A history of prolonged childhood sexual abuse is associated with more severe clinical presentation of borderline personality disorder in adolescent female inpatients – A naturalistic study

Turniansky, Hila; Ben-Dor, David H.; Krivoy, Amir; Weizman, Abraham; Shoval, Gal

doi:10.1016/j.chiabu.2019.104222

Cited by 20 publications

(13 citation statements)

References 27 publications

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“…Girls are significantly more prone to any type of the self-harm factors. Another well-established risk factor for self-harm is a history of child abuse (Greening & Stoppelbein, 2002; Hawton et al, 2012; Turniansky et al, 2019). In the current study, history of child abuse correlated with more severe suicidal ideation and higher rate of suicidal attempts.…”

Section: Discussionmentioning

confidence: 99%

The association of non-suicidal self-injurious and suicidal behaviors with religiosity in hospitalized Jewish adolescents

Malkosh-Tshopp

Ratzon

Gizunterman

et al. 2020

Clin Child Psychol Psychiatry

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Religiosity may be a potent protective factor against self-injurious and suicidal behaviors. However, no previous study has addressed this relationship in adolescent psychiatric population. This study aimed to examine the association between religiosity and non-suicidal self-injurious (NSSI) and suicidal behaviors, among hospitalized Jewish adolescents. This is a cross-sectional study of 60 hospitalized Jewish adolescents in two mental health centers. They were evaluated for religiosity, NSSI, and suicidal behaviors. The following religiosity measures were found to be protective against NSSI: a higher degree of adherence to religious practices (extrinsic measure) (beta = −0.083, p = .006), a higher level of belief in religious principles (intrinsic measure) (beta = −0.063, p = .008) and a self-reported higher religious affinity (χ2 = 7.64, p = .022). The severity of suicidal ideation inversely correlated with the extrinsic measure (standardized beta = −0.2, t = −2.5, p = .015) and with self-reported degree of religious affinity (analysis of variance, F = 3.5, p = .035). History of transition in religious affinity was associated with worse suicidal ideation (3.77 ± 1.8 vs. 2.26 ± 1.99, t = −3.25, p = .004) and with suicide attempts (OR = 3.89 (95% CI: 1.08 – 14.03), p = .004); however, these relationships were mediated by history of abuse. This study provides first evidence of a protective effect of some religiosity measures on NSSI and suicidal behaviors in hospitalized Jewish adolescents.

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Section: Discussionmentioning

confidence: 99%

The association of non-suicidal self-injurious and suicidal behaviors with religiosity in hospitalized Jewish adolescents

Malkosh-Tshopp

Ratzon

Gizunterman

et al. 2020

Clin Child Psychol Psychiatry

Self Cite

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“…Emotion dysregulation represents one of the core features of borderline personality disorder (BPD), which includes deficits in the recognition and control of own emotions [1] and which has been empirically and etiologically associated with traumatic childhood experiences [2][3][4][5][6]. Traumatic childhood experiences before the age of 18 comprise different categories such as emotional and physical abuse and neglect, sexual abuse, and a dysfunctional parental home, such as living with family members displaying substance abuse [7,8].…”

Section: Introductionmentioning

confidence: 99%

Body connection mediates the relationship between traumatic childhood experiences and impaired emotion regulation in borderline personality disorder

Schmitz

Bertsch

Löffler

et al. 2021

bord personal disord emot dysregul

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Background Previous studies revealed an association between traumatic childhood experiences and emotional dysregulation in patients with borderline personality disorder (BPD). However, possible mediating pathways are still not fully understood. The aim of the present study was to investigate the potential mediating role of body connection, describing the awareness of the relationship of bodily and mental states, for the association between a history of traumatic childhood experiences and BPD core symptomatology. Methods One-hundred-twelve adult female individuals with BPD and 96 healthy female controls (HC) were included. Impaired emotion regulation, traumatic childhood experiences, and BPD symptomatology were assessed with self-report questionnaires. The Scale of Body Connection was used to assess two dimensions of body connection, that is body awareness, describing attendance to bodily information in daily life and noticing bodily responses to emotions and/or environment and body dissociation, describing a sense of separation from one’s own body, due to avoidance or emotional disconnection. Mann-Whitney U tests were employed to test for group differences (BPD vs. HC) on the two SBC subscales and associations with clinical symptoms were analyzed with Spearman correlations. We performed mediation analyses in the BPD group to test the assumption that body connection could act as a mediator between a history of traumatic childhood experiences and emotion dysregulation. Results Individuals with BPD reported significantly lower levels of body awareness and significantly higher levels of body dissociation compared to HC. Body dissociation, traumatic childhood experiences, and emotion dysregulation were significantly positively associated. Further analyses revealed that body dissociation, but not body awareness, significantly and fully mediated the positive relationship between traumatic childhood experiences and impaired emotion regulation in the BPD sample. This mediation survived when trait dissociation, i.e., general dissociative experiences not necessarily related to the body, was statistically controlled for. Conclusion Certain dimensions of body connection seem to be disturbed in BPD patients, with body dissociation being an important feature linking a history of traumatic childhood experiences to current deficits in emotion regulation.

