History of childhood attention deficit/hyperactivity disorder symptoms and borderline personality disorder: A controlled study

History of childhood attention deficit/hyperactivity disorder symptoms and borderline personality disorder: A controlled study
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DOI:
10.1053/comp.2002.34634
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发表时间:
2002-09-01
影响因子:
7.3
通讯作者:
Maffei, C
Maffei, C
中科院分区:
医学2区
文献类型:
--
作者:
Fossati, A;Novella, L;Maffei, C

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为评价儿童期注意缺陷多动障碍(ADHD)症状史与成人期边缘型人格障碍(BPD)诊断之间的关系,对42名连续入院的BPD患者、94名连续入院的B群人格障碍(PD)诊断(BPD除外)的对照者、38名连续入院的对照者具有任何簇A或簇C PD诊断但没有簇B PD诊断,69名连续入院的对照者没有PD诊断。第四个对照组由201名非临床志愿者组成。根据Dunn-Bonferroni对比,与所有对照组相比,BPD受试者显示出显著更高的平均WURS总评分(最小t = 7.93,最大t = 11.63,所有P <0.001)。即使控制了潜在的混杂因素,如反社会人格障碍(ASPD)诊断,性别,住院状态和轴I诊断,这些对比仍然显着。这项研究的结果似乎支持儿童ADHD症状史和成人BPD诊断之间存在关联的假设。版权所有2002,爱思唯尔科学(美国)。All rights reserved.
To evaluate the association between history of childhood attention deficit/hyperactivy disorder (ADHD) symptoms and the diagnosis of borderline personality disorder (BPD) in adulthood, the Wender Utah Rating Scale (WURS) was administered to 42 consecutively admitted BPD subjects, 94 consecutively admitted controls with any cluster B personality disorder (PD) diagnosis other than BPD, 38 consecutively admitted controls with any cluster A or cluster C PD diagnosis but no cluster B PD diagnosis, and 69 consecutively admitted controls with no PD diagnosis. A fourth control group was composed by 201 nonclinical volunteers. According to Dunn-Bonferroni contrasts, BPD subjects showed a significantly higher mean WURS total score compared to all control groups (minimum t = 7.93, maximim t = 11.63, all Ps < .001). These contrasts remained significant even controlling for potential confounders such as antisocial personality disorder (ASPD) diagnosis, gender, inpatient status, and axis I diagnoses. The results of this study seem to support the hypothesis of an association between history of childhood ADHD symptoms and adult BPD diagnosis. Copyright 2002, Elsevier Science (USA). All rights reserved.