Associations among ADHD symptoms, ODD symptoms, and borderline personality features: A network analysis

Attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) are common childhood syndromes that exhibit a high degree of comorbidity. Both ADHD and ODD symptoms in childhood predict higher levels of borderline personality features (BPF) later in development. Yet ADHD, ODD, and BPF each consist of a heterogeneous group of symptoms, and symptom-level associations between these groups remain unclear. The present study examined symptom-level associations, as well as sex differences in symptom-level associations, among ADHD, ODD, and BPF using network analysis. Caregivers of 962 children between the ages of 5 and 12 completed rating scales of ADHD, ODD, and BPF. Assessment of Bridge Expected Influence indicated a number of bridge symptoms linking ADHD to ODD; these bridge symptoms were primarily from the hyperactive-impulsive (rather than the inattentive) dimension of ADHD (e.g., blurts out answers, leaves seat, runs excessively). A smaller number of bridge symptoms were identified linking ADHD and ODD to BPF, and these bridge symptoms were different for girls versus boys. Overall, several ADHD hyperactive-impulsive symptoms were related to the BPF item gets in trouble for doing things without thinking, and the ODD item touchy/easily annoyed was related to the BPF item goes back and forth between different feelings. Moreover, whereas we observed stronger links between ODD antagonistic symptoms (e.g., blames others) and BPF among girls, we observed stronger links between ODD oppositional symptoms (e.g., defies/refuses to comply) and BPF among boys. Taken together, results provide a more nuanced, symptom-level understanding of the overlap among ADHD, ODD, and BPF.

This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s10802-022-00943-z

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Work Title Associations among ADHD symptoms, ODD symptoms, and borderline personality features: A network analysis
Access
Open Access
Creators
  1. Grace M. Brennan
  2. Pevitr S. Bansal
  3. James G. Waxmonsky
  4. Daniel A. Waschbusch
  5. Dara E. Babinski
Keyword
  1. ADHD
  2. ODD
  3. Borderline personality features
  4. Network analysis
  5. Bridge symptoms
  6. Comorbidity
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Research on Child and Adolescent Psychopathology
Publication Date June 20, 2022
Publisher Identifier (DOI)
  1. https://doi.org/10.1007/s10802-022-00943-z
Deposited January 18, 2024

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  • Created
  • Added Brennan_et_al__2022__-_BPF_and_DBDs_network_20220523_last_submitted_version-1.pdf
  • Added Creator Grace M. Brennan
  • Added Creator Pevitr S. Bansal
  • Added Creator James G. Waxmonsky
  • Added Creator Daniel A. Waschbusch
  • Added Creator Dara E Babinski
  • Published
  • Updated Keyword Show Changes
    Keyword
    • ADHD, ODD, Borderline personality features, Network analysis, Bridge symptoms, Comorbidity
  • Renamed Creator Dara E. Babinski Show Changes
    • Dara E Babinski
    • Dara E. Babinski
  • Updated