Cited by 450Personality Disorders and PsychopathologyChild Abuse and TraumaPersonality Traits and Psychology

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Childhood adversity and borderline personality disorder: a meta‐analysis

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Porter, C., Palmier‐Claus, J., Branitsky, A., Mansell, W., Warwick, H., Varese, F.·2020·Acta Psychiatrica Scandinavica

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Abstract

Objective: The aim of this meta‐analysis was to better understand the magnitude and consistency of the association between childhood adversity and borderline personality disorder (BPD) across case–control, epidemiological and prospective cohort studies. Method: Following the review protocol (reference: CRD42017075179), search terms pertaining to adversity and BPD were entered into three search engines. Random‐effects meta‐analysis synthesised the size and consistency of the effects. Results: A total of 97 studies compared BPD to non‐clinical ( k = 40) and clinical ( k = 70) controls. Meta‐analysis of case–control studies indicated that individuals with BPD are 13.91 (95% CI 11.11–17.43) times more likely to report childhood adversity than non‐clinical controls. This effect was smaller when considering retrospective cohort (OR: 2.59; 95% CI 0.93–7.30) and epidemiological (OR: 2.56, 95% CI 1.24–5.30) studies. Findings were significant across adversity subtypes with emotional abuse (OR: 38.11, 95% CI: 25.99–55.88) and neglect (OR: 17.73, 95% CI = 13.01–24.17) demonstrating the largest effects. Individuals with BPD were 3.15 (95% CI 2.62–3.79) times more likely to report childhood adversity than other psychiatric groups. Conclusions: This meta‐analysis corroborates theoretical proposals that exposure to adverse life experiences is associated with BPD. It highlights the importance of considering childhood adversity when treating people diagnosed with BPD.

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Additional file 1 of Linking experiences of child sexual abuse to adult sexual intimate partner violence: the role of borderline personality features, maladaptive cognitive emotion regulation, and dissociation
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Additional file 2 of A scoping review of trauma informed approaches in acute, crisis, emergency, and residential mental health care
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Additional file 3 of A scoping review of trauma informed approaches in acute, crisis, emergency, and residential mental health care
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Additional file 2 of Linking experiences of child sexual abuse to adult sexual intimate partner violence: the role of borderline personality features, maladaptive cognitive emotion regulation, and dissociation
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Additional file 1 of A scoping review of trauma informed approaches in acute, crisis, emergency, and residential mental health care
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Preface
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.002.0004
Building Safety
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.003.0009
Foundations and Guiding Principles
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.003.0001
Concluding Comments
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.003.0012
Understanding Fear and Compassion
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.003.0003
Intervention Part 1
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.003.0006
The Physical Environment
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.003.0010
Attachment and Mentalizing
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.003.0002
Crisis Response and Safety Planning
Riches, C., Mitchell, S., & Ashton, A. (2025) · Oxford University Press eBooks · doi:10.1093/9780191915543.003.0004
Admission and Initial Meetings on the Ward
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Authors: Porter, C., Palmier‐Claus, J., Branitsky, A., Mansell, W., Warwick, H., & Varese, F.
Affiliations: University of Manchester (GB)
Lancashire Care NHS Foundation Trust (GB)
Greater Manchester Mental Health NHS Foundation Trust (GB)
Corresponding author: Palmier‐Claus, J.
ORCID: Palmier‐Claus, J.
Branitsky, A.
Mansell, W.
Varese, F.
Venue: Acta Psychiatrica Scandinavica
Publisher: Wiley
Published: 2019-11-18
Volume: 141
Issue: 1
Pages: 6-20
ISSN: 0001-690X (ISSN-L)
1600-0447
DOI: 10.1111/acps.13118
OpenAlex: W2981184913
Semantic Scholar: c0e0a0e381c5d2e8933022c1001c7380c49270be
Cited by: 450
References: 141
Citations by year: 2026: 63 · 2025: 90 · 2024: 77 · 2023: 75 · 2022: 80 · 2021: 45 · 2020: 16 · 2019: 2
FWCI: 5.66
Type: journal article
Language: en
Open access: green
research.manchester.ac.uk
Licence: other-oa
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Acta Psychiatrica Scandinavica (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (publishedVersion, other-oa)
Lancaster EPrints (Lancaster University) (submittedVersion)
Funders: Niilo Helanderin Säätiö
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords: borderline personality disorder, childhood adversity, adverse childhood experiences, emotional abuse, child neglect, psychiatric comorbidity
MeSH terms: Adverse Childhood Experiences, Emotional Abuse, Mental Disorders, Borderline Personality Disorder, Child, Child Abuse, Child Abuse, Sexual, Humans

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Childhood adversity and borderline personality disorder: a meta‐analysis

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