Am J Psychiatry 1989; 146:490-495
Copyright © 1989 by American Psychiatric Association
Childhood trauma in borderline personality disorder
JL Herman, JC Perry and BA van der Kolk
Department of Psychiatry, Harvard Medical School, Cambridge Hospital, Mass.
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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