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The Mediator Role of Borderline Personality Features and Separation Anxiety in the Relationship between Childhood Traumas and Exposure to Abuse in Romantic Relationships

Yıl 2023, Cilt: 9 Sayı: 2, 130 - 149, 30.11.2023

Haydeh Faraji Deniz Senem Demir

https://doi.org/10.30613/curesosc.1168755

Öz

The study aims to examine the mediating role of borderline personality pattern and separation anxiety in adults in the relationship between childhood traumas and exposure to abuse in romantic relationships, to emphasize some factors that may cause violence in relationships, and to support initiatives to prevent exposure to partner violence. For the research, 400 participants aged 18-55 residing in Istanbul were determined by a simple random sampling method. After that, a Socio-demographic Information Form, Childhood Traumas Questionnaire (CTQ-33), Romantic Relationship Assessment Inventory (RRAI), Borderline Personality Questionnaire (BPQ), and Adult Separation Anxiety Questionnaire (ASAQ) were given to them. The data obtained from the study were evaluated with the SPSS-25 statistical analysis program. Relationships between scales were evaluated with Pearson Correlation analysis, and mediating roles were evaluated with PROCESS 3.5 Macro. All analyses were based on a 95% confidence interval. When the research findings were examined, A positive correlation was found between the Childhood Traumas Questionnaire and all its subscales, the Borderline Personality Questionnaire and all its subscales, and the Adult Separation Anxiety Questionnaire and the Romantic Relationship Assessment Scale. Research results show that childhood traumas predict exposure to abuse in romantic relationships and that borderline personality traits and adult separation anxiety play a partial mediating role in this relationship. It has also been determined that adult separation anxiety predicts borderline personality traits. As a result of the study, it is shown that in the case of abuse and neglect experiences in childhood, whether individuals are exposed to abuse in romantic relationships or not is related to borderline personality traits and low tolerance for separation. Study results reveal that separation anxiety significantly predicts borderline personality traits (34%), indicating that separation anxiety can be targeted as a key point in the repetitive abuse pattern. Another result of the study is that the increase in separation anxiety in borderline personality traits is associated with low economic levels. The current result reveals the importance of economic independence in exploitation patterns.

Anahtar Kelimeler

Childhood Trauma Violence Abuse Borderline Personality Disorder Separation Anxiety

