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Childhood Family Structure and Personality Disorders in Adulthood

Published online by Cambridge University Press:  06 March 2008

L. Kantojärvi ,
M. Joukamaa ,
J. Miettunen ,
K. Läksy ,
A. Herva ,
J.T. Karvonen ,
A. Taanila  and
J. Veijola
L. Kantojärvi*
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
M. Joukamaa
Affiliation:
Department of Social Psychiatry, School of Public Health, University of Tampere, Finland Department of Psychiatry, Tampere University Hospital, Tampere, Finland
J. Miettunen
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
K. Läksy
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
A. Herva
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
J.T. Karvonen
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
A. Taanila
Affiliation:
Department of Public Health Science and General Practice, University of Oulu, Finland
J. Veijola
Affiliation:
Department of Psychiatry, University of Oulu, Finland
*
∗Corresponding author. Tel.: +358 8 3154050; fax: +358 8 336168. E-mail address: liisa.kantojarvi@oulu.fi (L. Kantojärvi).
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Abstract

Background.

The association between childhood family structure and sociodemographic characteristics and personality disorders (PDs) in a general population sample was studied.

Methods.

This study is a substudy of the prospective Northern Finland 1966 Birth Cohort Project with 1588 young adult subjects. The case-finding methods according to the DSM-III-R criteria for PDs were: (1) Structured Clinical Interview for DSM-III-R (SCID) for 321 cases who participated in a 2-phase field study, (2) Finnish Hospital Discharge Register data, and (3) analysis of the patient records in public outpatient care in 1982–1997. Statistical analyses were performed on the association between PDs and family background factors.

Results.

Altogether 110 (7.0%) of the subjects had at least one probable or definite PD. After adjusting for confounders (gender, parental social class and parental psychiatric disorder) the results indicated that single-parent family type in childhood was associated with cluster B PDs in adulthood. Being an only child in childhood was associated with cluster A PDs. No special childhood risk factors were found for cluster C PDs.

Conclusions.

Results suggest that single-parent family type at birth and being an only child in the 1960s are associated with PD in adulthood. Further studies are needed to explore the psychosocial aspects of family environment which may nowadays promote vulnerability to PDs in adulthood.

Keywords

Personality disorderCohort studyFamilySingle mothersDivorce
Type
Original article
Information
European Psychiatry , Volume 23 , Issue 3 , April 2008 , pp. 205 - 211
Copyright
Copyright © European Psychiatric Association 2008

