Traumatology

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Free Access - Register Here

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sansone, R. A.
Right arrow Articles by Wiederman, M. W.
Right arrow Search for Related Content
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Traumatology, Vol. 12, No. 4, 314-319 (2006)
DOI: 10.1177/1534765606297822

Domestic Violence and Borderline Personality Symptomatology Among Women in an Inpatient Psychiatric Setting

Randy A. Sansone

Departments of Psychiatry and Internal Medicine, Wright State University School of Medicine, Dayton, Ohio, and Kettering Medical Center, Kettering, Ohio, randy.sansone{at}kmcnetwork.org

Jamie Chu

Department of Psychiatry, Wright State University School of Medicine, Dayton, Ohio, and the Department of Psychiatry, Miami Valley Hospital, Dayton, Ohio

Michael W. Wiederman

Department of Human Relations, Columbia College, Columbia, South Carolina

In a previous study of primary care outpatients, the authors found a significant relationship between a history of domestic violence and borderline personality symptomatology. In the present study, they explore this relationship in a sample of women psychiatric inpatients. They use the Severity of Violence Against Women Scale (SVAWS) to assess a history of domestic violence and two self-report measures, the Self-Harm Inventory (SHI) and the Personality Diagnostic Questionnaire-4 (PDQ-4), to assess borderline personality symptomatology. Both measures of borderline personality symptomatology were highly related to each other (r = .63, p < .001) as well as to the SVAWS (r = .31, p < .001 for the SHI; r = .37, p < .001 for the PDQ-4). Using the recommended diagnostic cutoff scores on the measures for borderline personality symptomatology, 90.2% of those with histories of domestic violence scored in the positive range on either or both measures, compared to 65.1% of nonabused women. The authors discuss the clinical implications of these findings.

Key Words: domestic violence • borderline personality • personality disorders • Self-Harm Inventory • physical abuse • intimate-partner violence

