Download PDF
Nervenheilkunde 2010; 29(01/02): 31-34
DOI: 10.1055/s-0038-1628711
Adhs
Schattauer GmbH

Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung des Erwachsenenalters und Persönlichkeitsstörungen

Adult attention deficit/hyperactivity disorder and personality disorders
E. Sobanski
1   Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit Mannheim
,
B. Alm
1   Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit Mannheim
› Author Affiliations
Further Information

Publication History

Eingegangen am: 03 August 2009

angenommen am: 03 August 2009

Publication Date:
24 January 2018 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Der Zusammenhang zwischen der ADHS des Erwachsenenalters mit Persönlichkeitsstörungen und Persönlichkeitsstruktur wurde noch wenig untersucht. Verfügbare Untersuchungsergebnisse belegen einen Zusammenhang mit spezifischen Persönlichkeitsdimensionen, in erster Linie affektiver Labilität, geringer Selbstverfügbarkeit, passiv-vermeidendem Verhalten bzw. “Novelty seeking” sowie von Cluster-Bund -C-Persönlichkeitsstörungen und der ADHS des Erwachsenenalters, wobei eine differenzielle Assoziation mit Aufmerksamkeitsstörungen und hyperaktiv-impulsivem Verhalten bzw. den Subtypen der ADHS besteht.

Summary

To date, the association of adult ADHD and personality disorders and personality structure respectively has received little scientific interest. Available results point to an association of distinct personality dimensions, namely affective weakness, low self-control, passive-avoidant behaviour, harm avoidance and novelty seeking as well as Cluster B and C personality disorders and a specific correlation with attention deficits and hyperactive-impulsive behaviour and ADHD-subtypes respectively.

Schlüsselwörter

Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung - ADHS - Persönlichkeitsstörung - Persönlichkeitsstruktur

Keywords

Attention-deficit/hyperactivity disorder - ADHD - personality disorder - personality structure
 

