Reported pathological childhood experiences associated with the development of borderline personality disorder (original) (raw)

Early family environments and traumatic experiences associated with borderline personality disorder

Journal of Consulting and Clinical Psychology, 1993

Childhood trauma experiences (e.g., sexual abuse, physical abuse, witnessed violence, and early separation experiences) and family environment characteristics were assessed with a questionnaire from a sample of depressed female inpatients; 17 were diagnosed as having borderline personality disorder (BPD), and 19 received no such diagnosis (NBPD). Significantly more BPD individuals than NBPD individuals reported histories of sexual abuse, physical abuse, and witnessed violence. Of these trauma variables, sexual abuse emerged as the only significant predictor of dimensional BPD score, even after physical abuse, subjective depression score, diagnostic differences between groups, and family environment were controlled. Early separation experiences were nonsignificantly different between groups. Although the BPD families were reported to be distinctive for several different family environment characteristics, the control dimension significantly predicted dimensional borderline score even after sexual abuse was controlled. These results suggest that sexual abuse and general family environment need further study for a fuller understanding of BPD symptomatology. We thank Betty Gillespie and Michael Priester for assisting with diagnostic reliability.

Trauma as a Precursor to the Development of Borderline Personality Disorder

Western Undergraduate Psychology Journal, 2019

This paper outlines the relationship between Borderline Personality Disorder (BPD) and the traumatic experiences one may face in their life. In doing so, the paper assesses the relationship between trauma and each of the core characteristics of BPD: disturbed emotion and cognition, behaviour dysregulation, and interpersonal turmoil. The goal of this paper is to present a thorough review of the literature detailing how traumatic experiences such as neglect, assault, and abuse, may act as a trigger, activating a predisposition towards the development of BPD.

Borderline personality disorder: Disorder of trauma or personality, a review of the empirical literature

Canadian Psychology/Psychologie canadienne, 2015

This goal of this review was to explore empirical research examining the question of whether borderline personality disorder (BPD) is a disorder of "personality" or a disorder arising out of experiences of childhood trauma. The review highlighted the complexities in the relationship between childhood disorder (CT) and BPD and identified important implications for research and practice. Although relationships between specific trauma types and outcomes in adulthood are inconsistent, overall associations between CT and the development of BPD are strong and consistently identified. Research exploring the specific mechanisms through which CT may be related to the development of BPD in adulthood is beginning to untangle the complex web of interrelated factors such as heritable personality traits, affect regulation and dissociation, and trauma symptoms as mediators in the relationship between CT and BPD. Our strongest recommendation is for future researchers to further explore transdiagnostic factors such as the self capacity of affect regulation to further disentangle the complex pathways between CT, inherited personality traits, and the development of all forms of traumatogenic psychopathologies in adulthood.

IMPACT OF TRAUMATIC EXPERIENCES IN CHILDHOOD FOR THE DEVELOPMENT OF BORDERLINE PERSONALITY DISORDER: A CASE REPORT

Academia Letters, 2021

According to the DSM-5, a personality disorder "is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment" (APA, 2013). Within this personality disorders, we can find Borderline Personality Disorder (BPD), with an estimated prevalence among general population of 1.6-5.9% and 10% and 20% in outpatient and hospitalized psychiatric patients, respectively (Alberdi-Paramo, Saiz-Gonzalez, Diaz-Marsa, & Carrasco-Perera, 2020). People with borderline personality disorder (BPD) have a marked affect instability, identity pathology, chaotic relationships, and dangerous behaviors, including suicide, having a huge impact on daily life. (Porter et al., 2020). Even though BPD has a severe impact in the population, little is known about the etiology or risk factors that can contribute to this disorder, and the interventions than can be made in an early stage of life. The development of healthy affective bonds and a safe and secure environment during childhood and early adolescence,

The Course of Adult Experiences of Abuse in Patients with Borderline Personality Disorder and Axis II Comparison Subjects: A 10-Year Follow-Up Study