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References

Amato, P.R.Life-span adjustment of children to their parents' divorce. Future Child 1994;4:143–164.CrossRefGoogle ScholarPubMed
Amato, P.R.Children of divorce in the 1990s: an update of the Amato and Keith (1991) meta-analysis. J Am Psychol 2001;15:355–370.Google ScholarPubMed
Amato, P.R.The impact of family formation change on the cognitive, social, and emotional well-being of the next generation. Future Child 2005;15:75–96.CrossRefGoogle ScholarPubMed
Amato, P.R., Keith, B.Parental divorce and the well-being of children: a meta-analysis. Psychol Bull 1991;110:26–46.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed.Washington, DC: APA; 1987. 1987 revised (DSM-III-R).Google Scholar
Bernstein, D.P., Cohen, P., Skodol, A., Bezirganian, S., Brook, J.S.Childhood antecedents of personality disorders. Am J Psychiatry 1996;153:907–913.Google ScholarPubMed
Bor, W., McGee, T.R., Fagan, A.A.Early risk factors for adolescent antisocial behaviour: an Australian longitudinal study. Aust N Z J Psychiatry 2004;38:365–372.CrossRefGoogle Scholar
Cohen, P., Crawford, T.N., Johnson, J.G., Kasen, S.The children in the community study of developmental course of personality disorder. J Personal Disord 2005;19:466–486.CrossRefGoogle ScholarPubMed
Christ, M.A., Lahey, B.B., Frick, P.J., Russo, M.F., McBurnett, K., Loeber, R.et al.Serious conduct problems in the children of adolescent mothers: disentangling confounded correlations. J Consult Clin Psychol 1990;58:840–844.CrossRefGoogle ScholarPubMed
Coid, J.Aetiological risk factors for personality disorders. Br J Psychiatry 1999;174:530–538.CrossRefGoogle ScholarPubMed
Coid, J., Yan, M., Tyrer, P., Roberts, A., Ullrich, S.Prevalence and correlates of personality disorder in Great Britain. Br J Psychiatry 2006;188:423–431.CrossRefGoogle ScholarPubMed
Derogatis, L.R., Lipman, R.S., Covi, L.SCL-90: an outpatient psychiatric rating scale – preliminary report. Psychopharmacol Bull 1973;9:13–27.Google ScholarPubMed
Dunn, J., Deates-Deckard, K., Pickering, K., O'Connor, T.G., Golding, J., the ALSPAC Study Team Children's adjustment and prosocial behaviour in step-, single-parent, and non-stepfamily settings: findings from a community study. J Child Psychol Psychiatry 1998;39:1083–1095.CrossRefGoogle Scholar
Dunn, G., Pickles, A., Tansella, M., Vázquez-Barquero, J.L.Two-phase epidemiological surveys in psychiatric research. Br J Psychiatry 1999;174:95–100.CrossRefGoogle ScholarPubMed
Farrington, D.P.Psychosocial predictors of adult antisocial personality and adult convictions. Behav Sci Law 2000;18:605–622.3.0.CO;2-0>CrossRefGoogle ScholarPubMed
Goldstein, R.B., Grant, B.F., Huang, B., Smith, S.M., Stinson, F.S., Dawson, D.A.et al.Lack of remorse in antisocial personality disorder: sociodemographic correlates, symptomatic presentation, and comorbidity with Axis I and Axis II disorders in the National Epidemiologic Survey on Alcohol and Related Conditions. Compr Psychiatry 2006;47:289–297.CrossRefGoogle ScholarPubMed
Golomb, M., Fava, M., Abraham, M., Rosenbaum, J.F.Gender differences in personality disorders. Am J Psychiatry 1995;152:579–582.Google ScholarPubMed
Grilo, C.M., Masheb, R.M.Childhood maltreatment and personality disorders in adult patients with binge eating disorder. Acta Psychiatr Scand 2002;106:183–188.CrossRefGoogle ScholarPubMed
Hurtig, T., Taanila, A., Ebeling, H., Miettunen, J., Moilanen, I.Attention and behavioural problems of Finnish adolescents may be related to the family environment. Eur Child Adolesc Psychiatry 2005;14:471–478.CrossRefGoogle ScholarPubMed
Isohanni, M., Mäkikyrö, T., Moring, J., Räsänen, P., Hakko, H., Partanen, U.et al.A comparison of clinical and research DSM-III-R diagnoses of schizophrenia in a Finnish national birth cohort. Clinical and research diagnoses of schizophrenia. Soc Psychiatry Psychiatr Epidemiol 1997;32:303–308.CrossRefGoogle Scholar
Jaffee, S., Caspi, A., Moffit, T.E., Belsky, J., Silva, P.Why are children born to teen mothers at risk for adverse outcomes in young adulthood? Results from a 20-year longitudinal study. Dev Psychopathol 2001;13:377–397.CrossRefGoogle ScholarPubMed
Johnson, J.G., Cohen, P., Skodol, A.E., Oldham, J.M., Kasen, S., Brook, J.S.Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. Arch Gen Psychiatry 1999;56:805–811.CrossRefGoogle ScholarPubMed
Johnson, J.G., Cohen, P., Chen, H., Kasen, S., Brook, J.S.Parenting behaviours associated with risk for offspring personality disorder during adulthood. Arch Gen Psychiatry 2006;63:579–587.CrossRefGoogle ScholarPubMed
Joukamaa, M., Lehtinen, V., Karlsson, H., Rouhe, E.SCL-25 and recognition of mental disorders reported by primary health care physicians. Acta Psychiatr Scand 1994;89:320–323.CrossRefGoogle ScholarPubMed
Järvelin, M.R., Sovio, U., King, V., Lauren, L., Xu, B., McCarthy, M.I.et al.Early life factors and blood pressure at age 31 years in the 1966 northern Finland birth cohort. Hypertension 2004;44:291–297.CrossRefGoogle ScholarPubMed
Karvonen, J.T., Veijola, J., Jokelainen, J., Läksy, K., Järvelin, M.R., Joukamaa, M.Somatization disorder in young adult population. Gen Hosp Psychiatry 2004;26:9–12.CrossRefGoogle ScholarPubMed
