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The Role of Childhood Trauma in Differences in Affective Instability in Those With Personality Disorders

Published online by Cambridge University Press:  07 November 2014

Marianne Goodman ,
Daniel S. Weiss ,
Harold Koenigsberg ,
Vladimir Kotlyarevsky ,
Antonia S. New ,
Vivian Mitropoulou ,
Jeremy M. Silverman ,
Karen O'Flynn  and
Larry J. Siever
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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.

Type
Original Research
Information
CNS Spectrums , Volume 8 , Issue 10: Personality Disorders , October 2003 , pp. 763 - 770
Copyright
Copyright © Cambridge University Press 2003

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References

REFERENCES

1.Thompson, RA. Emotion regulation: a theme in search of definition. Monogr Soc Res Child Dev. 1994;59:25–52.CrossRefGoogle ScholarPubMed
2.Kernberg, O. Borderline Conditions and Pathological Narcissism. New York, NY: Jason Aronson Inc.; 1975.Google Scholar
3.Emde, R. Levels of meaning for infant emotions: a bio-social view. In Development of Cognition, Affect and Social Relations. Collins, WA, ed. Hillside, NJ: Erlbaum; 1980.Google Scholar
4.Bowlby, J. Attachment and Loss: Separation: Anxiety and Anger. Vol 2. New York, NY: Basic Books; 1973.Google Scholar
5.Bowlby, J. Attachment and Loss: Sadness and Depression. Vol 3. New York, NY: Basic Books; 1980.Google Scholar
6.Bowlby, J. Attachment and Loss: Attachment. 2 ed. Vol 1. New York, NY: Basic Books; 1982.Google Scholar
7.Koenigsberg, H, Harvey, P, Mitropoulou, V, et al.Are the interpersonal and identity disturbances in the borderline personality disorder criteria linked to the traits of affective instability and impulsivity? J Personal Disord. 2001;15:358–370.CrossRefGoogle Scholar
8.McGaugh, JL, Cahill, L. Interaction of neuromodulatory systems in modulating memory storage. Behav Brain Res. 1997;83:31–38.CrossRefGoogle ScholarPubMed
9.Jenkins, JM. Mechanisms in the development of emotional organization. Monogr Soc Res Child Dev. 2002;67:116–127.CrossRefGoogle ScholarPubMed
10.Cowdry, RW, Gardner, DL, KM, O'Leary, Leinbenluft, E, Rubinow, DR. Mood variability: a study of four groups. Am J Psychiatry. 1991:148:1505–1511.Google ScholarPubMed
11.Levine, D, Marziali, E, Hood, J. Emotional processing in borderline personality disorders. J Nerv Ment Dis. 1997;185:240–246.CrossRefGoogle ScholarPubMed
12.Yen, S, Zlotnick, C, Costello, E. Affect regulation in women with borderline personality disorder traits. J Nerv Ment Dis. 2002;190:693–696.CrossRefGoogle ScholarPubMed
13.Koenigsberg, HW, Harvey, PD, Mitropoulou, V, et al.Characterizing affective instability in borderline and other personality disorders. Am J Psychiatry. 2002, 159, 5, 784–788.CrossRefGoogle Scholar
14.Herpertz, SC, Schwenger, UB, Kunert, HJ, et al.Emotional responses in patients with borderline as compared to other personality disorder. J Personal Disord. 2000;14:339–351.CrossRefGoogle Scholar
15.Linehan, MM, Armstrong, HE, Suarez, A, et al.Cognitive behavioral treatment of chronically parasuicidal borderline patients. Arch Gen Psychiatry. 1991;48:1060–1064.CrossRefGoogle ScholarPubMed
