RESUMEN
The associations between personality disorders and adult attachment dimensions were assessed in a sample of 487 consecutively admitted psychiatric subjects. Canonical correlation analysis showed that two sets of moderately correlated canonical variates explained the correlations between personality disorders and adult attachment patterns. The first and second attachment variates closely resembled the avoidance and anxiety attachment dimensions, respectively. The first personality disorder variate was mainly characterized by avoidant, depressive, paranoid, and schizotypal personality disorders, whereas dependent, histrionic, and borderline personality disorders loaded on the second canonical variate. However, these linear combinations of personality disorders were different from those obtained from principal component analysis. The results extend previous studies linking personality disorders and attachment patterns and suggest the importance of focusing on specific constellations of symptoms associated with dimensions of insecurity.
Asunto(s)
Trastornos Mentales/diagnóstico , Apego a Objetos , Trastornos de la Personalidad/diagnóstico , Adulto , Diagnóstico Diferencial , Femenino , Trastorno de Personalidad Histriónica/diagnóstico , Trastorno de Personalidad Histriónica/psicología , Hospitalización , Humanos , Masculino , Trastornos Mentales/psicología , Modelos Psicológicos , Análisis Multivariante , Trastorno de Personalidad Paranoide/diagnóstico , Trastorno de Personalidad Paranoide/psicología , Trastornos de la Personalidad/psicología , Inventario de Personalidad/estadística & datos numéricos , Análisis de Componente Principal , Escalas de Valoración Psiquiátrica/estadística & datos numéricosRESUMEN
To evaluate the association between history of childhood attention deficit/hyperactivity disorder (ADHD) symptoms and the diagnosis of borderline personality disorder (BPD) in adulthood, the Wender Utah Rating Scale (WURS) was administered to 42 consecutively admitted BPD subjects, 94 consecutively admitted controls with any cluster B personality disorder (PD) diagnosis other than BPD, 38 consecutively admitted controls with any cluster A or cluster C PD diagnosis but no cluster B PD diagnosis, and 69 consecutively admitted controls with no PD diagnosis. A fourth control group was composed by 201 nonclinical volunteers. According to Dunn-Bonferroni contrasts, BPD subjects showed a significantly higher mean WURS total score compared to all control groups (minimum t = 7.93, maximum t = 11.63, all Ps <.001). These contrasts remained significant even controlling for potential confounders such as antisocial personality disorder (ASPD) diagnosis, gender, inpatient status, and axis I diagnoses. The results of this study seem to support the hypothesis of an association between history of childhood ADHD symptoms and adult BPD diagnosis.