References

  • Abbott, J., Johnson, R., Koziol-McLain, J., & Lowenstein, S. R. (1995). Domestic violence against women: Incidence and prevalence in an emergency department population. Journal of the American Medical Association, 273, 1763-1767.[Abstract]
  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
  • Beitchman, J. H., Zucker, K. J., Hood, J. E., DaCosta, G. A., Akman, D., & Cassavia, E. (1992). A review of the long-term effects of child sexual abuse. Child Abuse & Neglect, 16, 101-118.[CrossRef][Medline] [Order article via Infotrieve]
  • Desai, S., Arias, I., Thompson, M. P., & Basile, K. C. (2002). Childhood victimization and subsequent adult revictimization assessed in a nationally representative sample of women and men. Violence & Victims, 17, 639-653.[CrossRef][Medline] [Order article via Infotrieve]
  • Dubro, A. F., Wetzler, S., & Kahn, M. W. (1988). A comparison of three self-report questionnaires for the diagnosis of DSM-III personality disorders. Journal of Personality Disorders, 2, 256-266.
  • Ernst, A. A., Nick, T. G., Weiss, S. J., Houry, D., & Mills, T. (1997). Domestic violence in an inner-city ED. Annals of Emergency Medicine, 30, 190-197.[CrossRef][Medline] [Order article via Infotrieve]
  • Fairchild, D. G., Fairchild, M. W., & Stoner, S. (1998). Prevalence of adult domestic violence among women seeking routine care in a Native American health care facility. American Journal of Public Health, 88, 1515-1517.[Abstract/Free Full Text]
  • Gladstone, G. L., Parker, G. B., Mitchell, P. B., Malhi, G. S., Wilhelm, K., & Austin, M.-P. (2004). Implications of childhood trauma for depressed women: An analysis of pathways from childhood sexual abuse to deliberate self-harm and revictimization. American Journal of Psychiatry, 161, 1417-1425.[Abstract/Free Full Text]
  • Goodman, M., & Yehuda, R. (2002). The relationship between psychological trauma and borderline personality disorder. Psychiatric Annals, 32, 337-345.
  • Hurt, R. O. (2001). A study of characteristics of adult inpatient psychiatric patients as predictors of readmission: Implications for managed care. Dissertation Abstracts International, Section B, 62, 550.
  • Hyler, S. E. (1994). Personality Diagnostic Questionnaire-4 (PDQ-4). New York: New York State Psychiatric Institute.
  • Hyler, S. E., Lyons, M., Rieder, R. O., Young, L., Williams, J. B. W., & Spitzer, R. L. (1990). The factor structure of self-report DSM-III Axis II symptoms and their relationship to clinicians’ ratings. American Journal of Psychiatry, 147, 751-757.[Abstract/Free Full Text]
  • Johnson, D. M., Shea, M. T., Yen, S., Battle, C. L., Zlotnick, C., Sanislow, C. A., et al. (2003). Gender differences in borderline personality disorder: Findings from the Collaborative Longitudinal Personality Disorders Study. Comprehensive Psychiatry, 44, 284-292.[CrossRef][Medline] [Order article via Infotrieve]
  • Johnson, J. G., & Bornstein, R. F. (1992). Utility of the Personality Diagnostic Questionnaire-Revised in a nonclinical sample. Journal of Personality Disorders, 6, 450-457.
  • Johnson, M., & Elliott, B. A. (1997). Domestic violence among family practice patients in midsized and rural communities. Journal of Family Practice, 44, 391-400.[Medline] [Order article via Infotrieve]
  • Kolb, J. E., & Gunderson, J. G. (1980). Diagnosing borderline personality with a semi-structured interview. Archives of General Psychiatry, 37, 37-41.[Abstract]
  • Krishnan, S. P., Hilbert, J. C., & Pase, M. (2001). An examination of intimate partner violence in rural communities: Results from a hospital emergency department study from southwest United States. Family and Community Health, 24, 1-14.[Medline] [Order article via Infotrieve]
  • Marshall, L. L. (1992). Development of the Severity of Violence Against Women Scale. Journal of Family Violence, 7, 103-121.
  • McLean, L. M., & Gallop, R. (2003). Implications of childhood sexual abuse for adult borderline personality disorder and complex posttraumatic stress disorder. American Journal of Psychiatry, 160, 369-371.[Abstract/Free Full Text]
  • Patrick, J., Links, P., Van Reekum, R., & Mitton, M. J. E. (1995). Using the PDQ-R BPD scale as a brief screening measure in the differential diagnosis of personality disorder. Journal of Personality Disorders, 9, 266-274.
  • Perry, J. D. (1982). The Borderline Personality Disorder Scale, semi-structured version. Cambridge, UK: Author.
  • Richardson, J., Coid, J., Petruckevitch, A., Chung, W. S., Moorey, S., & Feder, G. (2002). Identifying domestic violence: Cross sectional study in primary care. British Medical Journal, 324, 274-274.[Abstract/Free Full Text]
  • Sansone, R. A., Gaither, G. A., & Songer, D. A. (2002). The relationships among childhood abuse, borderline personality and self-harm behavior in psychiatric inpatients. Violence & Victims, 17, 49-56.[CrossRef][Medline] [Order article via Infotrieve]
  • Sansone, R. A., Reddington, A., Sky, K., & Wiederman, M. W. (in press). Borderline personality symptomatology and history of domestic violence among women in an internal medicine setting. Violence and Victims.
  • Sansone, R. A., Wiederman, M. W., & Sansone, L. A. (1998). The Self-Harm Inventory (SHI): Development of a scale for identifying self-destructive behaviors and borderline personality disorder. Journal of Clinical Psychology, 54, 973-983.[CrossRef][Medline] [Order article via Infotrieve]
  • Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1990). User’s guide for the Structured Clinical Interview for DSM-III-R (SCID). Washington, DC: American Psychiatric Press.
  • Watson, C. G., Barnett, M., Nikunen, L., Schultz, C., Randolph-Elgin, T., & Mendez, C. M. (1997). Lifetime prevalences of nine common psychiatric/personality disorders in female domestic abuse survivors. Journal of Nervous and Mental Disease, 185, 645-647.[CrossRef][Medline] [Order article via Infotrieve]
  • Weinbaum, Z., Stratton, T. L., Chavez, G., Motylewski-Link, C., Barrera, N., & Courtney, J. G. (1998). Female victims of intimate partner physical domestic violence (IPP-DV), California 1998. American Journal of Preventive Medicine, 21, 313-319.
  • Zanarini, M. C. (1983). Diagnostic Interview for Personality Disorders. Belmont, MA: Author.
  • Zanarini, M. C., Frankenburg, F. R., Khera, G. S., & Bleichmar, J. (2001). Treatment histories of borderline inpatients. Comprehensive Psychiatry, 42, 144-150.[CrossRef][Medline] [Order article via Infotrieve]
  • Zanarini, M. C., Vujanovic, A. A., Parachini, E. A., Boulanger, J. L., Frankenburg, F. R., & Hennen, J. (2003). A screening measure for BPD: The McLean Screening Instrument Borderline Personality Disorder (MSI-BPD). Journal of Personality Disorders, 17, 568-573.[CrossRef][Medline] [Order article via Infotrieve]
  • Zanarini, M. C., Yong, L., Frankenburg, F. R., Hennen, J., Reich, D. B., Marino, M. F., et al. (2002). Severity of reported childhood sexual abuse and its relationship to severity of borderline psychopathology and psychosocial impairment among borderline inpatients. Journal of Nervous and Mental Disease, 190, 381-387.[CrossRef][Medline] [Order article via Infotrieve]
  • Zlotnick, C., Johnson, D. M., Yen, S., Battle, C. L., Sanislow, C. A., Skodol, A. E., et al. (2003). Clinical features and impairment in women with borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD), BPD without PTSD, and other personality disorders with PTSD. Journal of Nervous and Mental Disease, 191, 706-713.[Medline] [Order article via Infotrieve]

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sansone, R. A.
Right arrow Articles by Wiederman, M. W.
Right arrow Search for Related Content
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?