Overlap of autism spectrum disorder and borderline personality disorder : A systematic review and meta-analysis
Journal article
May, Tamara, Pilkington, Pamela D., Younan, Rita and Williams, Katrina. (2021). Overlap of autism spectrum disorder and borderline personality disorder : A systematic review and meta-analysis. Autism Research. 14(12), pp. 2688-2710. https://doi.org/10.1002/aur.2619
Authors | May, Tamara, Pilkington, Pamela D., Younan, Rita and Williams, Katrina |
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Abstract | Autism spectrum disorder (ASD) and borderline personality Disorder (BPD) share features, including social and emotion regulation difficulties. The evidence for the overlap in prevalence and clinical characteristics was systematically reviewed. Ovid Medline, PsycInfo, and PubMed were searched until November 30, 2020 using keywords relating to BPD and ASD. Studies that reported on the overlap of ASD and BPD diagnoses or traits and used a case, cohort, or case-controlled design were included. Of 1633 screened studies, 19 were included, of which 12 reported data suitable for meta-analysis. Most samples were of small, clinically ascertained groups, with 11 having high risk of bias. The pooled prevalence of BPD in ASD was 4% [95% CI 0%–9%] and of ASD in BPD, 3% [95% CI 1%–8%]. There were inconsistent findings across clinical areas. The prevalence of a dual diagnosis of BPD in ASD cohorts and of ASD in BPD cohorts was within population prevalence estimates of each disorder. Based on this data we were not able to assess whether there is misdiagnosis of one in favor of the other. Neurocognitive differences may underlie similar behavioral symptoms, but further research using larger, well-validated samples is needed. Lay Summary |
Keywords | autism spectrum disorder; borderline personality disorderc |
Year | 2021 |
Journal | Autism Research |
Journal citation | 14 (12), pp. 2688-2710 |
Publisher | John Wiley & Sons |
ISSN | 1939-3792 |
Digital Object Identifier (DOI) | https://doi.org/10.1002/aur.2619 |
Scopus EID | 2-s2.0-85116360559 |
Research or scholarly | Research |
Page range | 2688-2710 |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 05 Oct 2021 |
Publication process dates | |
Accepted | 20 Sep 2021 |
Deposited | 25 Feb 2022 |
https://acuresearchbank.acu.edu.au/item/8x5z3/overlap-of-autism-spectrum-disorder-and-borderline-personality-disorder-a-systematic-review-and-meta-analysis
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