Peter Jacobsson, Christopher J Hopwood, Robert F Krueger, Bo Söderpalm, Thomas Nilsson
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Conceptualizing adult ADHD with the DSM alternative model of personality disorder.
Personality traits and personality disorders are related to ADHD and indicate dysfunction in clinical populations. The goals of this study were to examine how the DSM-5 Alternative Model of Personality Disorder (AMPD) a) indicates the presence of ADHD and b) communicates information about dysfunction over and above ADHD diagnosis. A sample of 330 adult psychiatric patients with and without ADHD (60% female; mean age 33 years) were assessed for ADHD symptoms, personality impairment, maladaptive personality traits, and functional life impairment domains. The maladaptive personality domain Disinhibition and particularly the lower order facet of Distractibility distinguished between individuals with psychiatric difficulties with and without ADHD. Distractibility is strongly related to the ADHD symptom dimension Inattentiveness, and Antagonism to Hyperactivity/impulsivity. General personality impairment augmented ADHD diagnosis in predicting life impairments. The AMPD has utility in ADHD assessments for diagnosis and prognosis.
期刊介绍：
Personality and Mental Health: Multidisciplinary Studies from Personality Dysfunction to Criminal Behaviour aims to lead and shape the international field in this rapidly expanding area, uniting three distinct literatures: DSM-IV/ICD-10 defined personality disorders, psychopathy and offending behaviour. Through its multi-disciplinary and service orientated approach, Personality and Mental Health provides a peer-reviewed, authoritative resource for researchers, practitioners and policy makers working in the areas of personality and mental health.
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