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Childhood Maltreatment Associated With Adult Personality Disorders: Findings From the Collaborative Longitudinal Personality Disorders Study

Published Online:June 2005https://doi.org/10.1521/pedi.18.2.193.32777

Abstract

Adverse childhood experiences such as abuse and neglect are frequently implicated in the development of personality disorders (PDs); however, research on the childhood histories of most PD groups remains limited. In this multisite investigation, we assessed self-reported history of abuse and neglect experiences among 600 patients diagnosed with either a PD (borderline, schizotypal, avoidant, or obsessive-compulsive) or major depressive disorder without PD. Results indicate that rates of childhood maltreatment among individuals with PDs are generally high (73% reporting abuse; 82% reporting neglect). As expected, borderline PD was more consistently associated with childhood abuse and neglect than other PD diagnoses. However, even when controlling for the effect of borderline PD, other PD diagnoses were associated with specific types of maltreatment.

References

  • Arbel , N., & Stravynski, A. A. (1991). A retrospective study of separation in the development of adult avoidant personality disorder. Acta Psychiatrica Scandanavica, 83, 174–178. Crossref Medline, Google Scholar
  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. Google Scholar
  • Bifulco , A., Moran, P. M., Baines, R., Bunn, A., & Stanford, K. (2002). Exploring psychological abuse in childhood II: Association with other abuse and adult clinical depression. Bulletin of the Menninger Clinic, 66, 241–258. Link, Google Scholar
  • Brewin , C. R., Andrews, B., & Gotlib, I. H. (1993). Psychopathology and early experience: A reappraisal of retrospective reports. Psychological Bulletin, 113, 82–98. Crossref Medline, Google Scholar
  • Brown , J., Cohen, P., Johnson, J. G., & Salzinger, S. (1998). A longitudinal analysis of risk factors for child maltreatment: Findings of a 17-year prospective study of officially recorded and self-reported child abuse and neglect. Child Abuse and Neglect, 22, 1065–1078. Crossref Medline, Google Scholar
  • Caffaro-Rouget , A., Lang, R. A., & van Santen, V. (1989). The impact of child sexual abuse on victims' adjustment. Annals of Sex Research, 2 , 29–47. Crossref, Google Scholar
  • Cicchetti , D., & Rogosch, F. A. (2001). The impact of child maltreatment and psychopathology on neuroendocrine functioning. Development and Psychopathology, 13, 783–804. Crossref Medline, Google Scholar
  • Clark L. A. (1993). Schedule for nonadaptive and adaptive personality (SNAP). Minneapolis, MN: University of Minnesota Press. Google Scholar
  • Finkelhor , D., Hotaling, G., Lewis, I. A., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics, and risk factors. Child abuse and neglect, 14, 19–28. Crossref Medline, Google Scholar
  • First, M. B., Gibbon M., Spitzer, R. L., & Williams, J. B. W. (1996). Structured clinical interview for DSM-IV axis I disorders - patient version (SCID-I/P). New York: Biometrics Research Department, New York State Psychiatric Institute. Google Scholar
  • Gibb , B. E., Wheeler, R., Alloy, L. B., Abramson, L. Y. (2001). Emotional, physical, and sexual maltreatment in childhood versus adolescence and personality dysfunction in young adulthood. Journal of Personality Disorders, 15, 505–511. Link, Google Scholar
  • Gorey , K. M., & Leslie, D. R. (1997). The prevalence of child sexual abuse: Integrative review adjustment for potential response and measurement issues. Child Abuse and Neglect, 21, 391–398. Crossref Medline, Google Scholar
  • Grilo , C. M., & Masheb, R. M. (2002). Childhood maltreatment and personality disorders in adult patients with binge eating disorder. Acta Psychiatrica Scandanavica, 106, 183–188. Crossref Medline, Google Scholar
  • Gunderson , J. G., & Sabo, A. N. (1993). The phenomenological and conceptual interface between BPD and PTSD. American Journal of Psychiatry, 150, 19–27. Crossref Medline, Google Scholar
  • Gunderson , J. G., Shea, M. T., Skodol, A. E., McGlashan, T. H., Morey, L. C., Stout, R. L., Zanarini, M. C., Grilo, C. M., Oldham, J. M., & Keller, M. B. (2000). The collaborative longitudinal personality disorders study: Development, aims, design, and sample characteristics. Journal of Personality Disorders, 14, 300–315. Link, Google Scholar
  • Herman J. L., Perry, J. C., & van der Kolk, B. A. (1989). Childhood trauma in borderline personality disorder. American Journal of Psychiatry, 146, 490–495. Crossref Medline, Google Scholar
  • Johnson , J. G., Cohen, P., Brown, J., Smailes, E. M., & Bernstein, D. P. (1999). Childhood maltreatment increases risk for personality disorders during early adulthood. Archives of General Psychiatry, 56, 600–606. Crossref Medline, Google Scholar
  • Johnson , J. G., Smailes, E. M., Phil, M., Cohen, P., Brown, J., & Bernstein, D. P. (2000). Associations between four types of childhood neglect and personality disorder symptoms during adolescence and early adulthood: Findings from a community-based longitudinal study. Journal of Personality Disorders, 14, 171–187. Link, Google Scholar
  • Laporte L., & Guttman, H. (1996). Traumatic childhood experiences as risk factors for borderline and other personality disorders. Journal of Personality Disorders, 10, 247–259. Link, Google Scholar
