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

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

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