Kaynakça

  • Ahmadabadi, Z., Najman, J. M., Williams, G. M., & Clavarino, A. M. (2020). Income, gender, and forms of intimate partner violence. Journal of interpersonal violence, 35(23-24), 5500-5525. https://doi.org/10.1177/0886260517719541
  • Alexander, P.C. (2009). Childhood trauma, attachment, and abuse by multiple partners. Psychological Trauma: Theory, Research, Practice, and Policy, 1(1), 78–88. https://doi.org/10.1037/a0015254
  • Astuti, U., Hartono, H., & Sunawan, S. (2020). The ınfluence of parental attachment toward early childhood children's separation anxiety. Journal of Primary Education, 9(5), 501-510.
  • Baron, M. ve Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
  • Bassi, G., Mancinelli, E., Di Riso, D., Lis, A., & Salcuni, S. (2021). Separation anxiety in a community sample of Italian emerging adults and its relationship with dimensions of borderline personality. Research in Psychotherapy: Psychopathology, Process, and Outcome, 24(1), 506. 10.4081/ripppo.2021.506
  • Battle, C. L., Shea, M. T., Johnson, D. M., Yen, S., Zlotnick, C., Zanarini, M. C., Sanislow, C.A., Skodol, A.E., Gunderson, J.G., Grilo, C.M., McGlashan, T.H. & Morey, L. C. (2004). Childhood maltreatment associated with adult personality disorders: Findings from the collaborative longitudinal personality disorders study. Journal of Personality Disorders, 18(2), 193–211. https://doi.org/10.1521/pedi.18.2.193.32777
  • Baumeister, R.F., & Leary, M.R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529 https://doi.org//10.1037/0033-2909.117.3.497
  • Berber Çelik, Ç., & Odacı, H. (2019). Does child abuse have an impact on self-esteem, depression, anxiety and stress conditions of individuals? International Journal of Social Psychiatry, 66(2),171–178. https://doi.org/10.1177/0020764019894618
  • Bernstein, D. P., Fink, L., Handelsman, L., Foote, J., Lovejoy, M., Wenzel, K., Sapareto, E., & Ruggiero, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. The American Journal of Psychiatry, 151(8), 1132-1136. https://doi.org/10.1176/ajp.151.8.1132
  • Bögels, S. M., Knappe, S., & Clark, L. A. (2013). Adult separation anxiety disorder in DSM-5. Clinical Psychology Review, 33(5), 663–674. https://doi.org/10.1016/j.cpr.2013.03.006
  • Bowlby, J. (1960). Separation anxiety: A critical review of the literature. Journal of Child Psychology Psychiatry, 1(4), 251–269. https://doi.org/10.1111/j.1469-7610.1960.tb01999.x
  • Bradley, S. J. (1979). The relationship of early maternal separation to borderline personality in children and adolescents: A pilot study. American Journal of Psychiatry, 136(4A), 424-426. https://doi.org/10.1176/ajp.1979.136.4a.424
  • Brownridge, D. A., & Tyler, K. A. (2022). Borderline personality and dating violence among college students: A path analysis. Journal of Aggression, Maltreatment & Trauma, 32(5), 784-802. https://doi.org/10.1080/10926771.2022.2089865
  • Butler, N., Quigg, Z., & Bellis, M. A. (2020). Cycles of violence in England and Wales: the contribution of childhood abuse to risk of violence revictimisation in adulthood. BMC Medicine, 18, 1-13. https://doi.org/10.1186/s12916-020-01788-3
  • Çakmak, B., (2016). Çocukluk çağı travmaları ile yetişkin ayrılma anksiyetesi arasındaki ilişki, (Tez No. 441617) [Master Thesis, Üsküdar University]. YÖK National Center of Thesis.
  • Cantürk, M., Faraji H. & Tezcan A.E. (2021). The relationship between childhood trauma and crime in male prisoners, Alpha Psychiatry, 22(1), 56-60. https://doi.org/10.5455/apd.111825
  • Capaldi, D.M., Knoble, N.B., Shortt, J.W., Kim, H.K. (2012). A systematic review of risk factors for intimate partner violence. Partner Abuse, 3(2), 231–280. https://doi.org/10.1891/1946-6560.3.2.231
  • Carotta, C.L., Bonomi, A.E., Lee, M.A., Terrell, L.A. (2018). It's (Not) over: relationship instability and recovery between victims and detained domestic abusers. Journal of Interpersonal Violence, 33 (10), 1679–1699. https://doi.org/10.1177/0886260515619171
