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@article{1572036,
author = {Linhartová, Pavla and Látalová, Adéla and Barteček, Richard and Širůček, Jan and Theiner, Pavel and Ejova, Anastasia and Hlavatá, Pavlína and Kóša, Barbora and Jeřábková, Barbora and Bareš, Martin and Kašpárek, Tomáš},
article_location = {New York},
article_number = {11},
doi = {http://dx.doi.org/10.1017/S0033291719001892},
keywords = {ADHD; attention; borderline personality disorder; cognitive functions; decision making; executive functions; impulsivity; urgency; working memory},
language = {eng},
issn = {0033-2917},
journal = {Psychological Medicine},
title = {Impulsivity in patients with borderline personality disorder : a comprehensive profile compared with healthy people and patients with ADHD},
url = {https://www.cambridge.org/core/journals/psychological-medicine/article/impulsivity-in-patients-with-borderline-personality-disorder-a-comprehensive-profile-compared-with-healthy-people-and-patients-with-adhd/74FA9293042740200F0607A6C9CC1089},
volume = {50},
year = {2020}
}
TY - JOUR
ID - 1572036
AU - Linhartová, Pavla - Látalová, Adéla - Barteček, Richard - Širůček, Jan - Theiner, Pavel - Ejova, Anastasia - Hlavatá, Pavlína - Kóša, Barbora - Jeřábková, Barbora - Bareš, Martin - Kašpárek, Tomáš
PY - 2020
TI - Impulsivity in patients with borderline personality disorder : a comprehensive profile compared with healthy people and patients with ADHD
JF - Psychological Medicine
VL - 50
IS - 11
SP - 1829-1838
EP - 1829-1838
PB - Cambridge University Press
SN - 00332917
KW - ADHD
KW - attention
KW - borderline personality disorder
KW - cognitive functions
KW - decision making
KW - executive functions
KW - impulsivity
KW - urgency
KW - working memory
UR - https://www.cambridge.org/core/journals/psychological-medicine/article/impulsivity-in-patients-with-borderline-personality-disorder-a-comprehensive-profile-compared-with-healthy-people-and-patients-with-adhd/74FA9293042740200F0607A6C9CC1089
L2 - https://www.cambridge.org/core/journals/psychological-medicine/article/impulsivity-in-patients-with-borderline-personality-disorder-a-comprehensive-profile-compared-with-healthy-people-and-patients-with-adhd/74FA9293042740200F0607A6C9CC1089
N2 - Background Impulsivity is a core symptom of borderline personality disorder (BPD). Impulsivity is a heterogeneous concept, and a comprehensive evaluation of impulsivity dimensions is lacking in the literature. Moreover, it is unclear whether BPD patients manifest impaired cognitive functioning that might be associated with impulsivity in another patient group, such as ADHD, a frequent comorbidity of BPD. Methods We tested 39 patients with BPD without major psychiatric comorbidities and ADHD, 25 patients with ADHD, and 55 healthy controls (HC) using a test battery consisting of a self-report measure of impulsivity (UPPS-P questionnaire), behavioral measures of impulsivity – impulsive action (Go/NoGo task, stop signal task) and impulsive choice (delay discounting task, Iowa gambling task), and standardized measures of attention (d2 test), working memory (digit span), and executive functioning (Tower of London). Results Patients with BPD and ADHD, as compared with HC, manifested increased self-reported impulsivity except sensation seeking and increased impulsive choice; patients with ADHD but not BPD showed increased impulsive action and deficits in cognitive functioning. Negative urgency was increased in BPD as compared to both HC and ADHD groups and correlated with BPD severity. Conclusions Patients with BPD without ADHD comorbidity had increased self-reported impulsivity and impulsive choice, but intact impulsive action and cognitive functioning. Controlling for ADHD comorbidity in BPD samples is necessary. Negative urgency is the most diagnostically specific impulsivity dimension in BPD.
ER -
LINHARTOVÁ, Pavla, Adéla LÁTALOVÁ, Richard BARTEČEK, Jan ŠIRŮČEK, Pavel THEINER, Anastasia EJOVA, Pavlína HLAVATÁ, Barbora KÓŠA, Barbora JEŘÁBKOVÁ, Martin BAREŠ and Tomáš KAŠPÁREK. Impulsivity in patients with borderline personality disorder : a comprehensive profile compared with healthy people and patients with ADHD. \textit{Psychological Medicine}. New York: Cambridge University Press, 2020, vol.~50, No~11, p.~1829-1838. ISSN~0033-2917. Available from: https://dx.doi.org/10.1017/S0033291719001892.
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