Disentangling the Relationship Between Different Types of Childhood Maltreatment and Personality Disorders
Abstract
This study investigated the relationship between five forms of childhood maltreatment (sexual, physical and emotional abuse, emotional and physical neglect) and 10 personality disorders (PDs). PDs were assessed by means of SCID II, and childhood maltreatment was retrospectively measured with the Interview for Traumatic Events in Childhood. Both PDs and childhood maltreatment were expressed continuously, and relations were assessed by means of structural equation modelling in a sample of 409 participants. Results indicated that sexual abuse was associated with symptoms of paranoid, schizoid, borderline, and avoidant PD; physical abuse with antisocial PD; emotional abuse with paranoid, schizotypal, borderline, and cluster C PD; and emotional neglect with histrionic and borderline PD. No independent relationships between physical neglect and PDs were found. The findings provide clear, albeit retrospective, evidence that different forms of childhood maltreatment have differential effects on PD pathology.
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There is a unique association between childhood physical abuse (CPA) and antisocial (AS) traits in adulthood.
“Both cross-sectional and longitudinal research suggest that there is a unique association between childhood physical abuse (CPA) and antisocial (AS) traits in adulthood (Lobbestael et al., 2010; Luntz & Widom, 1994).”
From Childhood Physical Abuse and Antisocial Traits: Mediating Role of Posttraumatic Stress Symptom Clusters (2022) · cites this paper as Lobbestael et al., 2010
Borderline personality disorder is related to various types of childhood adversities.
“Because BPD is related to various types of childhood adversities, it is important to process important experiences that contribute to the maintenance of BPD symptoms during treatment (10).”
From Timing of imagery rescripting during schema therapy for borderline personality disorder: the LUCY trial (2023) · cites this paper as [10]
Borderline personality disorder patients often report a wide range of negative developmental experiences and frequently experience multiple childhood adverse events such as abuse and neglect.
“they often report a wide range of negative developmental experiences and frequently experience multiple childhood adverse events such as abuse and neglect (10, 12, 14).”
From Timing of imagery rescripting during schema therapy for borderline personality disorder: the LUCY trial (2023) · cites this paper as [10]
Avoidant personality disorder is associated with emotional neglect and abuse in the past.
“Research has shown that APD is associated with emotional neglect and abuse in the past [20, 21].”
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Kane, F. A., & Bornstein, R. F. (2017) · Journal of Clinical Psychology · doi:10.1002/jclp.22550 · Cited by 19 · see citing works
- Authors
- Lobbestael, J., Arntz, A., & Bernstein, D. P.
- Affiliations
- Maastricht University (NL)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2010-06
- Volume
- 24
- Issue
- 3
- Pages
- 285-295
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W1974630036
- Cited by
- 265
- References
- 2
- Citations by year
- 2026: 12 · 2025: 18 · 2024: 20 · 2023: 17 · 2022: 23 · 2021: 18 · 2020: 17 · 2019: 17 · 2018: 10 · 2017: 14 · 2016: 19 · 2015: 17 · 2014: 17 · 2013: 15 · 2012: 11
- FWCI
- 14.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (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 › Personality Traits and Psychology
- Keywords
- child abuse, personality disorders, sexual abuse, physical abuse, emotional abuse, emotional neglect, physical neglect, paranoid personality disorder, schizoid personality disorder, borderline personality disorder, antisocial personality disorder, schizotypal personality disorder, histrionic personality disorder, cluster C personality disorders
- MeSH terms
- Adolescent, Adult, Aged, Child, Child Abuse, Female, Humans, Male, Middle Aged, Personality Disorders, Psychiatric Status Rating Scales, Surveys and Questionnaires, Regression Analysis, Patient Selection, Adult Survivors of Child Abuse
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