The impact of childhood trauma on borderline personality organization in a community sample of Greek emerging adults
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There is limited research on the role of childhood trauma in personality pathology according to Kernberg's psychodynamic model of internalized object relations. Because childhood trauma reflects the disruptions of these relations, it is expected to predict borderline personality organization, especially at the threshold of adulthood. Therefore, the main aim of this retrospective study was to examine the impact of childhood trauma on borderline personality organization in a community sample of emerging adults. Participants were 543 Greek individuals aged 18-29 (M = 21.45; 58.6 % females; 85.1 % university students). They completed the Greek versions of the Traumatic Antecedents Questionnaire (TAQ) and the Inventory of Personality Organization (IPO), which were tested for their factorial structure, reliability, and measurement invariance across gender, as few empirical data exist on the psychometric properties of these measures. Confirmatory factor analyses showed that the TAQ consisted of four factors, namely positive experiences, abuse, traumatic life events, and family chaos. The five-factor theoretical structure of the IPO, namely primitive defenses, identity diffusion, reality testing, aggression, and moral values, was confirmed. Low to moderate links between childhood trauma and borderline personality organization were found, with stronger links emerging for abuse and family chaos. Structural equation modeling showed that the various forms of childhood trauma across the age periods studied (i.e., 0-6, 7-12, 13-18) significantly and differentially predicted the dimensions of borderline personality organization. The finding that stronger links emerged when trauma occurred in older ages may be attributed to the retrospective method of the study. Gender differences were also found; for example, personality pathology was more likely in men when abuse and traumatic life events occurred in younger ages and abuse was a more important risk factor for personality pathology in women. This study highlights the impact of childhood adversity on personality pathology in emerging adulthood, provides empirical support for Kernberg's psychodynamic model, and has useful implications for trauma-informed early screening, prevention, and intervention regarding personality pathology in young people. Limitations of this study and suggestions for future research are outlined.
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Trauma experienced in early life can alter cognitive dynamics, potentially leading to the development of psychosis and personality disorders as coping or defense mechanisms.
“For instance, trauma experienced in early life can alter cognitive dynamics, potentially leading to the development of psychosis and personality disorders as coping or defense mechanisms [84].”
From Clinical Efficacy of Psychotherapeutic Interventions for Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review and Analysis. (2024) · cites this paper as [84]
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Janiri, D., Piras, F., & Sani, G. (2020) · Springer eBooks · doi:10.1007/978-3-030-49414-8 · Cited by 18 · see citing works
Object Relations Theory Model of Personality Disorders
Caligor, E., Preti, E., Stern, B. L., Sowislo, J. F., & Clarkin, J. F. (2022) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.20220027 · Cited by 16 · see citing works
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Gkintoni, E., Kourkoutas, E., Yotsidi, V., Stavrou, P. D., & Prinianaki, D. (2024) · Children · doi:10.3390/children11050579 · Cited by 37 · see citing works
“For instance, trauma experienced in early life can alter cognitive dynamics, potentially leading to the development of psychosis and personality disorders as coping or defense mechanisms [84].”
BackgroundMinaz, M., Kurt, A., Ökmen, S., & Turhan, N. S. (2025) · Çocuk ve Gençlik Ruh Sağlığı Dergisi / Turkish Journal of Child and Adolescent Mental Health · doi:10.4274/tjcamh.galenos.2024.33255 · Cited by 1 · see citing works
Psychiatric Inpatient Length of Stay and Needs: A Cluster Analysis using Machine Learning Algorithms
Armoon, B., LESAGE, A. D., Giguère, C., Perry, K., Juster, R., & Guay, S. (2025) · Psychiatric Quarterly · doi:10.1007/s11126-025-10232-9 · Cited by 1 · see citing works
Malafanti, A., Giannouli, E., Yotsidi, V., Sideridis, G. D., Galanaki, E. P., Clarkin, J. F., Lenzenweger, M. F., & Malogiannis, I. A. (2024) · Current Research in Behavioral Sciences · doi:10.1016/j.crbeha.2024.100150 · Cited by 1 · see citing works
Danjo, S. R., Rosa, M. C. T., Scantamburlo, I. M., Moisés, M. F., Bruske, C., Brizolla, N. F. J., Danjo, N. R., Suleiman, Y. M., Glanzmann, G. R., & Macêdo, N. C. V. (2024) · Brazilian Journal of Implantology and Health Sciences · doi:10.36557/2674-8169.2024v6n3p2345-2358
Psychotic Experiences in Borderline Personality Disorder: The Relationship with Childhood Trauma
Zein, M. A., Kovalenko, J., & Nasr, R. A. (2025) · The Open Psychology Journal · doi:10.2174/0118743501406346250823065311
Alhammad, M. A., Alshammari, H. M., Alnafea, N. W., Althunayyan, K. S., Mohammed, W. S., & Almohamadi, M. M. (2025) · Cureus · doi:10.7759/cureus.99736
“Adolescents from abusive backgrounds often adopt maladaptive strategies to seek intimacy and reduce fears of rejection or abandonment, aligning closely with attachment theory [24].”
Sınır Durum Kişilik Yapılanmasında Bilişsel Davranışçı Terapi: Olgu Sunumu
Coşkun, S. N., & Karaaziz, M. (2025) · Current Research and Reviews in Psychology and Psychiatry · doi:10.65127/crrpp.1705318
Mirghasemi, Z. S., & Hojjati, A. (2026) · فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران · doi:10.66224/iau.36.2.200
- Authors
- Malafanti, A., Yotsidi, V., Sideridis, G., Giannouli, E., Galanaki, E. P., & Malogiannis, I.
- Affiliations
- Panteion University (GR)
- National and Kapodistrian University of Athens (GR)
- Corresponding author
- Malafanti, Aikaterini
- ORCID
- Venue
- Acta Psychologica
- Publisher
- Elsevier BV
- Published
- 2024-04
- Volume
- 244
- Pages
- 104181
- ISSN
- 0001-6918 (ISSN-L)
- OpenAlex
- W4391604268
- Cited by
- 9
- References
- 115
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Acta Psychologica (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- childhood trauma, borderline personality organization, emerging adulthood, personality pathology, childhood abuse, household chaos, traumatic life events, Inventory of Personality Organization, psychometric properties, gender differences, Greek adults
- MeSH terms
- Adverse Childhood Experiences, Adolescent, Adult, Borderline Personality Disorder, Child, Female, Humans, Male, Personality, Retrospective Studies, Reproducibility of Results
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