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Emotion Dysregulation in Attention-Deficit/Hyperactivity Disorder and Borderline Personality Disorder


Emotion Dysregulation in Attention-Deficit/Hyperactivity Disorder and Borderline Personality Disorder

Talar R Moukhtarian et al. Borderline Personal Disord Emot Dysregul.


There is ongoing debate on the overlap between Attention-Deficit/Hyperactivity Disorder (ADHD) and Borderline Personality Disorder (BPD), particularly regarding emotion dysregulation (ED). In this paper, we present a narrative review of the available evidence on the association of these two disorders from several standpoints. First, we discuss the unique and shared diagnostic criteria for ADHD and BPD, focusing particularly on ED. We consider the methodology of ecological momentary assessment and discuss why this approach could be an alternative and more accurate way to qualitatively distinguish between ADHD and BPD. We summarise key findings on the genetic and environmental risk factors for ADHD and BPD and the extent to which there are shared or unique aetiological and neurobiological risk factors. Finally, we discuss the clinical relevance of considering both disorders in the assessment of patients presenting with trait-like behavioural syndromes, distinguishing the two conditions and implications for treatment.

Keywords: ADHD; BPD; Emotion dysregulation; Symptomatic overlap.

Conflict of interest statement

TRM, RM, PM and PA declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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    1. Van Dijk FE, et al. Symptomatic overlap between attention-deficit/hyperactivity disorder and borderline personality disorder in women: the role of temperament and character traits. Compr Psychiatry. 2012;53(1):39–47. - PubMed
    1. Asherson P, et al. Differential diagnosis, comorbidity, and treatment of attention-deficit/hyperactivity disorder in relation to bipolar disorder or borderline personality disorder in adults. Curr Med Res Opin. 2014;30(8):1657–1672. - PubMed
    1. Xenaki LA, Pehlivanidis A. Clinical, neuropsychological and structural convergences and divergences between attention deficit/hyperactivity disorder and borderline personality disorder: a systematic review. Personal Individ Differ. 2015;86:438–449.
    1. Storebø OJ, Simonsen E. Is ADHD an early stage in the development of borderline personality disorder? Nordic J Psychiatry. 2014;68(5):289–295. - PubMed
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.

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