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“… Riala et al, (2011) [ 59 ] Finland 171 adolescent inpatients with conduct disorder admitted to a psychiatric unit in Finland 171 Female: 15.5 (1.29 sd); Male: 15.3 (1.44 sd) 42.1% females (n = 72), 57.9% males (n = 99) Acute psychiatric hospitalization in a closed ward Not reported All conduct disorder 100% (n = 171) Not reported Cross-sectional (Cohort) Tobacco Use, Substance Use High levels of tobacco use which was associated with conduct disorder symptoms. Turniansky et al, (2019) [ 60 ] Israel 78 adolescent female inpatients with borderline personality disorder admitted to an adolescent inpatient unit 78 15.1 (1.7 sd) 100% female (n = 78) Adolescent inpatient unit for treatment of psychiatric disorders in youth 114.5 days current (198 cumulative) All BPD 100% (n = 78) Not reported Cross-sectional (Retrospective Cohort) Tobacco Use, Alcohol Use More than half used tobacco and alcohol. Upadhyaya et al, (2003) [ 61 ] USA 120 young people admitted to a child and adolescent inpatient psychiatric unit 120 13.7 (2.46 sd) 46.7% female (n = 56), 53.3% (n = 64) Child and adolescent inpatient psychiatric unit Not reported MDD 41.7% (n = 50), conduct disorder 7.5% (n = 9), PTSD 9.2% (n = 11), BP 9.2% (n = 11), ODD 37.5% (n = 45), 30% (n = 36) Not reported Cross-sectional (Cohort) Tobacco Use High rates of tobacco use in adolescent inpatients.…”

Section: Resultsmentioning

confidence: 99%

The clinical and behavioral cardiometabolic risk of children and young people on mental health inpatient units: A systematic review and meta-analysis

Carney

Firth

Pedley

et al. 2021

General Hospital Psychiatry

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Objective Serious mental illness is associated with physical health comorbidities, however most research has focused on adults. We aimed to synthesise existing literature on clinical and behavioral cardiometabolic risk factors of young people on mental health inpatient units. Methods A systematic review and meta-analysis was conducted, using electronic searches of PsycINFO, EMBASE, AMED, Cochrane Central Register of Controlled Trials, and Ovid MEDLINE. Eligible studies included child/adolescent mental health inpatient units for <25 years, reporting clinical/behavioral cardiometabolic risk factors. Studies containing adult samples, case-studies, or eating disorder populations were excluded. The main clinical outcome was weight, and main behavioral outcome was tobacco use. Results Thirty-nine studies were identified (n = 809,185). Pooled prevalence rates of young people who were overweight (BMI > 25) was 32.4% (95% CI 26.1%–39.5%; n = 2789), and who were obese (BMI > 30) was 15.5% (95% CI 4.5%–41.6%; n = 2612). Pooled prevalence rates for tobacco use was 51.5% (95% CI 32.2–70.2; N = 804,018). Early signs of metabolic risk were observed; elevated blood cholesterol, presence of physical health conditions, and behavioral risk factors (e.g. physical inactivity). Conclusions This review highlights the vulnerability of young people admitted to inpatient units and emphasises the opportunity to efficiently monitor, treat and intervene to target physical and mental health.

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A history of prolonged childhood sexual abuse is associated with more severe clinical presentation of borderline personality disorder in adolescent female inpatients – A naturalistic study

Cited by 20 publications

References 27 publications

The association of non-suicidal self-injurious and suicidal behaviors with religiosity in hospitalized Jewish adolescents

The association of non-suicidal self-injurious and suicidal behaviors with religiosity in hospitalized Jewish adolescents

Body connection mediates the relationship between traumatic childhood experiences and impaired emotion regulation in borderline personality disorder

The clinical and behavioral cardiometabolic risk of children and young people on mental health inpatient units: A systematic review and meta-analysis

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