  • Literatur

  • 1 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th edn revised.. Washington: American Psychiatric Press; 2000
    Search in Google Scholar
  • 2 Anckarsater H. et al. The impact of ADHD and autism spectrum disorders on temperament, character and personality development. Am J Psychiatry 2006; 163: 1239-44.
    CrossrefPubMedSearch in Google Scholar
  • 3 Angold A, Costell EJ, Erkanli A. Comorbidity. J Child Psychology Psychiatry 1999; 40 (01) 57-87.
    CrossrefSearch in Google Scholar
  • 4 Asendorpf JB. Psychologie der Persönlichkeit. 3. Aufl. Berlin: Springer 2004
    PubMedSearch in Google Scholar
  • 5 Barkley, Murphy, Fischer. ADHD in adults. What the science says. New York: Gulford Press; 2008
    Search in Google Scholar
  • 6 Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Archives of General Psychiatry 1993; 50: 975-90.
    CrossrefPubMedSearch in Google Scholar
  • 7 Costa PT. McCrae The five-factor model of personality and is relevance to personality disorders. J Personality Disorders 1992; 04: 362-71.
    Search in Google Scholar
  • 8 Downey K, Pomerleau CS, Pomerlau OF. Personaility differences related to smoking and adult attention deficit hyperactivity disorder. J Substance Abuse 1996; 08: 129-35.
    CrossrefPubMedSearch in Google Scholar
  • 9 Downey K. et al. Adult attention deficit hyperactivity disorder: psychological test profiles in a clinical population. J Nervous and Mental Disease 1997; 185: 32-8.
    Search in Google Scholar
  • 10 Edel MA, Vollmoeller W. Aufmerksamkeitsdefizit-/ Hyperaktivitätsstörung bei Erwachsenen. Heidelberg: Springer 2006
    PubMedSearch in Google Scholar
  • 11 Faraone SV. et al. Personality traits among ADHD adults: implications of late-onset and subthreshold diagnoses. Psychological Medicine 2009; 39: 685-93.
    CrossrefPubMedSearch in Google Scholar
  • 12 Fossati A. et al. History of childhood attention deficit/hyperactivity disorder symptoms and borderline personality disorder: a controlled study. Comprehensive Psychiatry 2002; 43: 369-77.
    CrossrefPubMedSearch in Google Scholar
  • 13 Gillberg C. et al. Co-existing disorders in ADHD – Implications for diagnosis and intervention. European Child and Adolescent Psychiatry 2004; 13 (Suppl. 01) 80-92.
    Search in Google Scholar
  • 14 Holmes J. et al. Association of DRD4 in children with ADHD and comorbid conduct problems. Am J Med Genet 2002; 114 (02) 150-3.
    CrossrefPubMedSearch in Google Scholar
  • 15 Jacob CP. et al. Comorbidity of adult attentiondeficit/hyperactivity disorder with focus on personality traits and related disorders in a tertiary referral center. European Archives of Psychiatry and Clinical Neurosciences 2007; 257: 309-17.
    CrossrefPubMedSearch in Google Scholar
  • 16 Kessler RC. et al. The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 2006; 163 (04) 716-23.
    CrossrefPubMedSearch in Google Scholar
  • 17 Lampe K. et al. Neuropsychological and behavioural disinhibition in adult ADHD compared to borderline personality disorder. Psychological medicine 2007; 37: 1717-29.
    PubMedSearch in Google Scholar
  • 18 Manuzza S. et al. Adult outcome of hyperactive boys. Educational achievement, occupational rank, and psychiatric status. Archives of General Psychiatry 1993; 50 (07) 565-7.
    CrossrefPubMedSearch in Google Scholar
  • 19 Manuzza S. et al. Educational and occupational outcome of hyperactive boys grown up. J Am Acad Child Adolesc Psychiatry 1997; 36 (09) 1222-7.
    CrossrefPubMedSearch in Google Scholar
  • 20 Miller CJ. et al. Childhood attention-deficit / hyperactivity disorder and the emergence of personality disorders in adolescence: a prospective follow-up study. J Clinical Psychiatry 2009; 69: 1477-84.
    Search in Google Scholar
  • 21 Nigg JT. et al. Big five dimensions and ADHD symptoms: links between personality traits and clinical symptoms. J Personality Social Psychology 2002; 83: 451-69.
    Search in Google Scholar
  • 22 Philipsen A. et al. Attention-deficit hyperactivity disorder as a potentially aggravating factor in borderline personality disorder. British J Psychiatry 2008; 192: 118-23.
    CrossrefPubMedSearch in Google Scholar
  • 23 Ranseen JD, Campbell DA, Baer RA. NEO-PI-R profiles of adults with attention deficit disorder. Assessment 1998; 05: 19-24.
    CrossrefPubMedSearch in Google Scholar
  • 24 Retz WP. et al. Association of serotonin transporter promoter gene polymorphism with violence: Rrlation with personality disorders, impulsivity, and childhood ADHD Psychopathology. Behav Sci Law 2004; 22: 415-25.
    CrossrefPubMedSearch in Google Scholar
  • 25 Retz W. et al. Psychometric and psychopathological characterization of young male prison inmates with and without attention deficit / hyperactivity disorder. European Archives of Psychiatry and Clinical Neurosciences 2004; 254: 201-8.
    PubMedSearch in Google Scholar
  • 26 Robin AJ. et al. The empirical study of personality in ADHD adults: a new beginning. ADHD Report 1998; 05: 11-5.
    Search in Google Scholar
  • 27 Rösler M. et al. Prevalence of attention deficit hyperactivity disorder in male young prison inmates. European Archives of Psychiatry and Clinical neurosciences 2004; 254: 365-71.
    CrossrefPubMedSearch in Google Scholar
  • 28 Salgado CAI. et al. Inattention and hyperactivtiy dimensions of ADHD are associated with different personality profiles. Psychopathology 2009; 42: 108-12.
    CrossrefPubMedSearch in Google Scholar
  • 29 Satterfield JH. et al. A 30-year prospective follow-up study of hyperactive boys with conduct problems: adult criminality. J American Academy of Child and Adolescent Psychiatry 2007; 46 (05) 601-10.
    Search in Google Scholar
  • 30 Sobanski E. Subtypenunterschiede bei erwachsenen Patienten mit Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS). Nervenarzt. 2006 Suppl.3 300 Abstract 0254.
    PubMedSearch in Google Scholar
  • 31 Sobanski E. et al. Psychiatric comorbidity and functional impairment in a clinically referred sample of adults with attention-deficit/hyperactivity disorder (ADHD). European Archives of Psychiatry and Clinical Neurosciences 2007; 257 (07) 371-7.
    CrossrefPubMedSearch in Google Scholar
  • 32 Thapar A. et al. Predictors of antisocial behaviour in children with attention deficit hyperactivity disorder. European J Child and Adolescent Psychiatry 2006; 15 (02) 119-25.
    Search in Google Scholar
  • 33 Thapar A. et al. Gene-environment interplay in attention-deficit hyperactivity disorder and the importance of a developmental perspective. British J Psychiatry 2007; 190: 1-3.
    CrossrefPubMedSearch in Google Scholar
  • 34 Weltgesundheitsorganisation (WHO). Internationale Klassifikation psychischer Störungen ICD-10. Bern: Hans Huber 1994
    PubMedSearch in Google Scholar