16.Linehan, MM, Koerner, K. A behavioral theory of borderline personality disorder. In: Paris, J, ed. Borderline Personality Disorder and Treatment Washington, DC: American Psychiatric Press; 1993;103–121.Google Scholar
17.Siever, L, Davis, K. A psychological perspective on the personality disorders. Am J Psychiatry. 1991:148:1647–1658Google ScholarPubMed
18.Davidson, RJ, Jackson, DC, Kalin, NH. Emotion, plasticity, context, and regulation: perspectives from neuroscience. Psychol Bull. 2000;126:890–909.CrossRefGoogle ScholarPubMed
19.Davidson, RJ. Affective style, psychopathology, and resilience: brain mechanisms of plasticity. Am Psychol. 2000;55:1196–1214.CrossRefGoogle ScholarPubMed
20.Davdson, RJ. Anxiety and affective style: role of prefrontal cortex and amygdala. Biol Psychiatry. 2002;51:68–80.CrossRefGoogle Scholar
21.Sapolsky, RM. Stress, glucocorticoids, and damage to the nervous system: the rentstate of confusion. Stress. 1996;1:1–19.CrossRefGoogle Scholar
22.Francis, DD, Meaney, MJ. Maternal care and the development of stress responses. Curr Opin Neurobiol. 1999;9:128–134.CrossRefGoogle ScholarPubMed
23.Herman, JL, Perry, JC, van der Kolk, BA. Childhood trauma in borderline personality disorder. Am J Psychiatry. 1989:146:490–495.Google ScholarPubMed
24.Ogata, SN, Silk, KR, Goodrich, S, Lohr, NE, Westen, D, Hill, EM. Childhood sexual and physical abuse in adult patients with borderline personality disorder. Am J Psychiatry. 1990;146:1498–1499.Google Scholar
25.Links, PS, van Reekum, R. Childhood sexual abuse, parental impairment, and the development of borderline personality disorder in the families of borderline patients. Can J Psychiatry. 1993;38:472–474.CrossRefGoogle Scholar
26.Paris, J, Zweig-Frank, H, Guzder, J. Psychological risk factors for borderline personality disorder in female patients. Compr Psychiatry. 1994;35:301–305.CrossRefGoogle ScholarPubMed
27.Paris, J, Zweig-Frank, H, Guzder, J. Risk factors for borderline personality in male outpatients. J Nerv Ment Dis. 1994;182:375–380.CrossRefGoogle ScholarPubMed
28.Zanarini, M, Frankenburg, F. Pathways to the development of borderline personality disorder. J Personal Disord. 1997;11:93–104.CrossRefGoogle Scholar
29.van der Kolk, BA, Fisler, RE. Childhood abuse and neglect and loss of self-regulation. Bull Menninger Clin. 1994;58:145–168.Google ScholarPubMed
30.Dubo, ED, Zanarini, MC, Lewis, RE, Williams, AA. Childhood antecedents of self-destructiveness in borderline personality disorder. Can J Psychiatry. 1997;42:63–69.CrossRefGoogle ScholarPubMed
31.Zanarini, MC. Childhood experiences associated with the development of borderline personality disorder. Psychiatr Clin North Am. 2000;23:89–101.CrossRefGoogle ScholarPubMed
32.van der Kolk, BA, Perry, J, Herman, J. Childhood origins of self-destructive behavior. Am J Psychiatry. 1991;148:1655–1671.Google ScholarPubMed
33.Zanarini, M, Yong, L, Frankenburg, F, et al.Severity of reported childhood sexual abuse and its relationship to severing of borderline psychopathology and psychosocial impairment among borderline inpatients. J Nerv Ment Dis. 2002;190:381–387.CrossRefGoogle ScholarPubMed
34.Fossati, A, Madeddu, F, Maffei, C. Borderline personality disorder and sexual abuse: a meta-analytic study. J Personal Disord. 1999;13:268–280.CrossRefGoogle ScholarPubMed
