On the interplay of borderline personality features, childhood
Por um escritor misterioso
Last updated 29 março 2025

Background Adverse childhood experiences (ACE) have consistently been associated with borderline personality disorder (BPD). Still, it is not yet entirely understood if and how different types of ACE (emotional, physical, sexual abuse, neglect) relate to different BPD subdomains (affective instability, identity disturbance, negative relationships, self-harm). Insecure attachment and lower perceived social support are associated with both ACE and BPD and may therefore contribute to their relationship. No study so far integrated all these variables in one model, while accounting for their mutual influence on each other. We investigated the interplay of BPD subdomains, ACE, attachment, and perceived social support using a graph-theoretical approach. Methods An international sample of 1692 participants completed the Childhood Trauma Questionnaire (CTQ), the Borderline Feature Scale from the Personality Assessment Inventory (PAI-BOR), the Adult Attachment Scale (AAS), and Multidimensional Scale of Perceived Social Support (MSPSS) via an online survey. We estimated a partial correlation network including subscales of the CTQ and the PAI-BOR as nodes. We extended the network by including subscales of the AAS and MSPSS as additional nodes. Results Emotional abuse was the most central node in both networks and a bridge between other types of ACE and BPD features. All domains of BPD except affective instability were associated with emotional abuse. Identity disturbances was the most central node in the BPD network. The association between ACE and BPD features was partly but not fully explained by attachment and social support. Conclusion Our findings suggest that emotional abuse is an important link in the association between ACE and BPD features, also when taking attachment and social support into account. Findings further suggest an outstanding role of identity disturbance, linking emotional abuse to affective instability and being strongly associated with attachment anxiety.

Borderline personality disorder
The Social–Cognitive Basis of BPD: A Theory of Hypermentalizing
Bipolar disorder or borderline personality disorder?

Borderline personality disorder and childhood trauma: exploring the affected biological systems and mechanisms – Psychology Blog

Borderline Personality Disorder: Signs, Symptoms, & Treatments

Borderline personality features in childhood: A short-term longitudinal study, Development and Psychopathology

Cureus, Integrating Psychosocial Risks With Emerging Evidence for Borderline Personality Disorders in Adolescence: An Update for Clinicians

Poor self-control and harsh punishment in childhood prospectively predict borderline personality symptoms in adolescent girls.

Frontiers The Cognitive, Ecological, and Developmental Origins of Self-Disturbance in Borderline Personality Disorder

Parent–child relationship associated with the development of borderline personality disorder: A systematic review - Boucher - 2017 - Personality and Mental Health - Wiley Online Library

Identifying Core Deficits in a Dimensional Model of Borderline Personality Disorder Features: A Network Analysis - Matthew W. Southward, Jennifer S. Cheavens, 2018

Linking experiences of child sexual abuse to adult sexual intimate partner violence: the role of borderline personality features, maladaptive cognitive emotion regulation, and dissociation, Borderline Personality Disorder and Emotion Dysregulation
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