Conceptualizing adult ADHD with the DSM alternative model of personality disorder

Author:

Jacobsson Peter12ORCID,Hopwood Christopher J.3ORCID,Krueger Robert F.4,Söderpalm Bo1,Nilsson Thomas56

Affiliation:

1. Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology The Sahlgrenska Academy, University of Gothenburg, Sektionskansliet: Blå Stråket 15, vån 3, SU/Sahlgrenska University Hospital Gothenburg Sweden

2. Region Halland Varberg Sweden

3. University of Zurich Zurich Switzerland

4. Department of Psychology, N414 Elliott Hall, 75 East River, Parkway University of Minnesota Minneapolis MN USA

5. Centre for Ethics, Law and Mental Health (CELAM) Institute of Neuroscience and Physiology, University of Gothenburg Gothenburg Sweden

6. Forensic Psychiatry Sahlgrenska University Hospital Gothenburg Sweden

Abstract

AbstractPersonality traits and personality disorders are related to ADHD and indicate dysfunction in clinical populations. The goals of this study were to examine how the DSM‐5 Alternative Model of Personality Disorder (AMPD) a) indicates the presence of ADHD and b) communicates information about dysfunction over and above ADHD diagnosis. A sample of 330 adult psychiatric patients with and without ADHD (60% female; mean age 33 years) were assessed for ADHD symptoms, personality impairment, maladaptive personality traits, and functional life impairment domains. The maladaptive personality domain Disinhibition and particularly the lower order facet of Distractibility distinguished between individuals with psychiatric difficulties with and without ADHD. Distractibility is strongly related to the ADHD symptom dimension Inattentiveness, and Antagonism to Hyperactivity/impulsivity. General personality impairment augmented ADHD diagnosis in predicting life impairments. The AMPD has utility in ADHD assessments for diagnosis and prognosis.

Publisher

Wiley

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