Journal of Personality Disorders, 2012

The first objective of this study was to assess the rates of adult experiences of verbal, emotional, physical, and sexual abuse reported by borderline patients and axis II comparison subjects over ten years of prospective follow-up. The second objective was to determine time-to-cessation, recurrence, and new onset of each type of abuse. The Abuse History Interview was administered to 290 borderline patients and 72 axis II comparison subjects at baseline. The AHI Follow-up Version was administered at five contiguous follow-up waves. Over ten years of follow-up, the rates of all four types of abuse declined significantly for borderline patients. For borderline patients, rates of cessation were high for all types of abuse (>90%). However, recurrences and new onsets of verbal and emotional abuse were relatively common (>60%). Contrastingly, they were relatively uncommon for physical and sexual abuse (<30%), suggesting that verbal and emotional abuse represent more stable forms of abuse.

Borderline personality disorder: patterns of self-harm, reported childhood trauma and clinical outcome

Consecutive admissions of 214 women with borderline personality disorder were investigated for patterns of specific forms of self-harm and reported developmental experiences. Systematic examination of clinical notes found that 75% had previously reported a history of childhood sexual abuse. These women were more likely to self-harm, and in specific ways that may reflect their past experiences. Despite this, treatment within a dialectical behaviour therapy-informed therapeutic community leads to relatively greater clinical gains than for those without a reported sexual abuse trauma history. Notably, greater behavioural and self-reported distress and dissociation were not found to predict poor clinical outcome.

The Specific Role of Childhood Abuse, Parental Bonding, and Family Functioning in Female Adolescents With Borderline Personality Disorder

Journal of personality disorders, 2015

This study examined a broad variety of adverse childhood experiences in a consecutive sample of female adolescent inpatients with borderline personality disorder (BPD; n = 44) compared with a clinical control (CC; n = 47) group with mixed psychiatric diagnoses. BPD was diagnosed using a structured clinical interview; different dimensions of childhood adversity were assessed using the Childhood Experiences of Care and Abuse Questionnaire, the Parental Bonding Instrument, and the Family Assessment Device. A history of childhood adversity was significantly more common in patients with BPD than in the CC group. Using a multivariate model, sexual abuse (OR = 13.8), general family functioning (OR = 8.9), and low maternal care (OR = 7.6) were specific and independent predictors of adolescent BPD. The results increase our knowledge of the specific role of different dimensions of childhood adversity in adolescent BPD. They have important implications for prevention and early intervention as ...

Childhood maltreatment and its link to borderline personality disorder features in children: A systematic review approach

Clinical child psychology and psychiatry, 2017

Borderline personality disorder has repeatedly been associated with a history of maltreatment in childhood; however, research on maltreatment and its link to borderline features in children is limited. The aim of this review is to synthesise the existing data on the association between maltreatment and borderline features in childhood. In total, 10 studies were included in this systematic review. Studies indicated that children with borderline features were more likely to have a history of maltreatment, and that children who had been maltreated were more likely to present with borderline features. Other risk factors such as cognitive and executive functioning deficits, parental dysfunction and genetic vulnerability were also identified across studies. This review adds to the literature by highlighting maltreatment as a risk factor for borderline features in childhood. Longitudinal research is required to establish the link between childhood borderline features and adult borderline f...

Childhood Abuse and Psychological Well-being of Patients with Borderline Personality Disorder

2016

The aim of the present study was to find the relationship between reported childhood abuse history and symptoms of Borderline Personality Disorder. The data was comprised of 60 participants (men=43, women=17) taken from different teaching hospitals of Lahore; Mayo Hospital Lahore, Ganga Ram Hospital Lahore, Punjab Institute of Mental Health and Fountain House. The data was collected with the help of Demographic Questionnaire, Childhood Relation of Abuse Questionnaire (Bifulco & Brown et al., 1994), Wellbeing Affectometer-2 (Kamman & Flett, 1983) and Comprehensive Diagnostic Instrument for Personality Disorder (CDIP) (Dawood & Khan, 2010). Pearson product moment was employed to find the correlation between childhood abuse, Psychological Wellbeing and symptoms of Borderline Personality Disorder. Results showed significant positive relationship between symptoms of Borderline Personality Disorder and history of Childhood Abuse; with Punishment and Father Antipathy. There was a significa...