35.McLean, L, Gallop, R. Implications of childhood sexual abuse for adult borderline personality disorder and complex posttraumatic stress disorder. Am J Psychiatry. 2003;160:369–371.CrossRefGoogle ScholarPubMed
36.Goodman, M, Yehuda, R. The relationship between psychological trauma and borderline personality disorder. Psychiatr Ann. 2002;32:337–346.CrossRefGoogle Scholar
37.Brodsky, B, Cloitre, M, Dulit, R. Relationship of dissociation to self-mutilation and childhood abuse in borderline personality disorder. Am J Psychiatry. 1995;152:1788–1792.Google ScholarPubMed
38.Shearer, S. Dissociative phenomena in women with borderline personality disorder. Am J Psychiatry. 1994;151:1324–1328.Google ScholarPubMed
39.Zanarini, M, Ruser, T, Frankenburg, FR, Hennen, J, Gunderson, J. Risk factors associated with the dissociative experiences of borderline patients. J Nerv Ment Dis. 2000:188:26–30.CrossRefGoogle ScholarPubMed
40.Spitzer, R, Endicott, J. Schedule for Affective Disorders and Schizophrenia. New York, NY: New York State Psychiatric Institute; 1978.Google Scholar
41.Pfohl, B, Blum, N, Zimmerman, M. Structured Clinical Interview for DSM-IV. Washington, DC: American Psychiatric Press; 1996.Google Scholar
42.Diagnostic and Statistical Manual of Mental Disorders. 3rd ed rev. Washingtion, DC: American Psychiatric Association; 1987.Google Scholar
43.Bernstein, D, Fink, L. Childhood Trauma Questionnaire: A Retrospective Self-Report. San Antonio, Tex: Psychological Corp.; 1998.Google Scholar
44.Ford, J. Psychometric review of Childhood Trauma Questionnaire. In: Stramm, B, ed. Measurement of Stress, Trauma, and Adaptation. Lutherville, Md: Sidran Press; 1996:94–95.Google Scholar
45.Harvey, PD, Greenberg, BR, Serper, MR. The affective lability scales: development, reliability, and validity. J Clin Psychol 1989;145:786–793.3.0.CO;2-P>CrossRefGoogle Scholar
46.Larsen, RJ, Diener, E, Emmons, RA. Affect Intensity and reactions to daily life events. Soc Psychol. 1986;51:803–814.Google Scholar
47.Larsen, RJ. Theory and measurement of affective intensity as an individual difference characteristic. Diss Abstr Int. 1985;6:631–636.Google Scholar
48.Larsen, RJ, Dineer, E. A multitrait-multimethod examination of affect structure: hedonic level and emotional intensity. Personal Individ Dif. 1985;6:631–636.CrossRefGoogle Scholar
49.Silk, KR, Lee, S, Hill, E, Lohr, N. Borderline personality and severity of sexual abuse. Am J Psychiatry. 1995;152:1059–1064.Google ScholarPubMed
50.Paris, J, Zweig-Frank, H. Dissociation in patients with borderline personality disorder. Am J Psychiatry. 1997;154:137–138.Google ScholarPubMed
51.Zweig-Frank, H, Paris, J. Guzder, J. Psychological risk factors for dissociation and self-mutilation in females patients with borderline personality disorder. Can J Psychiatry. 1994;39:259–264.CrossRefGoogle ScholarPubMed
52.Goodman, M, Weiss, D, Mitropoulou, V, et al.The Relationship between pathological dissociation, self-injury, and childhood trauma in patients with personality disorders using taxometric analyses. Trauma and Dissociation. 2003;4:68–88.Google Scholar
53.Siever, LJ, Buchsbaum, M, New, A, et al.d,l- fenfluramine response in impulsive personality disorder assessed with 18F-deoxyglucose positron emission tomography. Neuropsychopharmacology. 1999;20:413–423.CrossRefGoogle Scholar
