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Cited by 86Personality Disorders and PsychopathologyChild Abuse and TraumaPosttraumatic Stress Disorder Research

Trauma, Dissociation, and Posttraumatic Stress Disorder in Female Borderline Patients With and Without Substance Abuse Problems

Van Den Bosch, Louisa M. C., Verheul, Roel, Langeland, Willie, Van Den Brink, Wim·2003·Australian & New Zealand Journal of Psychiatry
DOI 10.1046/j.1440-1614.2003.01199.x
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Abstract

Objective To examine the associations of childhood traumatic experiences and childhood neglect with dissociative experiences and posttraumatic stress disorder (PTSD) in a population of female borderline personality disorder (BPD) patients with and without substance abuse. Method The sample included 64 female patients with BPD. Childhood traumatic experiences and childhood neglect were measured using the Structured Trauma Interview, dissociative experiences with the Dissociative Experiences Scale, and PTSD with the Structured Clinical Interview for DSM-IV. Results In general, dissociation scores were higher among those with a history of childhood trauma and neglect, in particular among those who reported both sexual and physical abuse before age 16, more than one perpetrator and severe maternal dysfunction. The prevalence of PTSD was clearly associated with the severity of childhood sexual abuse (CSA) in terms of the occurrence of penetration during CSA, intrafamilial CSA, a duration of CSA longer than 1 year and more than one perpetrator. Comorbid substance abuse problems modified the observed associations such that the associations mentioned above were also present or even more pronounced among those without substance abuse, whereas no associations were found in those with substance abuse. Conclusions The results suggest a moderately strong association between childhood trauma and neglect with dissociation and PTSD. However, trauma-dissociation and trauma-PTSD links were onl…

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  • Research in BPD has found reasonably strong relationships between dissociation and childhood trauma, especially sexual abuse, physical abuse, attachment difficulties, and parental neglect.

    “Research in BPD has found reasonably strong relationships between dissociation and childhood trauma, especially sexual abuse [118, 121–124], physical abuse, attachment difficulties, and parental neglect [118, 125, 126]”

    From Dissociation and Alterations in Brain Function and Structure: Implications for Borderline Personality Disorder (2017) · cites this paper as [124]

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Authors
Van Den Bosch, L. M. C., Verheul, R., Langeland, W., & Van Den Brink, W.
Affiliations
  • Academic Medical Centre, University of Amsterdam, Tafelbergweg 25, 1105, BC, Amsterdam, Netherland
  • Amsterdam UMC Location University of Amsterdam (NL)
Corresponding author
  • Verheul, Roel
  • Langeland, Willie
ORCID
Langeland, Willie
Venue
Australian & New Zealand Journal of Psychiatry
Publisher
SAGE Publications
Published
2003-10
Volume
37
Issue
5
Pages
549-555
ISSN
  • 0004-8674 (ISSN-L)
  • 1440-1614
DOI
10.1046/j.1440-1614.2003.01199.x
OpenAlex
W2091922634
Cited by
86
References
4
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 5 · 2015: 2 · 2014: 5 · 2013: 5 · 2012: 4
FWCI
4.96
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Australian & New Zealand Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
childhood trauma, child neglect, dissociation, post-traumatic stress disorder, borderline personality disorder, female patients, substance use comorbidity, child sexual abuse
MeSH terms
Adult, Borderline Personality Disorder, Child, Child Abuse, Dissociative Disorders, Female, Humans, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Substance-Related Disorders

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