  • Carr, C. P., Martins, C. M., Stingel, A. M., Lemgruber, V. B, & Juruena, M. F. (2013). The role of early life stress in adult psychiatric disorders: A systematic review according to childhood trauma subtypes. Journal of Nervous and Mental Disease,201(12),1007-20. https://doi.org/10.1097/NMD.0000000000000049
  • Ceylan, V. (2017). Borderline Kişilik Ölçeği (Türkçe BPQ): Geçerlik, güvenirliği, faktör yapısı. (Tez No. 454194) [Master Thesis, Çukurova University]. YÖK National Center of Thesis.
  • Chang, J.J., Ji, Y., Li, Y.H., Yuan, M.Y., & Su, P.Y. (2021). Childhood trauma and depression in college students: Mediating and moderating effects of psychological resilience. Asian Journal of Psychiatry, 65, 102824. https://doi.org/10.1016/j.ajp.2021.102824
  • Cirasola, A., Hillman, S., Fonagy, P., & Chiesa, M. (2017). Mapping the road from childhood adversity to personality disorder: The role of unresolved states of mind. Personality and Mental Health, 11(2), 77–90. https://doi.org/10.1002/pmh.1365
  • Cohen, P., Chen, H., Gordon, K., Johnson, J., Brook, J., & Kasen, S. (2008). Socioeconomic background and the developmental course of schizotypal and borderline personality disorder symptoms. Development and psychopathology, 20(2), 633-650.
  • Coolidge, F.L., Anderson, L.W., (2002). Personality profiles of women in multiple abusive relationships. J. Fam. Violence, 17 (2), 117–131.
  • Cyr, M., McDuff, P., & Wright, J. (2006). Prevalence and predictors of dating violence among adolescent female victims of child sexual abuse. Journal of Interpersonal Violence, 21(8), 1000–1017. https://doi.org/10.1177/0886260506290201
  • Daley, S. E., Burge, D., & Hammen, C. (2000). Borderline personality disorder symptoms as predictors of 4-year romantic relationship dysfunction in young women: Addressing issues of specificity. Journal of Abnormal Psychology, 109(3), 451-460. https://doi.org/10.1037/0021-843X.109.3.451
  • Diriöz, M., Alkin, T., Yemez, B., Onur, E., & Eminağaoğlu, P. N. (2012). Ayrılma anksiyetesi belirti envanteri ile yetişkin ayrılma anksiyetesi anketinin Türkçe versiyonunun geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 23(2), 108-116.
  • Downey, C., & Crummy, A. (2022). The impact of childhood trauma on children's wellbeing and adult behavior. European Journal of Trauma & Dissociation, 6(1), 100237.
  • Faraji, H & Tezcan A.E. (2022). Borderline Kişilik Bozukluğu. Nobel Academic Publications.
  • Faraji, H. (2021). Borderline kişilik bozukluğunun ergenlik döneminde belirlenmesine dair bir değerlendirme. OPUS Toplum Araştırmaları Dergisi, 18(43), 7141-7166. https://doi.org/10.26466/opus.898571
  • Faraji, H., Özen, Z. D. (2022). Yetişkin ayrılık anksiyetesinin, ayrılık anksiyetesi ile beliren yetişkinlikte bireyleşme düzeyi arasındaki aracı rolü, Mavi Atlas, 10(1), 47-69.
  • Frias, S. M., & Angel, R. J. (2005). The risk of partner violence among low‐income Hispanic subgroups. Journal of Marriage and Family, 67(3), 552-564. https://doi.org/10.1111/j.1741-3737.2005.00153.x
  • Gabbard, G. O. (2011). Uzun süreli psikodinamik terapi. (Trans. H. Atalay). Publications. (First publication date: 2005)
  • Gürbüz, S., & Bayık, M. E. (2021). Aracılık Modellerinin Analizinde Yeni Yaklaşım: Baron ve Kenny'nin Yöntemi Hâlâ Geçerli mi?. Turkish Journal of Psychology/Turk Psikoloji Dergisi, 37(88), 1-14. https://doi.org/10.31828/tpd1300443320191125m000031
  • Hahs-Vaughn, D.L.& Lomax, R.G. (2020), Multiple linear regression. In Statistical Concepts, 527–599 https://doi.org/10.4324/9780429277825-8
  • Helvacı Çelik, F. G., & Hocaoğlu, Ç. (2018). Çocukluk çağı travmaları: Bir gözden geçirme. Sakarya Tıp Dergisi, 8(4), 695-711. https://doi.org/10.31832/smj.454535
  • Hepp, J., Lane, S. P., Carpenter, R. W., Niedtfeld, I., Brown, W. C., & Trull, T. J. (2017). Interpersonal problems and negative affect in borderline personality and depressive disorders in daily life. Clinical Psychological Science, 5(3), 470–484. https://doi.org/10.1177/2167702616677312
  • Hepp, J., Lane, S. P., Wycoff, A. M., Carpenter, R. W., & Trull, T. J. (2018). Interpersonal stressors and negative affect in individuals with borderline personality disorder and community adults in daily life: A replication and extension. Journal of Abnormal Psychology, 127(2), 183–189. https://doi.org/10.1037/abn0000318
