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Screening for attention-deficit/hyperactivity disorder in borderline personality disorder

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 ADHDScreeningBorderline Personality DisorderComorbidityDiagnosisASRS-v1.1
PMID: 28964997
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Research groups Groupe Dayer Alexandre (Formation du circuit cortical) (875)
NCCR Synapsy
Thérapeutiques des Troubles de l'Humeur et Anxieux (689)
Swiss National Science Foundation: 51NF40-158776
(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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