Impulsive characteristics and emotion regulation strategies of patients with attention deficit hyperactivity disorder comorbid with borderline personality disorder
10.3969/j.issn.1000-6729.2025.12.01
- VernacularTitle:ADHD共患边缘型人格障碍患者冲动性特征及其与情绪调节策略的关系
- Author:
Weili CHANG
1
;
Haimei LI
;
Meirong PAN
;
Mengjie ZHAO
;
Min DONG
;
Feifei SI
;
Yufeng WANG
;
Lu LIU
;
Qiujin QIAN
Author Information
1. 郑州大学第一附属医院,郑州 450052
- Publication Type:Journal Article
- Keywords:
attention deficit hyperactivity disorder;
borderline personality disorder;
impulsivity;
emotional regulation
- From:
Chinese Mental Health Journal
2025;39(12):1013-1018
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impulsivity characteristics of patients with attention deficit hyperactivity disorder(ADHD)comorbid with borderline personality disorder(BPD)and the mediating role of emotion regula-tion strategies.Methods:A total of 96 patients with ADHD meeting the diagnostic criteria of the American Diagnos-tic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-Ⅳ)were enrolled,48 of whom had comorbid BPD.Impulsivity was assessed with the Barratt Impulse Scale(BIS)and the impulse control difficulty dimensions of Emotional Regulation Difficulty Scale(DERS).Emotion regulation strategies were evaluated with the Emotion Regulation Questionnaire(ERQ).Results:No significant differences were found between the ADHD with and with-out BPD group in cognitive impulsivity,motor impulsivity,or non-planning impulsivity as assessed with the BIS(Ps＞0.05).However,the ADHD with BPD group showed higher scores on the DERS impulse control difficulty subscale(P＜0.001)and less frequent use of cognitive reappraisal strategies(P＜0.001).Cognitive reappraisal partially mediated the relationship between ADHD with BPD and impulse control difficulties,with an effect size of 25.9％.Conclusion:ADHD patients comorbid with BPD exhibit heightened emotional impulsivity,which might be partially mediated by reduced use of cognitive reappraisal.
