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引用次数: 0
摘要
研究表明，随着时间的推移，多动症在普通人群中的患病率在不断上升，但目前还没有针对边缘型人格障碍（BPD）患者多动症患病率的研究。本研究比较了相隔近三十年（1992 年与 2020 年）招募的两组严格诊断为 BPD 的成年人。1992年麦克林成人发展研究（McLean Study of Adult Development，MSAD）的参与者（N = 290）和2020年Flourishing研究的参与者（N = 147）分别采用DSM-III-R和DSM-5标准进行了多动症评估。与 MSAD 受试者相比，Flourishing 受试者的多动症患病率总体上明显较高，女性（而非男性）的患病率也明显较高。这种患病率的增加很可能是由于随着时间的推移，DSM标准的范围不断扩大，这凸显了许多观察家认为ADHD诊断标准的扩大是有问题的，它可能使这套标准与通常始于儿童期的神经发育障碍脱钩。
Increasing Prevalence of Attention-Deficit/Hyperactivity Disorder in Patients With Borderline Personality Disorder.
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
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