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Borderline personality disorder and attention deficit/hyperactivity disorder in adolescence: overlap and differences in a clinical setting

Akca, Omer Faruk; Wall, Kiana; Sharp, Carla


DataCite XML

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  <identifier identifierType="URL">https://aperta.ulakbim.gov.tr/record/6507</identifier>
  <creators>
    <creator>
      <creatorName>Akca, Omer Faruk</creatorName>
      <givenName>Omer Faruk</givenName>
      <familyName>Akca</familyName>
      <affiliation>Necmettin Erbakan Univ, Meram Sch Med, Dept Child &amp; Adolescent Psychiat, TR-42080 Konya, Turkey</affiliation>
    </creator>
    <creator>
      <creatorName>Wall, Kiana</creatorName>
      <givenName>Kiana</givenName>
      <familyName>Wall</familyName>
      <affiliation>Univ Houston, Dept Psychol, Houston, TX USA</affiliation>
    </creator>
    <creator>
      <creatorName>Sharp, Carla</creatorName>
      <givenName>Carla</givenName>
      <familyName>Sharp</familyName>
      <affiliation>Univ Houston, Dept Psychol, Houston, TX USA</affiliation>
    </creator>
  </creators>
  <titles>
    <title>Borderline Personality Disorder And Attention Deficit/Hyperactivity Disorder In Adolescence: Overlap And Differences In A Clinical Setting</title>
  </titles>
  <publisher>Aperta</publisher>
  <publicationYear>2020</publicationYear>
  <dates>
    <date dateType="Issued">2020-01-01</date>
  </dates>
  <resourceType resourceTypeGeneral="Text">Journal article</resourceType>
  <alternateIdentifiers>
    <alternateIdentifier alternateIdentifierType="url">https://aperta.ulakbim.gov.tr/record/6507</alternateIdentifier>
  </alternateIdentifiers>
  <relatedIdentifiers>
    <relatedIdentifier relatedIdentifierType="DOI" relationType="IsIdenticalTo">10.1186/s40479-020-00122-w</relatedIdentifier>
  </relatedIdentifiers>
  <rightsList>
    <rights rightsURI="http://www.opendefinition.org/licenses/cc-by">Creative Commons Attribution</rights>
    <rights rightsURI="info:eu-repo/semantics/openAccess">Open Access</rights>
  </rightsList>
  <descriptions>
    <description descriptionType="Abstract">Background With increased consensus regarding the validity and reliability of diagnosing Borderline Personality Disorder (BPD) in adolescents, clinicians express concern over the distinction between BPD and Attention-Deficit/Hyperactivity Disorder (ADHD), and its co-morbidity in clinical settings. The goal of this study was to evaluate differences between BPD, ADHD and BPD + ADHD in terms of co-morbid psychiatric disorders and a range of self-reported behavioral problems in adolescents. Methods Our sample consisted of N = 550 inpatient adolescents with behavioral and emotional disorders that have not responded to prior intervention. We took a person-centered approach (for increase clinical relevance) and compared adolescents with ADHD, BPD and ADHD+BPD in terms of co-occurring psychiatric disorders and behavioral problems. We performed a regression analysis to test whether BPD symptoms make an incremental contribution to the prediction of psychiatric symptoms over ADHD symptoms. Results The severity of almost all co-occurring disorders, aggression, self-harm, suicidal thoughts, and substance use, were higher in the ADHD+BPD group. Borderline symptoms made an incremental contribution to the prediction of psychiatric symptoms beyond the contribution of ADHD. Conclusion Severity and co-morbidity may be helpful factors in distinguishing between ADHD and BPD in clinical practice and the co-morbidity of these two disorders may indicate a worse clinical outcome.</description>
  </descriptions>
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