and ADHD + BPD in an inpatient sample to determine the effect of co-morbidity on mentalization abilities.
We have explored the relationship between Child Eye Test (CET) scores, Movie for the Assessment of Social Cognition (MASC) subscales, and ADHD and BPD symptoms in adolescent inpatients. In addition, we compared ADHD, BPD and ADHD + BPD groups in terms of their mentalization abilities.
Correct MASC scores were negatively associated with both ADHD and BPD symptoms in girls, and negatively associated with ADHD symptoms in boys. In addition, hypermentalization scores were associated with BPD symptoms in girls, and hypomentalization and no mentalization scores were associated with ADHD symptoms in girls. CET scores were negatively associated with ADHD symptoms in girls, but no relations with BPD were found. Group comparisons revealed no significant difference among groups.
We included only inpatient sample without considering their medication condition, we did not compare the mentalization scores of the patient groups with healthy controls and we used self-report measures for several assessments.
Mentalization patterns in ADHD and BPD are distinct. ADHD may be related to hypomentalization, instead, BPD may be related to hypermentalization.
注意缺陷多动障碍（ADHD）和边缘型人格障碍（BPD）有许多相似之处，在青少年中很难区分这两种疾病。我们旨在确定可能区分这两种疾病的精神化能力的独特相关性，并在住院样本中研究 ADHD、BPD 和 ADHD+BPD 青少年的精神化能力，以确定共病对精神化能力的影响。
我们探索了儿童眼测试（CET）分数、电影社会认知评估（MASC）子量表与青少年住院患者 ADHD 和 BPD 症状之间的关系。此外，我们比较了 ADHD、BPD 和 ADHD+BPD 组在精神化能力方面的差异。
正确的 MASC 分数与女孩的 ADHD 和 BPD 症状呈负相关，与男孩的 ADHD 症状呈负相关。此外，高精神化分数与女孩的 BPD 症状相关，低精神化和无精神化分数与女孩的 ADHD 症状相关。CET 分数与女孩的 ADHD 症状呈负相关，但与 BPD 无关。组间比较显示，各组之间无显著差异。
我们只纳入了住院样本，没有考虑他们的用药情况，我们没有将患者组的精神化评分与健康对照组进行比较，并且我们使用了几种评估的自我报告措施。
ADHD 和 BPD 的精神化模式不同。ADHD 可能与低精神化有关，而 BPD 可能与高精神化有关。
