Using a sibling design to compare childhood adversities in female patients with BPD and their sisters

Child Maltreat. 2012 Nov;17(4):318-29. doi: 10.1177/1077559512461173. Epub 2012 Oct 16.

Abstract

Abuse and neglect are well-established risk correlates of borderline personality disorder (BPD). The goal of this study was to examine whether BPD probands can be differentiated from their sisters with respect to a range of developmental adversity and maltreatment indicators, including retrospective self-reports of past experiences of childhood abuse and neglect, dysfunctional parent-child relationships and peer victimization and dysfunctional peer relationships. A total of 53 patients with BPD were compared to 53 sisters who were currently free of psychopathology on measures assessing childhood adversities. Both probands and sisters reported similar prevalence of intrafamilial abuse, although BPD patients reported more severe physical and emotional abuse. BPD patients reported higher prevalence of physical abuse by peers. These findings generally support the principle of multifinality, in which similar histories of adversities can be associated with a variety of outcomes, ranging from psychopathology to resilience.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health
  • Borderline Personality Disorder / epidemiology
  • Borderline Personality Disorder / psychology*
  • Child
  • Child Abuse / psychology*
  • Child Abuse / statistics & numerical data
  • Comorbidity
  • Emotions
  • Female
  • Humans
  • Interpersonal Relations
  • Parent-Child Relations*
  • Personality Inventory / statistics & numerical data
  • Personality*
  • Psychosocial Deprivation
  • Quebec
  • Risk Factors
  • Severity of Illness Index*
  • Siblings / psychology*
  • Young Adult