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Cited by 29Personality Disorders and PsychopathologyChild Abuse and TraumaPsychopathy, Forensic Psychiatry, Sexual Offending

A history of prolonged childhood sexual abuse is associated with more severe clinical presentation of borderline personality disorder in adolescent female inpatients – A naturalistic study

Turniansky, Hila, Ben-Dor, David, Krivoy, Amir, Weizman, Abraham, Shoval, Gal·2019·Child Abuse & Neglect
DOI 10.1016/j.chiabu.2019.104222
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Abstract

Background Borderline personality disorder (BPD) is associated with high rates of suicidal and self-injurious behaviors and a substantial proportion of BPD patients have a history of trauma, particularly childhood sexual abuse (CSA).Objective To compare the clinical presentation severity in female adolescent inpatients with BPD with and without history of prolonged CSA.Participants and setting Female adolescent BPD patients admitted to a psychiatric inpatient unit.Methods A retrospective analysis of records of the inpatients, divided into two groups: with (n = 38) and without (n = 40) a history of prolonged CSA. Prolonged CSA was defined as sexual abuse continuing for at least 3 months. Demographic and clinical data, including number and duration of psychiatric hospitalizations until the age 19, non-suicidal self-injury (NSSI), suicide attempts, cigarette smoking, alcohol and drug use, and sexual impulsivity were compared between the two groups.Results The BPD + prolonged CSA group had a larger duration of the first psychiatric hospitalization, number of hospitalizations and cumulative length of hospitalizations compared with the control group. Furthermore, the BPD + prolonged CSA group had a higher number of suicidal attempts, and higher rates of severe NSSI events, cigarette smoking, alcohol use, and sexual impulsivity.Conclusions This study demonstrated for the first time that adolescent female BPD inpatients with a history of prolonged CSA, manifest more severe clinical presentation compared to those without prolonged CSA. Hence, it appears essential to encourage therapists to inquire about history of CSA and refer adolescent female BPD inpatients with prolonged CSA to appropriate intensive therapy.

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  • Childhood sexual abuse has consistently been found to be a risk factor for BPD, and both childhood and adult sexual abuse and assault are associated with the most severe, lethal, debilitating, and chronic BPD symptoms as well as with comorbid PTSD.

    “Childhood sexual abuse has consistently been found to be a risk factor for BPD, and both childhood and adult sexual abuse and assault are associated with the most severe, lethal (e.g., self-harm), debilitating (e.g., dissociation), and chronic BPD symptoms [173] as well as with comorbid PTSD [27].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [173]

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Authors
Turniansky, H., Ben-Dor, D., Krivoy, A., Weizman, A., & Shoval, G.
Affiliations
Tel Aviv University (IL)
Corresponding author
Turniansky, Hila
ORCID
Venue
Child Abuse & Neglect
Publisher
Elsevier BV
Published
2019-12
Volume
98
Pages
104222
ISSN
0145-2134 (ISSN-L)
DOI
10.1016/j.chiabu.2019.104222
OpenAlex
W2981044062
Cited by
29
References
31
Citations by year
2026: 3 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 4 · 2021: 7 · 2020: 3
FWCI
4.09
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Child Abuse & Neglect (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
Keywords
borderline personality disorder, child sexual abuse, adolescent girls, psychiatric inpatient care, non-suicidal self-injury, suicide attempts, substance use, sexual impulsivity, trauma history
MeSH terms
Adolescent, Borderline Personality Disorder, Child, Child Abuse, Sexual, Female, Hospitalization, Humans, Impulsive Behavior, Inpatients, Psychiatric Department, Hospital, Retrospective Studies, Sex Offenses, Suicide, Attempted, Self-Injurious Behavior, Young Adult, Suicidal Ideation

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