Personality Pathology Among Adults with History of Childhood Sexual Abuse: Study of the Relevance of DSM-5 Proposed Traits and Psychobiological Features of Temperament and Character

Overview

Journal Indian J Psychol Med

Publisher Sage Publications

Specialty Psychiatry

Date 2021 Aug 11

PMID 34376889

Citations 5

Authors

Azad Hemmati

Giles Newton-Howes

Shafea Falahi

Sattar Mostafavi

Calvin A Colarusso

Saeid Komasi

Affiliations

Soon will be listed here.

Abstract

Background: The main aim of this study was to determine whether childhood sexual abuse (CSA) is reflected in the pathological traits of the alternative model of personality disorders (AMPD) in section-III of DSM-5 and Cloninger's temperament and character profiles.

Methods: The Persian versions of Personality Inventory for DSM-5 (PID-5), Temperament and Character Inventory (TCI-125), and Structured Clinical Inventory for DSM-IV-TR-Axis II-Screening Questionnaire (SCID-II-SQ) were administered to 43 Iranian college students who reported a history of CSA and 390 participants who did not. Bivariate Pearson correlations and general linear model repeated measures (GLMRM) were used to compare results.

Results: Bivariate correlations indicated that both the PID-5 and TCI-125 were significantly associated with their relevant personality disorders. Profile analysis showed that the pathological trait domains of the PID-5, except for negative affectivity, were significantly greater in those with an experience of CSA. Of the seven dimensions of TCI-125, novelty seeking and persistence were higher in those with an experience of CSA, but reward dependence, self-directedness, and cooperativeness were lower.

Conclusions: These results confirmed a correlation between CSA and personality dysfunction. The pattern of dysfunction was complex and somewhat different from the two facet measures used.

Citing Articles

Research on the Alternative Model for Personality Disorders (AMPD) in Iran: A Narrative Literature Review.

Komasi S, Sellbom M, Hopwood C Indian J Psychol Med. 2024; :02537176241281888.

PMID: 39564300 PMC: 11572366. DOI: 10.1177/02537176241281888.

Sexual Dysfunctions and Problematic Sexuality in Personality Disorders and Pathological Personality Traits: A Systematic Review.

Ciocca G, Di Stefano R, Collazzoni A, Jannini T, Di Lorenzo G, Jannini E Curr Psychiatry Rep. 2023; 25(3):93-103.

PMID: 36738436 PMC: 9968244. DOI: 10.1007/s11920-023-01409-9.

Maladaptive personality traits may link childhood trauma history to current internalizing symptoms.

Bach B, Bo S, Simonsen E Scand J Psychol. 2022; 63(5):468-475.

PMID: 35606936 PMC: 9790355. DOI: 10.1111/sjop.12830.

Comprehensive meta-analysis of associations between temperament and character traits in Cloninger's psychobiological theory and mental disorders.

Komasi S, Rezaei F, Hemmati A, Rahmani K, Amianto F, Miettunen J J Int Med Res. 2022; 50(1):3000605211070766.

PMID: 34994240 PMC: 8743952. DOI: 10.1177/03000605211070766.

Childhood Traumatic Experiences and Dimensional Models of Personality Disorder in DSM-5 and ICD-11: Opportunities and Challenges.

Back S, Flechsenhar A, Bertsch K, Zettl M Curr Psychiatry Rep. 2021; 23(9):60.

PMID: 34279729 PMC: 8289775. DOI: 10.1007/s11920-021-01265-5.

References

Hopwood C, Thomas K, Markon K, Wright A, Krueger R . DSM-5 personality traits and DSM-IV personality disorders. J Abnorm Psychol. 2012; 121(2):424-32. PMC: 3909514. DOI: 10.1037/a0026656. View

Amini M, Pourshahbaz A, Mohammadkhani P, Ardakani M, Lotfi M, Ramezani M . The relationship between five-factor model and diagnostic and statistical manual of mental disorder-fifth edition personality traits on patients with antisocial personality disorder. J Res Med Sci. 2015; 20(5):470-6. PMC: 4590202. DOI: 10.4103/1735-1995.163970. View

Wilson R, Krueger K, Arnold S, Barnes L, Mendes de Leon C, Bienias J . Childhood adversity and psychosocial adjustment in old age. Am J Geriatr Psychiatry. 2006; 14(4):307-15. PMC: 2740729. DOI: 10.1097/01.JGP.0000196637.95869.d9. View