  • Luntz , B. K., & Widom, C. S. (1994). Antisocial personality disorder in abused and neglected children grown up. American Journal of Psychiatry, 151, 670–674. Crossref Medline, Google Scholar
  • Maughan , B., & Rutter, M. (1997). Retrospective reporting of childhood adversity: Issues in assessing long-term recall. Journal of Personality Disorders, 11, 19–33. Link, Google Scholar
  • McGlasha n T. H., Grilo, C. M., Skodol, A. E., Gunderson, J. G., Shea, M. T., Morey, L. C., Zanarini, M. C., & Stout, R. L. (2000). The collaborative longitudinal personality disorders study: Baseline axis I/II and II/II diagnostic occurrence. Acta Psychiatrica Scandanavia, 102, 256–264. Crossref Medline, Google Scholar
  • McGloin , J. M., & Widom, C. S. (2001). Resilience in abused and neglected children grown up. Development and Psychopathology, 13, 1021–1038. Crossref Medline, Google Scholar
  • Millon, T., & Davis, R. D. (1996). An evolutionary theory of personality disorders. In J. F. Clarkin & M. F. Lenzenweger (Eds). Major theories of Personality Disorders (pp. 221–346), New York: Guilford. Google Scholar
  • Ogata , S. N., Silk, K. R., Goodrich, S., Lohr, N. E., Westen, D., & Hill, E. M. (1990). Childhood sexual and physical abuse in adult patients with borderline personality disorder. American Journal of Psychiatry, 147, 1008–1013. Crossref Medline, Google Scholar
  • Paris , J. (2000). Childhood precursors of borderline personality disorder. Psychiatric Clinics of North America, 23, 77–88. Crossref Medline, Google Scholar
  • Penza , K. M., Heim, C., & Nemeroff, C. B. (2003). Neurobiological effects of childhood abuse: Implications for the pathophysiology of depression and anxiety. Archives of Women's Mental Health, 6, 15–22. Crossref Medline, Google Scholar
  • Pretzer, J. L., & Beck, A. T. (1996). A cognitive theory of personality disorders. In J. F. Clarkin & M. F. Lenzenweger (Eds.), Major theories of Personality Disorders (pp. 36–105), New York: Guilford. Google Scholar
  • Rettew , D. C., Zanarini, M. C., Yen, S., Grilo, C. M., Skodol, A. E., Shea, M. T., McGlashan, T. H., Morey, L. C., Culhane, M. A., & Gunderson, J. G. (2003). Childhood antecedents of avoidant personality disorder: A retrospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1122–1130. Crossref Medline, Google Scholar
  • Ruegg , R., & Frances, A. (1995). New research in personality disorders. Journal of Personality Disorders, 9, 1–48. Link, Google Scholar
  • Shea , M. T., Glass, D. R., Pilkonis, P. A., Watkins, J., & Docherty, J. P. (1987). Frequency and implications of PDs in a sample of depressed inpatients. Journal of Personality Disorders, 1, 27–42. Link, Google Scholar
  • Soloff , P. H., Lynch, K. G., & Kelly, T. M., (2002). Childhood abuse as a risk factor for suicidal behavior in borderline Personality Disorder. Journal of Personality Disorders, 16, 201–214. Link, Google Scholar
  • Torgersen , S., & Alnaes, R. (1992). Differential perception of parental bonding in schizotypal and borderline personality disorder patients. Comprehensive Psychiatry, 33, 34–38. Crossref Medline, Google Scholar
  • Weaver , T. L., & Clum, G. A. (1993). Early family environments and traumatic experiences associated with borderline personality disorder. Journal of Consulting and Clinical Psychology, 61, 1068–1075. Crossref Medline, Google Scholar
  • Williams , L. M. (1994). Recall of childhood trauma: A prospective study of women's memories of child sexual abuse. Journal of Consulting and Clinical Psychology, 6, 1167–1176. Crossref, Google Scholar
  • Yen , S., Shea, M. T., Battle, C. L., Johnson, D. M., Zlotnick, C., Dolan-Sewell, R., Skodol, A., Grilo, C. M., Gunderson, J. G., Sanislow et al. (2002). Traumatic exposure and posttraumatic stress disorder in borderline, schizotypal, avoidant, and obsessive-compulsive personality disorders: Findings from the collaborative longitudinal personality disorders study. Journal of Nervous and Mental Disease, 190, 510–518. Crossref Medline, Google Scholar
  • Zanarini , M. C. (2000). Childhood experiences associated with the development of borderline personality disorder. Psychiatric Clinics of North America, 23, 89–101. Crossref Medline, Google Scholar
  • Zanarini , M. C., Frankenburg, F. R., Reich, D. B., Marino, M. F., Lewis, R. E., Williams, A. A., & Khera, G. S. (2000a). Biparental failure in the childhood experiences of borderline patients. Journal of Personality Disorders, 14, 264–273. Link, Google Scholar
  • Zanarini, M. C., Frankenburg, F. R., Sickel, A. E., & Yong, L. (1996). The Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV). Belmont, MA: McLean Hospital. Google Scholar
  • Zanarini , M. C., Gunderson, J. G., Marino, M. F., Schwartz, E. O., & Frankenburg, F. R. (1989). Childhood experiences of borderline patients. Comprehensive Psychiatry, 30, 18–25. Crossref Medline, Google Scholar
  • Zanarini , M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaeffer, E., Morey, L. C., Grilo, C. M., Shea, M. T., McGlashan, T. H., & Gunderson, J. G. (2000b). The collaborative longitudinal personality disorders study: Reliability of axis I and II diagnoses. Journal of Personality Disorders, 14, 291–299. Link, Google Scholar
  • Zanarini , M. C., Williams, A. A., Lewis, R. E., Reich, R. B., Vera, S. C., Marino, M. F., Levin, A., Yong, L., & Frankenburg, F. R. (1997). Reported pathological childhood experiences associated with the development of BPersonality Disorder. American Journal of Psychiatry, 154, 1101–1106. Crossref Medline, Google Scholar
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