Amherst College, MA, USA.
J Atten Disord. 2022 Nov;26(13):1711-1724. doi: 10.1177/10870547221098174. Epub 2022 May 10.
ADHD and borderline personality (BP) disorder are highly comorbid and characterized by emotion dysregulation and peer problems. However, limited research has examined social and emotional predictors of BP features in samples that include youth with ADHD.
Using a sample of 124 youth with and without ADHD (52% female), ADHD symptoms, peer problems, and emotion dysregulation were assessed in childhood (8-13 years) and in adolescence, along with BP features (13-18 years).
In addition to the significant effect of ADHD symptoms, teacher-rated child peer victimization and adolescent-reported peer victimization, poorer close friendships, and emotion dysregulation domains significantly predicted adolescent BP features. Greater parent-rated child and adolescent emotion dysregulation domains also significantly predicted adolescent BP features, with ADHD symptoms no longer significant.
Even for youth with ADHD, peer and emotional vulnerabilities in childhood and adolescence may serve as important markers of risk for adolescent BP features.
注意缺陷多动障碍（ADHD）和边缘型人格障碍（BP）高度共病，其特征为情绪失调和同伴问题。然而，在包括 ADHD 青少年在内的样本中，针对 BP 特征的社会和情感预测因素的研究有限。
使用 124 名患有和不患有 ADHD 的青少年样本（52%为女性），在儿童期（8-13 岁）和青春期评估 ADHD 症状、同伴问题和情绪失调，以及 BP 特征（13-18 岁）。
除了 ADHD 症状的显著影响外，教师评定的儿童同伴受欺负和青少年报告的同伴受欺负、较差的亲密友谊以及情绪失调领域也显著预测了青少年 BP 特征。父母评定的儿童和青少年情绪失调领域也显著预测了青少年 BP 特征，而 ADHD 症状不再显著。
即使对于患有 ADHD 的青少年来说，儿童期和青春期的同伴和情感脆弱性也可能是青少年 BP 特征的重要风险标志物。