54. New A, Hazlett, E, Buchsbaum, M, et al.Blunted prefrontal cortical FDG-PET response to m-CPP in impulsive aggression. Arch Gen Psychiatry. 2002;59:621–629.Google Scholar
55.Herpertz, SC, Dietrich, TM, Wenning, B, et al.Evidence of abnormal amygdala functioning in borderline personality disorder: a functional MRI study. Biol Psychiatry. 2001;50:292–298.CrossRefGoogle ScholarPubMed
56.Torgersen, S, Lygren, S, Oien, PA, et al.A twin study of personality disorders. Compr Psychiatry. 2000;41:416–245.CrossRefGoogle ScholarPubMed
57.Coccaro, EF, Bergeman, CS, McClearn, G. Heritability of irritable impulsiveness. A study of twins reared together and apart. Psychiatry Res. 1993;48:229–242.CrossRefGoogle ScholarPubMed
58.Coccoro, EF, Bergeman, CS, Kavoussi, R, Seroczynski. Heritability of aggression and irritability: a twin study of the Buss-Durkee Aggression Scales in adult male subjects. Biol Psychiatry. 1997:41;273–284.CrossRefGoogle Scholar
59.Oconnor, MFoch, T, Sherry, T, Plomin, R. A twin study of specific behavioral problems of socialization as viewed by parents. J Abnorm Child Psychol. 1980,8:189–199.CrossRefGoogle ScholarPubMed
60.Rushton, J, Fulker, D, Neale, M, Nias, D, Eysenck, H. Altruism and aggression: the heritability of individual differences. J Personal Soc Psychol. 1986;50:1192–1198.CrossRefGoogle ScholarPubMed
61.Scarr, S. Genetic factors and activity motivation. Child Dev. 1966;38:663–673.CrossRefGoogle Scholar
62.Tellegen, A, Lykken, D, Bouchard, T, Wilcox, K, Seagal, N, Rich, S. Personality similarity in twins reared apart and together. J Per Soc Psychol. 1988;54:1031–1039.CrossRefGoogle ScholarPubMed
63.Seroczynski, A, Bergeman, C, Coccaro, E. Etiology of the impulsivity/aggression relationship: genes or environment? Psychiatry Res. 1999;19;86:41–57.CrossRefGoogle Scholar
64.Livesley, WJ, Jang, KL, Jackson, DN, Vernon, PA. Genetic and environmental contributions to dimensions of personality disorder. Am J Psychiatry. 1993;150:1826–1831.Google ScholarPubMed
65.Livesley, WJ, Jang, KL, Vernon, PA. Phenotypic and genetic structure of traits delineating personality disorder. Arch Gen Psychiatry. 1998;55:941–948.CrossRefGoogle ScholarPubMed
66.Robins, LN, Regier, DA. Psychiatric Disorders in America. New York, NY: The Free Press; 1991.Google Scholar
67.Bifulco, A, Brown, GW, Lillie, A, Jarvis, J. Memories of childhood neglect and abuse: corrobation in a set of sisters. J Child Psychol Psychiatry. 1997;38:365–374.CrossRefGoogle Scholar
68.Paivio, SC. Stability of retrospective self-reports of child abuse and neglect before and after therapy for child abuse issues. Child Abuse Negl. 2001;25:1053–1068.CrossRefGoogle ScholarPubMed
69.Williams, LM. Recall of childhood trauma: a prospective study of women's memories of child sexual abuse. J Consult Clin Psychol. 1994;62:1167–1176.CrossRefGoogle ScholarPubMed
70.Wardinsky, TD, Vizcrrondo, FE, Cruz, BK. The mistaken diagnosis of child abuse: a three-year USAF Medical Center analysis and literature review. Mil Med. 1995;160:15–20.CrossRefGoogle ScholarPubMed
71.Van Ijzendoorn, M, Schuengel, C. The measurement of dissociation in normal and clinical populations: meta-analytic validation of the dissociative experiences scale (DES). Clin Psychol Rev. 1996;16:365–382.CrossRefGoogle Scholar