Cited by 98Child Abuse and TraumaPersonality Disorders and PsychopathologyPsychopathy, Forensic Psychiatry, Sexual Offending

Childhood maltreatment and personality disorders in the USA: Specificity of effects and the impact of gender

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Waxman, Rachel, Fenton, Miriam C., Skodol, Andrew E., Grant, Bridget F., Hasin, Deborah·2014·Personality and Mental Health

Abstract

Childhood maltreatment increases the risk for adult personality disorders (PDs), but several PDs or maltreatment types co‐occur. Specificity of maltreatment–personality associations is poorly understood. Using a representative US population sample, we identified specific associations between maltreatment types (sexual, physical and emotional abuse and physical and emotional neglect) and PDs after controlling for basic demographics, parental psychopathology, co‐occurring maltreatment types and comorbid PD. We then examined interactions of gender and maltreatment in predicting PDs. Each maltreatment type significantly predicted three–four PDs. Borderline and schizotypal PDs were most strongly predicted by sexual abuse, antisocial by physical abuse and avoidant and schizoid by emotional neglect. Specific vulnerabilities differ by gender; maltreated boys may respond with attention seeking and girls with social withdrawal. Findings highlight the importance of evaluating all forms of maltreatment even when they co‐occur and can inform development of interventions to prevent personality pathology in at‐risk children. Copyright © 2013 John Wiley & Sons, Ltd.

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Authors
Waxman, R., Fenton, M. C., Skodol, A. E., Grant, B. F., & Hasin, D.
Affiliations
  • New York State Psychiatric Institute (US)
  • University of Arizona (US)
  • National Institute on Alcohol Abuse and Alcoholism (US)
Corresponding author
Hasin, Deborah
Venue
Personality and Mental Health
Publisher
Wiley
Published
2013-08-29
Volume
8
Issue
1
Pages
30-41
ISSN
  • 1932-8621 (ISSN-L)
  • 1932-863X
OpenAlex
W1538720843
Cited by
98
References
34
Citations by year
2026: 2 · 2025: 6 · 2024: 8 · 2023: 9 · 2022: 8 · 2021: 5 · 2020: 10 · 2019: 8 · 2018: 13 · 2017: 9 · 2016: 12 · 2015: 7 · 2014: 1
FWCI
7.42
Type
journal article
Language
en
Open access
Locations
  • Personality and Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute on Alcohol Abuse and Alcoholism (U01AA018111, K05AA014223)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
Keywords
child abuse, personality disorders, sexual abuse, physical abuse, emotional abuse, emotional neglect, physical neglect, gender differences, borderline personality disorder, schizotypal personality disorder, antisocial personality disorder, avoidant personality disorder, schizoid personality disorder, parental psychopathology, comorbidities, attention seeking, social withdrawal
MeSH terms
Child, Child Abuse, Female, Humans, Male, Personality Disorders, Risk Factors, Sex Factors, United States

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