J 2020

Impulsivity in patients with borderline personality disorder : a comprehensive profile compared with healthy people and patients with ADHD

LINHARTOVÁ, Pavla, Adéla LÁTALOVÁ, Richard BARTEČEK, Jan ŠIRŮČEK, Pavel THEINER et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30215 Psychiatry

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 7.723

RIV identification code

RIV/00216224:14110/20:00115115

Organization unit

Faculty of Medicine

DOI

UT WoS

000565265300006

Keywords in English

ADHD; attention; borderline personality disorder; cognitive functions; decision making; executive functions; impulsivity; urgency; working memory

Tags

Tags

International impact, Reviewed
Změněno: 16/9/2020 09:52, Mgr. Tereza Miškechová

Abstract

V originále

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, interní kód MU
Name: Využití zobrazovacích a stimulačních metod v psychiatrii (Acronym: ImgPsych)
Investor: Masaryk University, Category A
NV15-30062A, research and development project
Name: Fenotypy impulzivity u neuropsychiatrických poruch a jejich klinický význam