Adult ADHD, Comorbidities and Impact on Functionality in a Population of Individuals with Personality Disorders – DSM IV and DSM 5 Perspectives
Background: ADHD and personality disorders show a considerable symptom overlap. Sometimes these disorders are complicated by comorbidities, the most frequent being depression, alcohol and drug abuse or dependence. Their presence impact the functionality of patients. The introduction of DSM 5 broug...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Bucharest College of Physicians
2018-12-01
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| Series: | Modern Medicine |
| Subjects: | |
| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2018/12/2018-4-199.pdf |
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| Summary: | Background: ADHD and personality disorders show a considerable symptom overlap. Sometimes these disorders
are complicated by comorbidities, the most frequent being depression, alcohol and drug abuse or dependence.
Their presence impact the functionality of patients. The introduction of DSM 5 brought a new perspective on the
approach of these disorders. Material and methods: The study consists of the evaluation of a sample of 140 individuals with personality disorders. From this sample it has been determined the proportion of the ADHD patients
by using a specifi c scale (DIVA). First the analysis has been made using the DSM IV criteria. Two groups were
formed: A - the ADHD group and B – the personality disorder non ADHD group. The possible comorbidities in the
two groups A and B have been determined using the instrument MINI. The impact on functionality was evaluated
with the scale WFIRS and the overall severity with the presence of hospitalizations. The same analysis has been
made using the DSM 5 criteria. Then a comparison between the two classifi cations has been made. Results: The
prevalence of ADHD in the initial sample of the personality disorder patients has been 29.3% after the DSM IV classifi cation and 44.3% after the DSM 5. Moreover, the prevalence of depression, alcohol, drug abuse and dependence
and other comorbidities has been determined in the ADHD and non-ADHD group, fi rst using the DSM IV criteria,
then using the DSM 5 criteria. A comparison between the two situations has been made, as well as an evaluation
of the impact on functionality. Conclusions: The presence of depression, substance use disorders other than alcohol and alcohol use disorders are not signifi cant in the differentiation of ADHD patients from the population of
personality disorder nonADHD patients. The overall severity and the impact on functionality as assessed with the
presence of hospitalizations and the WFIRS scale show a signifi cant importance in differentiating the intensity of
ADHD symptomatology. |
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| ISSN: | 1223-0472 2360-2473 |