The role of childhood trauma in differences in affective instability in those with personality disorders

CNS Spectr. 2003 Oct;8(10):763-70. doi: 10.1017/s1092852900019131.

Abstract

Background: This study examined the relationship of self-reported histories of childhood trauma to measures of affective instability in a sample of unmedicated outpatients with various personality disorders (n=174).

Methods: Childhood trauma was measured by the Childhood Trauma Questionnaire. Affective instability comprises at least two dimensions: affective lability, assessed using the Affective Lability Scale, and affective intensity, assessed using the Affective Intensity Measure.

Results: A history of emotional abuse was the only trauma variable that significantly correlated with the affect measures in the total sample (r=.21-.30). More fine-grained analyses revealed that the relationship of emotional abuse and affective instability measures varied as a function of both gender and personality disorder type. In subjects with borderline personality disorder, the correlation for emotional abuse was greatly attenuated for both Affective Lability Scale (r=.10) and Affective Intensity Measure (r=.15) total scores.

Conclusion: This suggests that nontrauma-related factors may be more predominant in affective dyscontrol in individuals with borderline personality disorder.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Child Abuse / psychology*
  • Child Abuse / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mood Disorders / epidemiology*
  • Mood Disorders / etiology*
  • Personality Disorders / epidemiology*
  • Personality Disorders / etiology*
  • Surveys and Questionnaires