中国心理卫生杂志2025，Vol.39Issue(12)：1013-1018,6.DOI:10.3969/j.issn.1000-6729.2025.12.01
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
Impulsive characteristics and emotion regulation strategies of patients with attention deficit hyperactivity disorder comorbid with borderline personality disorder
摘要
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.关键词
注意缺陷多动障碍/边缘型人格障碍/冲动性/情绪调节Key words
attention deficit hyperactivity disorder/borderline personality disorder/impulsivity/emotional regulation分类
临床医学引用本文复制引用
常卫利,李海梅,潘美蓉,赵梦婕,董敏,司飞飞,王玉凤,刘璐,钱秋谨..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[J].中国心理卫生杂志,2025,39(12):1013-1018,6.基金项目
首都卫生发展科研专项(CFH:2024-2-4114),北京市科技新星计划(20220484061、20230484444),国家自然科学基金(82271575),北京大学临床医学+X青年专项(中央高校基本科研业务费,PKU2023LCXQ043),北京市卫健委第三批研究型病房项目. （CFH:2024-2-4114）
