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

The DOI matches its Crossref record; 143 of the 143 references it cites were found in a registry or an index.

Childhood adversity and borderline personality disorder: a meta‐analysis

Open access
Porter, C., Palmier‐Claus, J., Branitsky, A., Mansell, W., Warwick, H., Varese, F.·2020·Acta Psychiatrica Scandinavica
DOI 10.1111/acps.13118
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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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Crossref · 10.1111/acps.13118

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Research works printed but not linked: 4

  1. Loranger AW, 1999, International personality disorder examination
  2. Cuijpers P, 2016, Meta‐analysis in mental health research: a practical guide
  3. 10.1186/2051-6673-1-9 · DOI · Paper page
  4. 10.1002/jts.2490050305 · DOI · Paper page

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Metadata

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
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
Licence
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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