The Specific Role of Childhood Abuse, Parental Bonding, and Family Functioning in Female Adolescents With Borderline Personality Disorder
- 1 April 2016
- journal article
- Published by Guilford Publications in Journal of Personality Disorders
- Vol. 30 (2), 177-192
- https://doi.org/10.1521/pedi_2015_29_186
Abstract
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 they highlight the need for specific strategies for involving the family.Keywords
This publication has 56 references indexed in Scilit:
- Etiological features of borderline personality related characteristics in a birth cohort of 12-year-old childrenDevelopment and Psychopathology, 2012
- A prospective investigation of the development of borderline personality symptomsDevelopment and Psychopathology, 2009
- Screening for Borderline Personality Disorder in Outpatient YouthJournal of Personality Disorders, 2008
- The childhood experience of care and abuse questionnaire (CECA.Q): Validation in a community seriesBritish Journal of Clinical Psychology, 2005
- Perceptions of contradictory communication from parental figures by adults with borderline personality disorder: a preliminary studyComprehensive Psychiatry, 2005
- Early traumatic life events, parental attitudes, family history, and birth risk factors in patients with borderline personality disorder and healthy controlsPsychiatry Research, 2005
- Etiology of Borderline Personality DisorderJournal Of Nervous and Mental Disease, 2005
- Two-Year Stability of Personality Disorder in Older Adolescent OutpatientsJournal of Personality Disorders, 2004
- The impact of mother-child interaction on the development of borderline personality disorderAmerican Journal of Psychiatry, 1993
- A Comparison of Borderline and Schizophrenic Patients for Childhood Life Events and Parent-Child Relationships*The Canadian Journal of Psychiatry, 1990