Childhood malnutrition and maltreatment are linked with personality disorder symptoms in adulthood: Results from a Barbados lifespan cohort

PSYCHIATRY RESEARCH

卷:269

Article

Hock, Rebecca S.^1,2  Bryce, Cyralene P.^2,3  Fischer, Laura⁴  First, Michael B.⁵  Fitzmaurice, Garrett M.^6,7  Costa, Paul T.⁸  Galler, Janina R.^1,2,9 

[1] Massachusetts Gen Hosp, Chester M Pierce, MD Div Global Psychiat, Boston, MA 02114 USA

[2] Harvard Med Sch, Boston, MA USA

[3] Barbados Nutr Study, Bridgetown, Barbados

[4] Childrens Natl Med Ctr, Washington, DC 20010 USA

[5] Columbia Univ, Dept Psychiat, New York, NY USA

[6] McLean Hosp, 115 Mill St, Belmont, MA 02178 USA

[7] Harvard TH Chan Sch Publ Hlth, Dept Biostat, Boston, MA USA

[8] Duke Univ, Sch Med, Behav Med Res Ctr, Dept Psychiat & Behav Sci, Durham, NC USA

[9] Harvard Univ, Ctr Dev Child, Cambridge, MA 02138 USA

关键词: Early adversity;    Early life stress;    Child abuse;    CTQ;    Nutrition;    Caribbean;   

DOI  :  10.1016/j.psychres.2018.05.085

来源: Elsevier

【 摘 要 】

Both childhood malnutrition and maltreatment are associated with mental health problems that can persist into adulthood. Previously we reported that in Barbados, those with a history of infant malnutrition were more likely to report having experienced childhood maltreatment. Few studies, however, address the long-term outcomes of those who have been exposed to both. We assessed the unique and combined associations of a history of early malnutrition and childhood maltreatment with personality pathology in mid-adulthood in participants of the 47-year longitudinal Barbados Nutrition Study. We used the Structured Clinical Interview for DSM-IV-TR Axis II Personality Disorders Personality Questionnaire (SCID-II-PQ) and NEO Personality Inventory-Revised derived Five-Factor Model (NEO PI-R FFM) personality disorder (PD) scores to assess personality pathology, the Childhood Trauma Questionnaire-Short Form (CTQ-SF) to assess childhood maltreatment, and clinical documentation of malnutrition in infancy. We tested the associations of malnutrition and maltreatment with PD scores using linear regression models, unadjusted and adjusted for other childhood adversities. We found increased scores for paranoid, schizoid, avoidant, and dependent PDs among those who had been malnourished and increased scores for paranoid, schizoid, schizotypal, and avoidant PDs among those with higher childhood maltreatment scores. Overall, those exposed to both adversities had even greater PD scores.

【 授权许可】

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