{"title":"Increasing Prevalence of Attention-Deficit/Hyperactivity Disorder in Patients With Borderline Personality Disorder.","authors":"Kelly V Huynh, Isabel V Glass, Mary C Zanarini","doi":"10.1521/pedi.2024.38.5.493","DOIUrl":null,"url":null,"abstract":"<p><p>While research has shown that the prevalence of ADHD in the general population has increased over time, there have been no studies focused on ADHD prevalence in patients with borderline personality disorder (BPD). This study compares two cohorts of adults with rigorously diagnosed BPD recruited nearly three decades apart (1992 vs. 2020). Participants from the 1992 McLean Study of Adult Development (MSAD) (<i>N</i> = 290) and the 2020 Flourishing study (<i>N</i> = 147) were assessed for ADHD using <i>DSM-III-R</i> and <i>DSM-5</i> criteria respectively. Compared to MSAD subjects, the prevalence of ADHD among Flourishing subjects was significantly higher overall, and in female (but not male) subjects. This increased prevalence, which is likely due to the broadening of the <i>DSM</i> criteria over time, highlights what many observers believe to be a problematic expansion of the diagnostic criteria for ADHD that may have decoupled this criteria set from capturing a neurodevelopmental disorder that typically begins in childhood.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 5","pages":"493-502"},"PeriodicalIF":2.1000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Personality Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1521/pedi.2024.38.5.493","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
While research has shown that the prevalence of ADHD in the general population has increased over time, there have been no studies focused on ADHD prevalence in patients with borderline personality disorder (BPD). This study compares two cohorts of adults with rigorously diagnosed BPD recruited nearly three decades apart (1992 vs. 2020). Participants from the 1992 McLean Study of Adult Development (MSAD) (N = 290) and the 2020 Flourishing study (N = 147) were assessed for ADHD using DSM-III-R and DSM-5 criteria respectively. Compared to MSAD subjects, the prevalence of ADHD among Flourishing subjects was significantly higher overall, and in female (but not male) subjects. This increased prevalence, which is likely due to the broadening of the DSM criteria over time, highlights what many observers believe to be a problematic expansion of the diagnostic criteria for ADHD that may have decoupled this criteria set from capturing a neurodevelopmental disorder that typically begins in childhood.
期刊介绍:
The Journal of Personality Disorders has long been the only forum devoted exclusively to the diagnosis and treatment of clinically significant personality disorders. The journal fosters dialogue among researchers and practitioners working from a variety of orientations and approaches. Its international impact is well established, with subscribers in over 30 countries. This multidisciplinary journal regularly features: - Research on normal and pathological personality and development - New methodologies for assessing personality - Etiologies and clinical classifications for personality disorders - Epidemiological studies and outcomes research on diagnostic criteria - Treatment techniques and innovations