Specific Pathways From Adverse Experiences to BPD in Adolescence: A Criteria-Based Approach of Trauma

Autor: Ludovic Gicquel, Alexandra Pham-Scottez, Véronique Delvenne, Sylvie Nezelof, Marion Robin, Jérôme Silva, Bruno Falissard, Mario Speranza, M Douniol, Maurice Corcos
Přispěvatelé: Institut Mutualiste de Montsouris (IMM), GHU Paris Psychiatrie et Neurosciences, Centre Hospitalier Henri Laborit (CHL), Service de chirurgie pédiatrique [CHU Besançon], Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Centre Hospitalier de Versailles André Mignot (CHV)
Rok vydání: 2021
Předmět:
Zdroj: Journal of Personality Disorders
Journal of Personality Disorders, Guilford Press, 2021, 35, pp.94-110. ⟨10.1521/pedi_2021_35_523⟩
ISSN: 0885-579X
DOI: 10.1521/pedi_2021_35_523
Popis: International audience; Within the European Research Network on BPD (EURNET-BPD; n = 85 BPD adolescents, n = 84 healthy controls, aged 13–19), this study explored the combination of three types of adversity—maltreatment, stressful life events (early separation from parents, parental suicide attempt, parental chronic disease) and parental bonding—as predictors of BPD, on a criteria-based approach. Results indicated that cumulative traumatic experiences largely characterize borderline adolescent’s history; and, in the multivariate regression models, all adversity experiences were likely to contribute to BPD symptoms. The role of emotional abuse, parental suicide attempt, and a decrease in paternal level of care were particularly prominent. Moreover, adversities combinations were different for each criterion, suggesting that specific sets of traumatic experiences are leading to BPD. These findings argue for a further criteria-based exploration of trauma in borderline patients, as well as a more accurate and efficient prevention.
Databáze: OpenAIRE