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Comparable emotional dynamics in women with ADHD and borderline personality disorder

BACKGROUND: Emotional dysregulation (ED) is a core diagnostic symptom in borderline personality disorder (BPD) and an associated feature of attention-deficit/hyperactivity disorder (ADHD). We aimed to investigate differences in dynamical indices of ED in daily life in ADHD and BPD. METHODS: We used...

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Autores principales: Moukhtarian, Talar R., Reinhard, Iris, Moran, Paul, Ryckaert, Celine, Skirrow, Caroline, Ebner-Priemer, Ulrich, Asherson, Philip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879647/
https://www.ncbi.nlm.nih.gov/pubmed/33579385
http://dx.doi.org/10.1186/s40479-021-00144-y
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author Moukhtarian, Talar R.
Reinhard, Iris
Moran, Paul
Ryckaert, Celine
Skirrow, Caroline
Ebner-Priemer, Ulrich
Asherson, Philip
author_facet Moukhtarian, Talar R.
Reinhard, Iris
Moran, Paul
Ryckaert, Celine
Skirrow, Caroline
Ebner-Priemer, Ulrich
Asherson, Philip
author_sort Moukhtarian, Talar R.
collection PubMed
description BACKGROUND: Emotional dysregulation (ED) is a core diagnostic symptom in borderline personality disorder (BPD) and an associated feature of attention-deficit/hyperactivity disorder (ADHD). We aimed to investigate differences in dynamical indices of ED in daily life in ADHD and BPD. METHODS: We used experience sampling method (ESM) and multilevel modelling to assess momentary changes in reports of affective symptoms, and retrospective questionnaire measures of ED in a sample of 98 adult females with ADHD, BPD, comorbid ADHD+BPD and healthy controls. RESULTS: We found marked differences between the clinical groups and healthy controls. However, the ESM assessments did not show differences in the intensity of feeling angry and irritable, and the instability of feeling sad, irritable and angry, findings paralleled by data from retrospective questionnaires. The heightened intensity in negative emotions in the clinical groups compared to controls was only partially explained by bad events at the time of reporting negative emotions, suggesting both reactive and endogenous influences on ED in both ADHD and BPD. CONCLUSIONS: This study supports the view that ED is a valuable trans-diagnostic aspect of psychopathology in both ADHD and BPD, with similar levels of intensity and instability. These findings suggest that the presence or severity of ED should not be used in clinical practice to distinguish between the two disorders. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40479-021-00144-y.
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spelling pubmed-78796472021-02-17 Comparable emotional dynamics in women with ADHD and borderline personality disorder Moukhtarian, Talar R. Reinhard, Iris Moran, Paul Ryckaert, Celine Skirrow, Caroline Ebner-Priemer, Ulrich Asherson, Philip Borderline Personal Disord Emot Dysregul Research Article BACKGROUND: Emotional dysregulation (ED) is a core diagnostic symptom in borderline personality disorder (BPD) and an associated feature of attention-deficit/hyperactivity disorder (ADHD). We aimed to investigate differences in dynamical indices of ED in daily life in ADHD and BPD. METHODS: We used experience sampling method (ESM) and multilevel modelling to assess momentary changes in reports of affective symptoms, and retrospective questionnaire measures of ED in a sample of 98 adult females with ADHD, BPD, comorbid ADHD+BPD and healthy controls. RESULTS: We found marked differences between the clinical groups and healthy controls. However, the ESM assessments did not show differences in the intensity of feeling angry and irritable, and the instability of feeling sad, irritable and angry, findings paralleled by data from retrospective questionnaires. The heightened intensity in negative emotions in the clinical groups compared to controls was only partially explained by bad events at the time of reporting negative emotions, suggesting both reactive and endogenous influences on ED in both ADHD and BPD. CONCLUSIONS: This study supports the view that ED is a valuable trans-diagnostic aspect of psychopathology in both ADHD and BPD, with similar levels of intensity and instability. These findings suggest that the presence or severity of ED should not be used in clinical practice to distinguish between the two disorders. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40479-021-00144-y. BioMed Central 2021-02-12 /pmc/articles/PMC7879647/ /pubmed/33579385 http://dx.doi.org/10.1186/s40479-021-00144-y Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Moukhtarian, Talar R.
Reinhard, Iris
Moran, Paul
Ryckaert, Celine
Skirrow, Caroline
Ebner-Priemer, Ulrich
Asherson, Philip
Comparable emotional dynamics in women with ADHD and borderline personality disorder
title Comparable emotional dynamics in women with ADHD and borderline personality disorder
title_full Comparable emotional dynamics in women with ADHD and borderline personality disorder
title_fullStr Comparable emotional dynamics in women with ADHD and borderline personality disorder
title_full_unstemmed Comparable emotional dynamics in women with ADHD and borderline personality disorder
title_short Comparable emotional dynamics in women with ADHD and borderline personality disorder
title_sort comparable emotional dynamics in women with adhd and borderline personality disorder
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879647/
https://www.ncbi.nlm.nih.gov/pubmed/33579385
http://dx.doi.org/10.1186/s40479-021-00144-y
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