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      Childhood adversity and borderline personality disorder: a meta‐analysis

      1 , 2 , 3 , 1 , 1 , 1 , 1 , 4
      Acta Psychiatrica Scandinavica
      Wiley

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          Abstract

          The aim of this meta-analysis was to better understand the magnitude and consistency of the association between childhood adversity and borderline personality disorder (BPD) across case-control, epidemiological and prospective cohort studies.

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          Childhood maltreatment and characteristics of adult depression: meta-analysis.

          Childhood maltreatment has been discussed as a risk factor for the development and maintenance of depression.
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            Is Open Access

            Adverse Childhood Experiences and the Consequences on Neurobiological, Psychosocial, and Somatic Conditions Across the Lifespan

            Introduction: Adverse childhood experiences (ACE) such as sexual and physical abuse or neglect are frequent in childhood and constitute a massive stressor with long-lasting adverse effects on the brain, mental and physical health.The aim of this qualitative review is to present a concise overview of the present literature on the impact of ACE on neurobiology, mental and somatic health in later adulthood. Methods: The authors reviewed the existing literature on the impact of ACE on neurobiology, mental and somatic health in later adulthood and summarized the results for a concise qualitative overview. Results: In adulthood, the history of ACE can result in complex clinical profiles with several co-occurring mental and somatic disorders such as posttraumatic stress disorder, depression, borderline personality disorder, obesity and diabetes. Although a general stress effect in the development of the disorders and neural alterations can be assumed, the role of type and timing of ACE is of particular interest in terms of prevention and treatment of ACE-related mental and somatic conditions. It has been suggested that during certain vulnerable developmental phases the risk for subsequent ACE-related disorders is increased. Moreover, emerging evidence points to sensitive periods and specificity of ACE-subtypes in the development of neurobiological alterations, e.g., volumetric and functional changes in the amygdala and hippocampus. Conclusion: Longitudinal studies are needed to investigate complex ACE-related characteristics and mechanisms relevant for mental and somatic disorders by integrating state of the art knowledge and methods. By identifying and validating psychosocial and somatic risk factors and diagnostic markers one might improve the development of innovative somatic and psychological treatment options for individuals suffering from ACE-related disorders.
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              Childhood trauma in borderline personality disorder.

              Subjects with borderline personality disorder (N = 21) or borderline traits (N = 11) and nonborderline subjects with closely related diagnoses (N = 23) were interviewed in depth regarding experiences of major childhood trauma. Significantly more borderline subjects (81%) gave histories of such trauma, including physical abuse (71%), sexual abuse (68%), and witnessing serious domestic violence (62%); abuse histories were less common in those with borderline traits and least common in the subjects with no borderline diagnosis. These results demonstrate a strong association between a diagnosis of borderline personality disorder and a history of abuse in childhood.
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                Author and article information

                Journal
                Acta Psychiatrica Scandinavica
                Acta Psychiatr Scand
                Wiley
                0001-690X
                1600-0447
                November 18 2019
                November 18 2019
                Affiliations
                [1 ]Division of Psychology and Mental Health Faculty of Biology, Medicine and Health The University of Manchester Manchester UK
                [2 ]Spectrum Centre for Mental Health Research Division of Health Research Lancaster University Lancaster UK
                [3 ]Lancashire Care NHS Foundation Trust Lancashire UK
                [4 ]Complex Trauma and Resilience Research Unit Greater Manchester Mental Health NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK
                Article
                10.1111/acps.13118
                31630389
                794f44a5-b6d4-4ae8-a95b-c37579e40fee
                © 2019

                http://onlinelibrary.wiley.com/termsAndConditions#vor

                http://doi.wiley.com/10.1002/tdm_license_1.1

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