Social cognition impairment associated to a borderline personality disorder subtype linked to attention deficit hyperactivity disorder

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-03-22 DOI:10.1016/j.jpsychires.2025.03.031

J.M. López-Villatoro , A. Galvez-Merlin , M. Diaz-Marsá , J.L. Carrasco

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引用次数: 0

Abstract

Introduction

Social cognition (SC) impairment in patients with BPD could be increased by comorbidity with attention deficit hyperactivity disorder (ADHD). Comorbidity in neurodevelopmental disorders and its influence on SC impairments could result in greater severity, worse response to treatment and worse evolution of the disorder. The aim of this work is to study SC deficits, through Theory of Mind (ToM) errors associated with BPD linked to ADHD.

Methods

87 BPD patients with and without ADHD associated were assessed with the Movie for the Assessment of Social Cognition (MASC). Statistical associations between.

MASC and ADHD symptomatology was analyzed.

Results

BPD patients with ADHD showed fewer correct mentalization responses and more overmentalization errors than BPD patients without ADHD. A direct and significant statistical relationship between undermentalization errors and childhood inattention were found.

Conclusions

Our results showed a complete picture of the SC errors observed in this subgroup of BPD patients with ADHD symptomatology, with both overmentalization and undermentalization errors observed. The fact that this subgroup of BPD patients, related to neurodevelopmental disorders, showed different types of ToM errors reflects the complexity and heterogeneity that may characterize this subgroup of patients. This highlights the importance and effort of this work to improve the phenotyping of this subgroup of patients with BPD linked to ADHD, improving early diagnosis and individualized treatment for these patient profiles.

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与注意缺陷多动障碍相关的边缘性人格障碍亚型相关的社会认知障碍

BPD患者的社会认知（SC）障碍可能因合并注意缺陷多动障碍（ADHD）而增加。神经发育障碍的合并症及其对SC损伤的影响可能导致更严重、更差的治疗反应和更差的疾病演变。这项工作的目的是通过与ADHD相关的BPD相关的心理理论（ToM）错误来研究SC缺陷。方法对87例伴有和不伴有ADHD的BPD患者进行社会认知评估电影（MASC）评估。之间的统计关联。分析MASC和ADHD的症状。结果伴有ADHD的BPD患者比无ADHD的BPD患者有更少的正确心智化反应和更多的过度心智化错误。心理化不足错误与儿童注意力不集中之间存在直接且显著的统计关系。结论我们的研究结果显示了该亚组伴有ADHD症状的BPD患者中观察到的SC错误的完整图景，包括精神化过度和精神化不足。与神经发育障碍相关的BPD患者亚组表现出不同类型的ToM错误，这一事实反映了该亚组患者的复杂性和异质性。这突出了这项工作的重要性和努力，以改善与ADHD相关的BPD亚组患者的表型，改善这些患者的早期诊断和个性化治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;