Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study

IntroductionThis study investigates age-related differences in Borderline Personality Disorder (BPD) traits and childhood maltreatment (CM) experiences among adolescents, young adults, and older adults within a clinical sample.MethodsA cross-sectional design was employed, involving 2029 outpatients...

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Main Authors: GuoRong Li, Yong Lin, Yun Xu, Yong Zhou, YanYan Wei, LiHua Xu, XiaoChen Tang, Zixuan Wang, Qiang Hu, JiJun Wang, HaiSu Wu, ZhengHui Yi, TianHong Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1454328/full
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author GuoRong Li
Yong Lin
Yun Xu
Yong Zhou
YanYan Wei
LiHua Xu
XiaoChen Tang
Zixuan Wang
Qiang Hu
JiJun Wang
HaiSu Wu
ZhengHui Yi
TianHong Zhang
author_facet GuoRong Li
Yong Lin
Yun Xu
Yong Zhou
YanYan Wei
LiHua Xu
XiaoChen Tang
Zixuan Wang
Qiang Hu
JiJun Wang
HaiSu Wu
ZhengHui Yi
TianHong Zhang
author_sort GuoRong Li
collection DOAJ
description IntroductionThis study investigates age-related differences in Borderline Personality Disorder (BPD) traits and childhood maltreatment (CM) experiences among adolescents, young adults, and older adults within a clinical sample.MethodsA cross-sectional design was employed, involving 2029 outpatients aged 15-50 years from the Shanghai Mental Health Center. BPD traits were assessed using the Personality Diagnostic Questionnaire 4th Edition Plus (PDQ-4+), and CM experiences were evaluated using the Child Trauma Questionnaire Short Form (CTQ-SF). Participants were categorized into three age groups: adolescents (15-21 years), young adults (22-30 years), and older adults (31-50 years).ResultsAdolescents reported significantly higher frequencies of BPD traits and diagnoses compared to young adults and older adults (p=0.036). Specifically, identity disturbance and impulsivity were more pronounced in adolescents (p<0.001). Additionally, adolescents reported higher levels of emotional (F=15.987, p<0.001) and physical abuse (F=12.942, p=0.002), while older adults reported higher levels of emotional and physical neglect. Logistic regression analysis identified key BPD criteria and CM subtypes that differentiated adolescents from adults.DiscussionThe findings underscore the importance of age-specific interventions in treating BPD and addressing childhood maltreatment. Adolescents exhibit distinct patterns of BPD traits and CM experiences, necessitating tailored therapeutic approaches.
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spelling doaj-art-6f4952f879554c989442e8e5c33ab9812025-01-22T07:14:23ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011610.3389/fpsyt.2025.14543281454328Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional studyGuoRong Li0Yong Lin1Yun Xu2Yong Zhou3YanYan Wei4LiHua Xu5XiaoChen Tang6Zixuan Wang7Qiang Hu8JiJun Wang9HaiSu Wu10ZhengHui Yi11TianHong Zhang12Department of Psychiatry, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaDepartment of Psychiatry, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai, ChinaDepartment of Psychiatry, Kangci Hospital of Jiaxing, Tongxiang, Zhejiang, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai, ChinaDepartment of Clinical Psychology, Shanghai Xinlianxin Psychological Counseling Center, Shanghai, ChinaDepartment of Psychiatry, ZhenJiang Mental Health Center, Zhenjiang, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai, ChinaIntroductionThis study investigates age-related differences in Borderline Personality Disorder (BPD) traits and childhood maltreatment (CM) experiences among adolescents, young adults, and older adults within a clinical sample.MethodsA cross-sectional design was employed, involving 2029 outpatients aged 15-50 years from the Shanghai Mental Health Center. BPD traits were assessed using the Personality Diagnostic Questionnaire 4th Edition Plus (PDQ-4+), and CM experiences were evaluated using the Child Trauma Questionnaire Short Form (CTQ-SF). Participants were categorized into three age groups: adolescents (15-21 years), young adults (22-30 years), and older adults (31-50 years).ResultsAdolescents reported significantly higher frequencies of BPD traits and diagnoses compared to young adults and older adults (p=0.036). Specifically, identity disturbance and impulsivity were more pronounced in adolescents (p<0.001). Additionally, adolescents reported higher levels of emotional (F=15.987, p<0.001) and physical abuse (F=12.942, p=0.002), while older adults reported higher levels of emotional and physical neglect. Logistic regression analysis identified key BPD criteria and CM subtypes that differentiated adolescents from adults.DiscussionThe findings underscore the importance of age-specific interventions in treating BPD and addressing childhood maltreatment. Adolescents exhibit distinct patterns of BPD traits and CM experiences, necessitating tailored therapeutic approaches.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1454328/fullpersonality disorderborderline traitself-reportchildhood abuseemotional abuse
spellingShingle GuoRong Li
Yong Lin
Yun Xu
Yong Zhou
YanYan Wei
LiHua Xu
XiaoChen Tang
Zixuan Wang
Qiang Hu
JiJun Wang
HaiSu Wu
ZhengHui Yi
TianHong Zhang
Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study
Frontiers in Psychiatry
personality disorder
borderline trait
self-report
childhood abuse
emotional abuse
title Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study
title_full Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study
title_fullStr Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study
title_full_unstemmed Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study
title_short Age-related differences in borderline personality disorder traits and childhood maltreatment: a cross-sectional study
title_sort age related differences in borderline personality disorder traits and childhood maltreatment a cross sectional study
topic personality disorder
borderline trait
self-report
childhood abuse
emotional abuse
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1454328/full
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