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Impulsivity in Borderline Personality Disorder: A Matter of Disturbed Impulse Control or a Facet of Emotional Dysregulation?

  • Personality Disorders (C Schmahl, Section Editor)
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Abstract

Impulsivity is regarded as a clinical, diagnostic and pathophysiological hallmark of borderline personality disorder (BPD). Self-report measures of impulsivity consistently support the notion of higher impulsive traits in BPD patients as compared to healthy control subjects. Laboratory tests of impulsivity, i.e. neuropsychological tests of impulse control render weak and inconsistent results both across different cognitive components of impulse control and within the same cognitive component of impulse control. One important factor worsening impulsive behaviors and impulse control deficits in BPD is comorbid attention-deficit/hyperactivity disorder (ADHD). In addition, emotional dysregulation interacts with impulse control especially for BPD salient emotions. In sum, although basic mechanisms of impulse control seem not to be disturbed in BPD, clinically well observed impulsive behaviors may be explained by comorbid ADHD or may be the consequence of dysregulation of BPD salient emotions.

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Acknowledgments

The work related to this review was supported by a grants of the Federal Ministry of Education and Research (AS, KL and OT; grant 01GW0730) and the German Research Foundation (GAJ and OT; grant JA1785/1-1).

Disclosure

A. Sebastian: none; G. Jacob; grant from the Ministry of Education of Baden-Württemberg, research support from Else Kröner-Fresenius-Stiftung, and royalties from Elsevier and Beltz; K. Lieb: none; O. Tüscher: none.

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Authors and Affiliations

  1. Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Untere Zahlbacher Strasse 8, 55131, Mainz, Germany

    Alexandra Sebastian, Klaus Lieb & Oliver Tüscher

  2. Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany

    Alexandra Sebastian

  3. Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg, Germany

    Gitta Jacob

  4. Department of Neurology, University Medical Center Freiburg, Freiburg, Germany

    Oliver Tüscher

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  1. Alexandra Sebastian
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  2. Gitta Jacob
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  4. Oliver Tüscher
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Correspondence to Oliver Tüscher.

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This article is part of the Topical Collection on Personality Disorders

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Sebastian, A., Jacob, G., Lieb, K. et al. Impulsivity in Borderline Personality Disorder: A Matter of Disturbed Impulse Control or a Facet of Emotional Dysregulation?. Curr Psychiatry Rep 15, 339 (2013). https://doi.org/10.1007/s11920-012-0339-y

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