Lobbestael J, Arntz A, Bernstein D . Disentangling the relationship between different types of childhood maltreatment and personality disorders. J Pers Disord. 2010; 24(3):285-95. DOI: 10.1521/pedi.2010.24.3.285. View

Neppl T, Donnellan M, Scaramella L, Widaman K, Spilman S, Ontai L . Differential stability of temperament and personality from toddlerhood to middle childhood. J Res Pers. 2010; 44(3):386-396. PMC: 2902199. DOI: 10.1016/j.jrp.2010.04.004. View

Spinhoven P, Elzinga B, van Hemert A, de Rooij M, Penninx B . Childhood maltreatment, maladaptive personality types and level and course of psychological distress: A six-year longitudinal study. J Affect Disord. 2015; 191:100-8. DOI: 10.1016/j.jad.2015.11.036. View

Rademaker A, Vermetten E, Geuze E, Muilwijk A, Kleber R . Self-reported early trauma as a predictor of adult personality: a study in a military sample. J Clin Psychol. 2008; 64(7):863-75. DOI: 10.1002/jclp.20495. View

Tackett J, Balsis S, Oltmanns T, Krueger R . A unifying perspective on personality pathology across the life span: developmental considerations for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Dev Psychopathol. 2009; 21(3):687-713. PMC: 2864523. DOI: 10.1017/S095457940900039X. View

Lee M, Song R . Childhood abuse, personality traits, and depressive symptoms in adulthood. Child Abuse Negl. 2017; 65:194-203. DOI: 10.1016/j.chiabu.2017.02.009. View

10.

Allen B, Lauterbach D . Personality characteristics of adult survivors of childhood trauma. J Trauma Stress. 2007; 20(4):587-95. DOI: 10.1002/jts.20195. View

11.

van der Kolk B, Fisler R . Childhood abuse and neglect and loss of self-regulation. Bull Menninger Clin. 1994; 58(2):145-68. View

12.

de Carvalho H, Pereira R, Frozi J, Bisol L, Ottoni G, Lara D . Childhood trauma is associated with maladaptive personality traits. Child Abuse Negl. 2014; 44:18-25. DOI: 10.1016/j.chiabu.2014.10.013. View

13.

Boillat C, Schwab N, Stutz M, Pflueger M, Graf M, Rosburg T . Neuroticism as a risk factor for child abuse in victims of childhood sexual abuse. Child Abuse Negl. 2017; 68:44-54. DOI: 10.1016/j.chiabu.2017.03.018. View

14.

Anderson J, Snider S, Sellbom M, Krueger R, Hopwood C . A comparison of the DSM-5 Section II and Section III personality disorder structures. Psychiatry Res. 2014; 216(3):363-72. DOI: 10.1016/j.psychres.2014.01.007. View

15.

Clark L . Temperament as a unifying basis for personality and psychopathology. J Abnorm Psychol. 2005; 114(4):505-21. DOI: 10.1037/0021-843X.114.4.505. View

16.

Waxman R, Fenton M, Skodol A, Grant B, Hasin D . Childhood maltreatment and personality disorders in the USA: specificity of effects and the impact of gender. Personal Ment Health. 2014; 8(1):30-41. PMC: 3927226. DOI: 10.1002/pmh.1239. View

17.

Bierer L, Yehuda R, Schmeidler J, Mitropoulou V, New A, Silverman J . Abuse and neglect in childhood: relationship to personality disorder diagnoses. CNS Spectr. 2004; 8(10):737-54. DOI: 10.1017/s1092852900019118. View

18.

Li X, Wang Z, Hou Y, Wang Y, Liu J, Wang C . Effects of childhood trauma on personality in a sample of Chinese adolescents. Child Abuse Negl. 2013; 38(4):788-96. DOI: 10.1016/j.chiabu.2013.09.002. View

19.

Sujan A, Humphreys K, Ray L, Lee S . Differential association of child abuse with self-reported versus laboratory-based impulsivity and risk-taking in young adulthood. Child Maltreat. 2014; 19(3-4):145-55. DOI: 10.1177/1077559514543827. View

20.

Bennett D . How can I deal with missing data in my study?. Aust N Z J Public Health. 2001; 25(5):464-9. View