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Title

Screening for attention-deficit/hyperactivity disorder in borderline personality disorder
Authors
Weibel, Sébastien
Nicastro, Rosetta
Prada, Paco Boris
Cole, Pierre
Rufenacht, Eva
Pham, Eléonore Sibylle Minh Le
Dayer, Alexandre
Perroud, Nader Ali
Published in Journal of affective disorders. 2018, vol. 226, p. 85-91
Abstract == Background == A valid screening instrument is needed to detect attention-deficit/hyperactivity disorder (ADHD) in treatment-seeking borderline personality disorder (BPD) patients. We aimed to test the performance of the widely-used Adult ADHD Self-Report Scale v1.1 screener (ASRS-v1.1). == Methods == 317 BPD subjects were systematically assessed for comorbid ADHD and completed the ASRS-v1.1. 79 BPD patients also completed the Wender Utah Rating Scale (WURS-25). == Results == The prevalence of adult ADHD was of 32.4%. The overall positive predictive value of the ASRS-v1.1 was of 38.5%, the negative predictive value 77.0%, the sensitivity 72.8%, and the specificity 43.9%. Combining WURS-25 and ASRS-v1.1 improved sensitivity to 81.8% and specificity to 59.6%. == Limitations == Cross-sectional study on treatment-seeking patients. == Conclusions == We found a high prevalence of ADHD using structured interviews. The ASRS-v1.1 was not a sensitive screener for identifying possible ADHD cases in a BPD population, with a high number of false positives. When combined with the WURS-25, it offered improved screening.
Keywords Adult ADHD — Screening — Borderline Personality Disorder — Comorbidity — Diagnosis — ASRS-v1.1
Identifiers
PMID: 28964997
Full text
Article (Accepted version) (413 Kb) - public document Free access
Article (Published version) (242 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Other version: https://linkinghub.elsevier.com/retrieve/pii/S0165032717312983
Structures
Faculté de médecine / Section de médecine clinique / Département de psychiatrie
Research groups Groupe Dayer Alexandre (Formation du circuit cortical) (875)
NCCR Synapsy
Thérapeutiques des Troubles de l'Humeur et Anxieux (689)
Project
Swiss National Science Foundation: 51NF40-158776
Citation
(ISO format) 		WEIBEL, Sébastien et al. Screening for attention-deficit/hyperactivity disorder in borderline personality disorder. In: Journal of Affective Disorders, 2018, vol. 226, p. 85-91. doi: 10.1016/j.jad.2017.09.027 https://archive-ouverte.unige.ch/unige:127089

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Deposited on : 2019-11-26

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