Cited by 41Personality Disorders and PsychopathologyChild Abuse and TraumaPsychoanalysis and Psychopathology Research

Association of childhood-trauma-by-primary caregiver and affect dysregulation with borderline personality disorder symptoms in adulthood.

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van Dijke, Annemiek, Ford, Julian D., van Son, Maarten, Frank, Laurence, van der Hart, Onno·2013·Psychological Trauma: Theory, Research, Practice, and Policy

Abstract

Potentially traumatizing experiences by a primary caregiver during childhood (TPC) may lead to affect dysregulation, which is a hallmark of borderline personality disorder (BPD) in adulthood. Path analyses with bootstrap confidence intervals were used to explore the relationships of TPC and under- and overregulation of affect to BPD symptoms. Almost 63% of a sample of 472 patients diagnosed with either BPD alone, comorbid BPD + somatoform disorder, or other mental disorder, reported childhood TPC. TPC and underregulation of affect were associated with severity of BPD symptoms, but overregulation was not. Underregulation of affect partially mediated the relationship between TPC and BPD symptoms. Study findings suggest that also addressing underregulation of affect as a sequela of TPC rather than as only on feature of BPD, may enhance treatment of BPD symptoms. Research is needed to determine if targeting overregulation of affect, next to TPC and underregulation of affect, enhances the efficacy of treatment for severe BPD symptoms with childhood TPC and with comorbid other mental disorders, especially somatoform disorder.

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Crossref · 10.1037/a0027256

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Authors
van Dijke, A., Ford, J. D., van Son, M., Frank, L., & van der Hart, O.
Affiliations
Utrecht University (NL)
Venue
Psychological Trauma: Theory, Research, Practice, and Policy
Published
2013
Volume
5
Issue
3
Pages
217-224
ISSN
  • 1942-9681 (ISSN-L)
  • 1942-969X
OpenAlex
W1996533394
Cited by
41
References
68
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 1 · 2019: 3 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 7 · 2013: 1
FWCI
4.72
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Psychological Trauma Theory Research Practice and Policy (publishedVersion)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
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
childhood trauma, primary caregivers, affect dysregulation, borderline personality disorder, somatoform disorders, comorbidities, mediation

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