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Early family environments and traumatic experiences associated with borderline personality disorder.
Abstract
Childhood trauma experiences (e.g., sexual abuse, physical abuse, witnessed violence, and early separation experiences) and family environment characteristics were assessed with a questionnaire from a sample of depressed female inpatients; 17 were diagnosed as having borderline personality disorder (BPD), and 19 received no such diagnosis (NBPD). Significantly more BPD individuals than NBPD individuals reported histories of sexual abuse, physical abuse, and witnessed violence. Of these trauma variables, sexual abuse emerged as the only significant predictor of dimensional BPD score, even after physical abuse, subjective depression score, diagnostic differences between groups, and family environment were controlled. Early separation experiences were nonsignificantly different between groups. Although the BPD families were reported to be distinctive for several different family environment characteristics, the control dimension significantly predicted dimensional borderline score even after sexual abuse was controlled. These results suggest that sexual abuse and general family environment need further study for a fuller understanding of BPD symptomatology.
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“The AVPDSI is modelled after the Borderline Personality Disorder Severity Index (BPDSI), which was originally developed by Weaver and Clum [41] and further developed and validated in Dutch by Arntz et al. [42] and Giesen-Bloo et al. [43].”
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Childhood Maltreatment Increases Risk for Personality Disorders During Early Adulthood
Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., & Bernstein, D. P. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.7.600 · Cited by 839
Cicchetti, D., & Valentino, K. (2015) · Wiley eBooks · doi:10.1002/9780470939406.ch4 · Cited by 481
Battle, C. L., Shea, M. T., Johnson, D. M., Yen, S., Zlotnick, C., Zanarini, M. C., Sanislow, C. A., Skodol, A. E., Gunderson, J. G., Grilo, C. M., et al. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.2.193.32777 · Cited by 492
“…studies regarding the types of abuse and neglect most salient in the childhood histories of BPD patients, childhood sexual abuse has often been identified as a factor that discriminates patients with BPD from those diagnosed with other PDs or other psychiatric disorders (Weaver & Clum, 1993).”
BackgroundChildhood adversity and borderline personality disorder: a meta‐analysis
Porter, C., Palmier‐Claus, J., Branitsky, A., Mansell, W., Warwick, H., & Varese, F. (2020) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13118 · Cited by 450
The implications of attachment theory and research for understanding borderline personality disorder
Levy, K. N. (2005) · Development and Psychopathology · doi:10.1017/s0954579405050455 · Cited by 351
“However, at least four other studies have failed to confirm these findings ~Brennan & Shaver, 1998; Ogata, Silk, & Goodrich, 1990; Paris, Zweig– Frank, & Guzder, 1994; Weaver & Clum, 1993!.”
Metadata
- Authors
- Weaver, T. L., & Clum, G. A.
- Affiliations
- Medical University of South Carolina (US)
- ORCID
- Weaver, Terri L.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1993-12
- Volume
- 61
- Issue
- 6
- Pages
- 1068-1075
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2137089344
- Cited by
- 184
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 8 · 2023: 5 · 2022: 7 · 2021: 2 · 2020: 2 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 6 · 2015: 12 · 2014: 10 · 2013: 7 · 2012: 9
- FWCI
- 4.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (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 › Psychoanalysis and Psychopathology Research
- Keywords
- borderline personality disorder, child sexual abuse, child physical abuse, witnessing violence, family environment, depression, female inpatients
- MeSH terms
- Adolescent, Adult, Aged, Borderline Personality Disorder, Child Abuse, Child Abuse, Sexual, Family, Female, Humans, Life Change Events, Middle Aged, Personality Development, Psychiatric Status Rating Scales, Social Environment, Violence
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