  • Houben, M., Claes, L., Sleuwaegen, E., Berens, A., & Vansteelandt, K. (2018). Emotional reactivity to appraisals in patients with a borderline personality disorder: A daily life study. Borderline Personality Disorder and Emotion Dysregulation, 5(1). https://doi.org/10.1186/s40479-018-0095-7
  • Ibrahim, J., Cosgrave, N., & Woolgar, M. (2018). Childhood maltreatment and its link to borderline personality disorder features in children: A systematic review approach. Clin Child Psychol Psychiatry, 23(1),57–76. https://doi.org/10.1177/1359104517712778
  • Igarashi, H., Hasui, C., Uji, M., Shono, M., Nagata, T., & Kitamura, T. (2010). Effects of child abuse history on borderline personality traits, negative life events, and depression: A study among a university student population in Japan. Psychiatry Research, 180(2-3), 120–125. https://doi.org/10.1016/j.psychres.2010.04.029
  • Karaytuğ, M. O., Tamam, L., Demirkol, M. E., Namlı, Z., Gürbüz, M., & Yeşiloğlu, C. (2023). Impact of childhood trauma and adult separation anxiety disorder on quality of life in ındividuals with schizophrenia. Neuropsychiatric Disease and Treatment, 19,181-196. https://doi.org/10.2147/NDT.S391897
  • Kayha, Y., & Taskale, N. (2019). Difficulties in emotion regulation, separation anxiety, and impulsivity as predictors of women's intimate partner violence experiences. Dusunen Adam-Journal Of Psychıatry And Neurologıcal Scıences, 32(2), 101-112. https://doi.org/10.14744/dajpns.2019.00016
  • Kılınçer, A. S., & Tuzgöl Dost, M. (2013). Romantik İlişkiyi Değerlendirme Ölçeği’nin geliştirilmesi. Eğitimde ve Psikolojide Ölçme ve Değerlendirme Dergisi, 4(1), 15-32.
  • Kutlu, A. M. (2018). Borderline kişilik bozukluğu: Bir gözden geçirme. Medeniyet Araştırmaları Dergisi, 3(5),11-20.
  • Lelaurain, S., Fonte, D., Giger, J. C., Guignard, S., & Lo Monaco, G. (2021). Legitimizing intimate partner violence: The role of romantic love and the mediating effect of patriarchal ideologies. Journal of Interpersonal Violence, 36(13-14), 6351-6368. https://doi.org/10.1177/0886260518818427
  • Levy, K. N., Kivity, Y., Johnson B. N., & Gooch, C.V. (2018). Adult attachment as a predictor and moderator of psychotherapy outcome: A meta‐analysis. Journal of Clinical Psychology, 74(11),1996-2013. https://doi.org/10.1002/jclp.22685
  • Loas, G., Cormier, J., & Perez-Diaz, F. (2011). Dependent personality disorder and physical abuse. Psychiatry Research, 185(1-2), 167–170. https://doi.org/10.1016/j.psychres.2009.06.011
  • Lochner, C., Seedat, S., Allgulander, C., Kidd, M., Stein, D., & Gerdner, A. (2010). Childhood trauma in adults with social anxiety disorder and panic disorder: A cross-national study. African Journal of Psychiatry, 13(5), 376-381. https://doi.org/ 10.4314/ajpsy.v13i5.63103
  • Manicavasagar, V., & Silove, D. (2016). Why are we still missing adult separation anxiety disorder in clinical practice? Australian & New Zealand Journal of Psychiatry, 50(8), 807–808. https://doi.org/10.1177/0004867416655875
  • Manicavasagar, V., Marnane, C., Pini, S., Abelli, M., Rees, S., Eapen, V., & Silove, D. (2010). Adult: A disorder comes of age. Current Psychiatry Reports, 12(4), 290–297. https://doi.org/10.1007/s11920-010-0131-9
  • Manicavasagar, V., Silove, D., Wagner, R., & Drobny, J. (2003). A self-report questionnaire for measuring separation anxiety in adulthood. Comprehensive Psychiatry, 44(2), 146–153. https://doi.org/10.1053/comp.2003.50024
  • Matthies, S., Schiele, M. A., Koentges, C., Pini, S., Schmahl, C., & Domschke, K. (2018). Please don’t leave me—Separation anxiety and related traits in borderline personality disorder. Current Psychiatry Reports, 20, 1-10.
  • McClure, M. M., & Parmenter, M. (2020). Childhood trauma, trait anxiety, and anxious attachment as predictors of intimate partner violence in college students. Journal of Interpersonal Violence, 35(23-24), 6067-6082.