Kendler, K.S., Neale, M.C., Kessler, R.C., Heath, A.C., Lindon, J.E.Childhood parental loss and adult psychopathology in women. Arch Gen Psychiatry 1992;49:109–116.CrossRefGoogle ScholarPubMed
Keskimäki, I., Aro, S.The accuracy of data on diagnoses procedures and accidents in the Finnish Hospital Discharge Register. Int J Health Sci 1991;2:15–21.Google Scholar
Kim-Cohen, J., Caspi, A., Rutter, M., Tomás, M.P., Moffit, T.E.The caregiving environments provided to children by depressed mothers with or without an antisocial history. Am J Psychiatry 2006;163:951–953.CrossRefGoogle ScholarPubMed
Kim-Cohen, J., Moffitt, T.E., Taylor, A., Pawlby, S.J., Caspi, A.Maternal depression and children's antisocial behaviour: nature and nurture effects. Arch Gen Psychiatry 2005;62:173–181.CrossRefGoogle ScholarPubMed
Leckman, J.F., Sholomskas, D., Thompson, W.D., Belanger, A., Weissman, M.M.Best estimate of lifetime psychiatric diagnosis: a methodological study. Arch Gen Psychiatry 1982;39:879–883.CrossRefGoogle ScholarPubMed
Livesley, J.The implication of behavioural genetic research for concepts and models of personality. Eur Psychiatry 2002;17(Suppl. 1):85.CrossRefGoogle Scholar
Miller, N., Maruyana, G.Ordinal position and peer popularity. J Pers Soc Psychol 1976;33:123–131.CrossRefGoogle Scholar
Moilanen, I., Rantakallio, P.The single parent family and the child's mental health. Soc Sci Med 1988;27:181–186.CrossRefGoogle ScholarPubMed
Moilanen, K., Veijola, J., Läksy, K., Mäkikyrö, T., Miettunen, J., Kantojärvi, L.et al.Reasons for the diagnostic discordance between clinicians and researchers in schizophrenia in the Northern Finland 1966 Birth Cohort. Soc Psychiatry Psychiatr Epidemiol 2003;38:305–310.CrossRefGoogle ScholarPubMed
Mäki, P., Hakko, H., Joukamaa, M., Läärä, E., Isohanni, M., Veijola, J.Parental separation at birth and criminal behaviour in adulthood – a long-term follow-up of the Finnish Christmas Seal Home children. Soc Psychiatry Psychiatr Epidemiol 2003;38:354–359.CrossRefGoogle ScholarPubMed
Mäkikyrö, T., Sauvola, A., Moring, J., Veijola, J., Nieminen, P., Järvelin, M.-R.et al.Hospital-treated psychiatric disorders in adults with a single-parent and two-parent family background: a 28-year follow-up of the 1966 Northern Finland Birth Cohort. Fam Process 1998;37:335–344.CrossRefGoogle ScholarPubMed
Näyhä, S.Improved survival after acute myocardial infarction in Finland 1974–1985. Int J Epidemiol 1992;21:30–35.CrossRefGoogle ScholarPubMed
Paris, J., Zweig-Frank, H., Gudzder, J.Risk factors for borderline personality in male outpatients. J Nerv Ment Dis 1994;182:375–380.CrossRefGoogle ScholarPubMed
Perth, L., Ferrier, M., Saul, C.Parental loss before the age of 16 years: a comparative study of patients with personality disorder and patients with schizophrenia in a high secure hospital's population. Psychol Psychother 2004;77:403–407.CrossRefGoogle Scholar
Pfiffner, L.J., Mc Burnett, K., Rathouz, P.J.Father absence and familial antisocial characteristics. J Abnorm Child Psychol 2001;29:357–367.CrossRefGoogle ScholarPubMed
Rantakallio, P.Groups at risk in low birth weight infants and perinatal mortality. Acta Paediatr Scand 1969;193:1–71.Google ScholarPubMed
Rantakallio, P.Social background of mothers who smoke during pregnancy and influence of these factors on the offspring. Soc Sci Med 1979;3A 423–429.Google Scholar
Rantakallio, P.A longitudinal study of the Northern Finland population birth cohort of 1966. Paediatr Perinat Epidemiol 1988;2:59–88.CrossRefGoogle ScholarPubMed
Sandager, I., Moum, T., Ingebrigtsen, G., Dahlgard, O.S., Sörensen, T., Bruusgaard, D.Concordance between symptom screening and diagnostic procedure: the Hopkins Symptom Checklist-25 and the Composite International Diagnostic Interview I. Soc Psychiatry Psychiatr Epidemiol 1998;33:345–354.CrossRefGoogle Scholar
Smith, C.A., Farrington, D.P.Continuities in antisocial behavior and parenting across three generations. J Child Psychol Psychiatry 2004;45:230–247.CrossRefGoogle ScholarPubMed
Spitzer, R.L., Williams, J.B.W., Gibbon, M., First, M.B.Structured clinical interview for DSM-III-R personality disorders (SCID-II, 9/1/89 Version). New York: Biometrics Research Department, New York State Psychiatric Institute; 1989.Google Scholar
SPSS Inc. SPSS Base 15.0 User's Guide. Chicago; 2006.Google Scholar
Taanila, A., Laitinen, E., Moilanen, I., Järvelin, M.R.Effects of family interaction on the child's behaviour in single parent or reconstructed families. Fam Process 2002;41:693–708.CrossRefGoogle ScholarPubMed
Tennart, C.Parental loss in childhood. It's effect in adult life. Arch Gen Psychiatry 1988;45:1045–1050.Google Scholar
Veijola, J., Jokelainen, J., Läksy, K., Kantojärvi, L., Kokkonen, P., Järvelin, M.R.et al.The Hopkins Symptom Checklist-25 in screening DSM-III-R axis I disorders. Nord J Psychiatry 2003;57:119–123.CrossRefGoogle ScholarPubMed
Veijola, J., Mäki, P., Joukamaa, M., Järvelin, M.-R., Rantakallio, P., Isohanni, M.offspring of depressed mother. Arch Gen Psychiatry 1998;55:949 [letter to editor]CrossRefGoogle Scholar
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