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

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.

Základní údaje

Originální název

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

Autoři

LINHARTOVÁ, Pavla (203 Česká republika, domácí), Adéla LÁTALOVÁ (203 Česká republika, domácí), Richard BARTEČEK (203 Česká republika, domácí), Jan ŠIRŮČEK (203 Česká republika, garant, domácí), Pavel THEINER (203 Česká republika, domácí), Anastasia EJOVA (36 Austrálie), Pavlína HLAVATÁ (203 Česká republika, domácí), Barbora KÓŠA (703 Slovensko, domácí), Barbora JEŘÁBKOVÁ (203 Česká republika, domácí), Martin BAREŠ (203 Česká republika, domácí) a Tomáš KAŠPÁREK (203 Česká republika, domácí)

Vydání

Psychological Medicine, New York, Cambridge University Press, 2020, 0033-2917

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30215 Psychiatry

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 7.723

Kód RIV

RIV/00216224:14110/20:00115115

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1017/S0033291719001892

UT WoS

000565265300006

Klíčová slova anglicky

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

Štítky

14110127, 14110222, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 16. 9. 2020 09:52, Mgr. Tereza Miškechová

Anotace

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.

Návaznosti

MUNI/A/1469/2018, interní kód MU

Název: Využití zobrazovacích a stimulačních metod v psychiatrii (Akronym: ImgPsych)

Investor: Masarykova univerzita, Využití zobrazovacích a stimulačních metod v psychiatrii, DO R. 2020_Kategorie A - Specifický výzkum - Studentské výzkumné projekty

NV15-30062A, projekt VaV

Název: Fenotypy impulzivity u neuropsychiatrických poruch a jejich klinický význam

Citovat

LINHARTOVÁ, Pavla, Adéla LÁTALOVÁ, Richard BARTEČEK, Jan ŠIRŮČEK, Pavel THEINER, Anastasia EJOVA, Pavlína HLAVATÁ, Barbora KÓŠA, Barbora JEŘÁBKOVÁ, Martin BAREŠ a 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, roč. 50, č. 11, s. 1829-1838. ISSN 0033-2917. Dostupné z: https://dx.doi.org/10.1017/S0033291719001892.

@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 a 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, roč.~50, č.~11, s.~1829-1838. ISSN~0033-2917. Dostupné z: https://dx.doi.org/10.1017/S0033291719001892.

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