Delay discounting and response disinhibition under acute experimental stress in women with borderline personality disorder and adult attention deficit hyperactivity disorder
Background - Impulsivity is a core feature of borderline personality disorder (BPD) and attention deficit hyperactivity disorder (ADHD). In BPD, impulsive behavior primarily occurs under acute stress; impulse control deficits under non-stress conditions may be partly related to co-morbid ADHD. We ai...
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| Hauptverfasser: | , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
30 August 2016
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| In: |
Psychological medicine
Year: 2016, Jahrgang: 46, Heft: 15, Pages: 3137-3149 |
| ISSN: | 1469-8978 |
| DOI: | 10.1017/S0033291716001677 |
| Online-Zugang: | Verlag, Volltext: https://doi.org/10.1017/S0033291716001677 Verlag, Volltext: https://www.cambridge.org/core/journals/psychological-medicine/article/delay-discounting-and-response-disinhibition-under-acute-experimental-stress-in-women-with-borderline-personality-disorder-and-adult-attention-deficit-hyperactivity-disorder/8A6A3D26A7779C2AE27A661A95EEAE0C 
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| Verfasserangaben: | A. Krause-Utz, S. Cackowski, S. Daffner, Esther Sobanski, Michael M. Plichta, M. Bohus, G. Ende and C. Schmahl |
MARC
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| 245 | 1 | 0 | |a Delay discounting and response disinhibition under acute experimental stress in women with borderline personality disorder and adult attention deficit hyperactivity disorder |c A. Krause-Utz, S. Cackowski, S. Daffner, Esther Sobanski, Michael M. Plichta, M. Bohus, G. Ende and C. Schmahl |
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| 520 | |a Background - Impulsivity is a core feature of borderline personality disorder (BPD) and attention deficit hyperactivity disorder (ADHD). In BPD, impulsive behavior primarily occurs under acute stress; impulse control deficits under non-stress conditions may be partly related to co-morbid ADHD. We aimed to investigate whether acute experimental stress has an impact on self-reported impulsivity, response inhibition (action withholding, action cancelation) and delay discounting in BPD compared to ADHD. - - - Method - Thirty female BPD patients, 28 female ADHD patients (excluding patients with co-morbid BPD and ADHD), and 30 female healthy controls (HC) completed self-reports and behavioral measures of impulsivity (IMT, assessing action withholding; GoStop, measuring action cancelation, Delay Discounting Task) under baseline conditions and after an experimental stress induction (Mannheim Multicomponent Stress Test). - - - Results - Both patient groups reported higher impulsivity than HC, ADHD reported higher trait impulsivity than BPD. On the IMT, ADHD showed significant action-withholding deficits under both conditions, while BPD performed significantly worse than HC under stress. In BPD but not ADHD and HC, action-withholding deficits (IMT) were significantly increased under stress compared to baseline, while no group/stress effects were found for action cancelation (GoStop). Delay discounting was significantly more pronounced in BPD than in HC (no stress effect was found). - - - Conclusions - In BPD, behavioral deficits in action withholding (but not in action cancelation) appear to be influenced by acute experimental stress. Delay discounting seems to be a general feature of BPD, independent of co-morbid ADHD and acute stress, possibly underlying typical expressions of behavioral impulsivity in the disorder. | ||
| 650 | 4 | |a Adult attention deficit hyperactivity disorder | |
| 650 | 4 | |a borderline personality disorder | |
| 650 | 4 | |a delay discounting | |
| 650 | 4 | |a impulsivity | |
| 650 | 4 | |a response inhibition | |
| 650 | 4 | |a stress | |
| 700 | 1 | |a Sobanski, Esther |e VerfasserIn |0 (DE-588)1033832634 |0 (DE-627)742582817 |0 (DE-576)381499987 |4 aut | |
| 700 | 1 | |a Bohus, Martin |d 1956- |e VerfasserIn |0 (DE-588)123588308 |0 (DE-627)082645469 |0 (DE-576)167043471 |4 aut | |
| 700 | 1 | |a Ende, Gabriele |e VerfasserIn |0 (DE-588)1031974105 |0 (DE-627)737671734 |0 (DE-576)379696886 |4 aut | |
| 700 | 1 | |a Schmahl, Christian |d 1968- |e VerfasserIn |0 (DE-588)1028601611 |0 (DE-627)731311906 |0 (DE-576)376093927 |4 aut | |
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