  • Namlı, Z., Özbay, A., & Tamam, L. (2022). Adult separation anxiety disorder: A review. Psikiyatride Guncel Yaklasimlar, 14(1), 46-56. https://doi.org/10.18863/pgy.940071
  • Nemeroff, C. B. (2016). Paradise Lost: The neurobiological and clinical consequences of child abuse and neglect. Neuron, 89(5),892-909. https://doi.org/10.1016/j.neuron.2016.01.019
  • Newhill, C. E., Eack, S. M., & Mulvey, E. P. (2009). Violent behavior in borderline personality disorder. Journal of Personality Disorders, 23(6), 541–554. https://doi.org/10.1521/pedi.2009.23.6.541
  • Newhill, C. E., Eack, S. M., & Mulvey, E. P. (2012). A growth curve analysis of emotion dysregulation as a mediator for violence in individuals with and without borderline personality disorder. Journal of Personality Disorders, 26(3), 452–467. https://doi.org/10.1521/pedi.2012.26.3.452
  • Osone, A., Takahashi, S. (2006) Possible link between childhood separation anxiety and adulthood personality disorder in patients with anxiety disorders in Japan. Journal of Clinical Psychiatry, 67(9),1451-1457. https://doi.org/10.4088/jcp.v67n0918
  • Öztürk E. (2021). Psikotarih, travma ve dissosiyasyon: Çocukluk çağı travmaları, savaşlar ve dissosiyasyonun anamnezi. (Vol. 1.). Turkey Clinics.
  • Paris, J., & Zweig-Frank, H. (2001). A 27-year follow-up of patients with borderline personality disorder. Comprehensive psychiatry, 42(6), 482-487.
  • Persano, H. L. (2022). Self-harm. The International Journal of Psychoanalysis, 103(6), 1089-1103. https://doi.org/10.1080/00207578.2022.2133093
  • Pichon, M., Treves-Kagan, S., Stern, E., Kyegombe, N., Stöckl, H., & Buller, A. M. (2020). A mixed-methods systematic review: Infidelity, romantic jealousy and intimate partner violence against women. International Journal of Environmental Research and Public Health, 17(16), 5682. doi: 10.3390/ijerph17165682
  • Poreh, A. M., Rawlings, D., Claridge, G., Freeman, J. L., Faulkner, C., & Shelton, C. (2006). The BPQ: A scale for the assessment of borderline personality based on DSM-IV Criteria. Journal of Personality Disorders, 20(3), 247-260. https://doi.org/10.1521/pedi.2006.20.3.247
  • Quattrini, G., Pini, L., Pievani, M., Magni, L. R., Lanfredi, M., Ferrari, C., Boccardi, M., Bignotti, S., Magnaldi, S., Cobelli, M., Rillosi, L., Beneduce, R., Rossi, G., Frisoni, G., & Rossi, R. (2019). Abnormalities in functional connectivity in borderline personality disorder: Correlations with metacognition and emotion dysregulation. Psychiatry Research: Neuroimaging, 30(283),118-124. https://doi.org/10.1016/j.pscychresns.2018.12.010
  • Reuter, T. R., Sharp, C., Temple, J. R., & Babcock, J. C. (2015). The relation between borderline personality disorder features and teen dating violence. Psychology of Violence, 5(2), 163-173.
  • Salome, G., Vignaud, P., Galia, P., Prieto, N., & Chauliac, N. (2023). Determinants of care pathways for C-PTSD patients in French psychotrauma centers: A qualitative study. International Journal of Environmental Research and Public Health, 20(13), 6278.
  • Sansone, R. A., Reddington, A., Sky, K., & Wiederman, M. W. (2007). Borderline personality symptomatology and history of domestic violence among women in an internal medicine setting. Violence and Victims, 22(1), 120-126. https://doi.org/10.1891/vv-v22i1a008
  • Sansone, R. A., Songer, D. A., & Miller, K. A. (2005). Childhood abuse, mental healthcare utilization, self-harm behavior, and multiple psychiatric diagnoses among inpatients with and without a borderline diagnosis. Comprehensive Psychiatry, 46(2), 117–120. https://doi.org/10.1016/j.comppsych.2004.07.033
  • Şar V, Öztürk E ve İkikardeş E, (2012). Çocukluk Çağı Ruhsal Travma Ölçeğinin Türkçe uyarlamasının geçerlilik güvenilirliği. Türkiye Klinikleri Journal of Medical Sciences, 32(4),1054-1063 https://doi.org/10.5336/medsci.2011-26947
  • Şar, V., Necef, I., Mutluer, T., Fatih P., & Türk-Kurtça, T. (2021). A revised and expanded version of the Turkish Childhood Trauma Questionnaire (CTQ-33): Overprotection-overcontrol as additional factor. Journal of Trauma & Dissociation, 22(1), 35-51. https://doi.org/10.1080/15299732.2020.1760171
