
Am J Psychiatry 1990; 147:1008-1013
Copyright © 1990 by American Psychiatric Association
Childhood sexual and physical abuse in adult patients with borderline personality disorder
SN Ogata, KR Silk, S Goodrich, NE Lohr, D Westen and EM Hill
Department of Psychiatry, University of Michigan, Ann Arbor.
Experiences of abuse and neglect were assessed in 24 adults diagnosed as
having borderline personality disorder according to the Diagnostic
Interview for Borderline Patients and in 18 depressed control subjects
without borderline disorder. Significantly more of the borderline patients
than depressed patients reported childhood sexual abuse, abuse by more than
one person, and both sexual and physical abuse. There were no between-group
differences for rates of neglect or physical abuse without sexual abuse. A
stepwise logistic regression revealed that derealization, diagnostic group,
and chronic dysphoria were the best predictors of childhood sexual abuse in
this group of patients.
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