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. Psychological Medicine. New York: Cambridge University Press, 2020, vol. 50, No 11, p. 1829-1838. ISSN 0033-2917. doi:10.1017/S0033291719001892.
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Basic information
Original name Impulsivity in patients with borderline personality disorder : a comprehensive profile compared with healthy people and patients with ADHD
Authors LINHARTOVÁ, Pavla (203 Czech Republic, belonging to the institution), Adéla LÁTALOVÁ (203 Czech Republic, belonging to the institution), Richard BARTEČEK (203 Czech Republic, belonging to the institution), Jan ŠIRŮČEK (203 Czech Republic, guarantor, belonging to the institution), Pavel THEINER (203 Czech Republic, belonging to the institution), Anastasia EJOVA (36 Australia), Pavlína HLAVATÁ (203 Czech Republic, belonging to the institution), Barbora KÓŠA (703 Slovakia, belonging to the institution), Barbora JEŘÁBKOVÁ (203 Czech Republic, belonging to the institution), Martin BAREŠ (203 Czech Republic, belonging to the institution) and Tomáš KAŠPÁREK (203 Czech Republic, belonging to the institution).
Edition Psychological Medicine, New York, Cambridge University Press, 2020, 0033-2917.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30215 Psychiatry
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 7.723
RIV identification code RIV/00216224:14110/20:00115115
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1017/S0033291719001892
UT WoS 000565265300006
Keywords in English ADHD; attention; borderline personality disorder; cognitive functions; decision making; executive functions; impulsivity; urgency; working memory
Tags 14110127, 14110222, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 16/9/2020 09:52.
Abstract
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.
Links
MUNI/A/1469/2018, internal MU codeName: Využití zobrazovacích a stimulačních metod v psychiatrii (Acronym: ImgPsych)
Investor: Masaryk University, Grant Agency of Masaryk University, Category A
NV15-30062A, research and development projectName: Fenotypy impulzivity u neuropsychiatrických poruch a jejich klinický význam
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