  • Silove, D. M., Marnane, C. L., Wagner, R., Manicavasagar, V. L., & Rees, S. (2010) The prevalence and correlates of adult separation anxiety disorder in an anxiety clinic. BMC Psychiatry, 10(21), 2-7. https://doi.org/10.1186/1471-244X-10-21
  • Silove, D. M., Tay, A. K., Tol, W. A., Tam, N., dos Reis, N., da Costa, Z., Soares, C., & Rees, S. (2016). Patterns of separation anxiety symptoms amongst pregnant women in conflict-affected Timor-Leste: Associations with traumatic loss, family conflict, and intimate partner violence. Journal of Affective Disorders, 205, 292–300. https://doi.org/10.1016/j.jad.2016.07.052
  • Sinai, C., Hirvikoski, T., Wiklander, M., Nordström, A. L., Nordström, P., Nilsonne, Å., Wilczek, A., Asberg, M., & Jokinen, J. (2018). Exposure to interpersonal violence and risk of post-traumatic stress disorder among women with borderline personality disorder. Psychiatry Research, 262, 311-315.
  • Staebler, K., Helbing, E., Rosenbach, C., & Renneberg B., (2011). Rejection sensitivity and borderline personality disorder. Clinical Psychology and Psychotherapy, 18(4), 275–283. https://doi.org/10.1002/cpp.705
  • Stepp, S. D., Smith, T. D., Morse, J. Q., Hallquist, M. N., & Pilkonis, P. A. (2012). Prospective associations among borderline personality disorder symptoms, interpersonal problems, and aggressive behaviors. Journal of Interpersonal Violence, 27(1), 103-124. https://doi.org/10.1177/0886260511416468
  • Taillieu, T. L., Brownridge, D. A., Sareen, J., & Afifi, T. O. (2016). Childhood emotional maltreatment and mental disorders: Results from a nationally representative adult sample from the United States. Child Abuse & Neglect, 59, 1–12. https://doi.org/10.1016/j.chiabu.2016.07.005
  • Tekin, M. (2021). Borderline kişilik bozukluğunun nedensellik ve psikolojik kuramlar açısından değerlendirilmesine dair bir gözden geçirme. Balkan ve Yakın Doğu Sosyal Bilimler Dergisi, 07(04), 100-105
  • van der Kolk, B. A. (1989). The compulsion to repeat the trauma: Reenactment, revictimization, and masochism. Psychiatry Clinics of North America, 12(2), 389-411. https://doi.org/10.1016/S0193-953X(18)30439-8
  • Vanwoerden, S., Leavitt, J., Gallagher, M. W., Temple, J. R., & Sharp, C. (2019). Dating violence victimization and borderline personality pathology: Temporal associations from late adolescence to early adulthood. Personality Disorders: Theory, Research, and Treatment, 10(2), 132 –142. https://doi.org/10.1037/per0000324
  • Westphal, M., Olfson, M., Bravova, M., Gameroff, M. J., Gross, R., Wickramaratne, P., Pilowsky, D.J., Neugebauer, R., Shea, S., Lantigua, R., Weissman, M., & Neria, Y. (2013). Borderline personality disorder, exposure to interpersonal trauma, and psychiatric comorbidity in urban primary care patients. Psychiatry: Interpersonal and Biological Processes, 76(4), 365–380. https://doi.org/10.1521/psyc.2013.76.4.365
  • Widom, C. S., Czaja, S. J., & Paris, J. (2009). A prospective investigation of borderline personality disorder in abused and neglected children followed up into adulthood. Journal of Personality Disorders, 23(5), 433–446. https://doi.org/10.1521/pedi.2009.23.5.433
  • Wojciechowski, T. (2019). Borderline personality disorder symptoms and exposure to violence as risk factors for opioid use in adulthood. Psychiatry Research, 281, 112549. https://doi.org/10.1016/j.psychres.2019.112549
  • World Health Organization. (2021). Violence against women prevalence estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Executive summary. World Health Organization.
  • Xie, G. D., Chang, J. J., Yuan, M. Y., Wang, G. F., He, Y., Chen, S. S., & Su, P. Y. (2021). Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience. BMC Psychiatry, 21(1), 1-9. https://doi.org/10.1186/s12888-021-03332-w
  • Zerubavel, N., Messman-Moore, T. L., DiLillo, D., & Gratz, K. L. (2018). Childhood sexual abuse and fear of abandonment moderate the relation of intimate partner violence to severity of dissociation. Journal of Trauma & Dissociation, 19(1), 9-24. https://doi.org/10.1080/15299732.2017.1289491

Çocukluk Çağı Travmaları ile Romantik İlişkide İstismara Maruziyet Arasındaki İlişkide Borderline Kişilik Özellikleri ve Ayrılık Anksiyetesinin Aracı Rolü

Yıl 2023, Cilt: 9 Sayı: 2, 130 - 149, 30.11.2023

Haydeh Faraji Deniz Senem Demir

https://doi.org/10.30613/curesosc.1168755

Öz

Araştırmada çocukluk çağı travmalarıyla romantik ilişkilerde istismara maruziyet arasındaki ilişkide borderline kişilik örüntüsünün ve yetişkinlerde ayrılık anksiyetesinin aracı rolünün incelenmesiyle, ilişkilerde şiddet yaşantılarına sebep olabilecek bazı etmenlerin vurgulanması ve partner şiddetine maruziyeti engelleyici girişimlere destek olunması amaçlanmaktadır. Araştırmada, basit seçkisiz örnekleme metoduyla belirlenen ve İstanbul’da yaşayan 18-55 yaş arası 400 katılımcıya Sosyo-demografik Bilgi Formu, Çocukluk Çağı Travmaları (CTQ-33), Romantik İlişkiyi Değerlendirme Ölçeği, Borderline Kişilik Ölçeği-Türkçe BPQ, Yetişkin Ayrılma Anksiyetesi Ölçeği uygulanmıştır. Veriler, SPSS-25 istatistik analiz programıyla, ölçekler arası ilişkiler Pearson Korelasyon analiziyle, aracı roller PROCESS 3.5 Makrosuyla değerlendirilmiştir. Analizlerde %95 güven aralığı esas alınmıştır. Bulgular incelendiğinde Çocukluk Çağı Travma Ölçeği ve tüm alt ölçekleri ile Borderline Kişilik Ölçeği ve tüm alt ölçekleri; Yetişkin Ayrılık Anksiyetesi Ölçeği ve Romantik İlişkiyi Değerlendirme Ölçeği arasında pozitif yönlü bir ilişki bulunmuştur. Araştırma sonuçları çocukluk çağı travmalarının, romantik ilişkide istismara maruz kalmayı yordadığı ve borderline kişilik özelliklerinin ve yetişkin ayrılma anksiyetesinin bu ilişkide kısmi aracılık rolü olduğunu göstermektedir. Ayrıca yetişkin ayrılık anksiyetesinin borderline kişilik özelliklerini yordadığı belirlenmiştir. Çalışma sonucunda çocukluktaki istismar ve ihmal yaşantılarının söz konusu olduğu durumda bireylerin romantik ilişkilerde istismara maruz kalıp kalmamasının sergiledikleri borderline kişilik özellikleri, ayrılığa düşük tolerans ile ilişkili olduğu göstermektedir. Çalışma sonuçları ayrılık anksiyetesinin borderline kişilik özelliklerini önemli ölçüde (%34) yordadığını ortaya koyarak ayrılık anksiyetesinin tekrarlayan istismar örüntüsünde bir kilit nokta olarak hedeflenebileceğini göstermektedir. Çalışmanın bir diğer sonucu borderline kişilik özellikleri ayrılık anksiyetesindeki artışın düşük ekonomik düzeyle ilişkili olduğunun belirlenmesidir. Mevcut sonuç istismar örüntülerinde ekonomik bağımsızlığın önemini ortaya koymaktadır.

Anahtar Kelimeler

Çocukluk Çağı Travması Şiddet İstismar Borderline Kişilik Bozukluğu Ayrılık Anksiyetesi

Kaynakça

  • Ahmadabadi, Z., Najman, J. M., Williams, G. M., & Clavarino, A. M. (2020). Income, gender, and forms of intimate partner violence. Journal of interpersonal violence, 35(23-24), 5500-5525. https://doi.org/10.1177/0886260517719541
  • Alexander, P.C. (2009). Childhood trauma, attachment, and abuse by multiple partners. Psychological Trauma: Theory, Research, Practice, and Policy, 1(1), 78–88. https://doi.org/10.1037/a0015254
  • Astuti, U., Hartono, H., & Sunawan, S. (2020). The ınfluence of parental attachment toward early childhood children's separation anxiety. Journal of Primary Education, 9(5), 501-510.
  • Baron, M. ve Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
  • Bassi, G., Mancinelli, E., Di Riso, D., Lis, A., & Salcuni, S. (2021). Separation anxiety in a community sample of Italian emerging adults and its relationship with dimensions of borderline personality. Research in Psychotherapy: Psychopathology, Process, and Outcome, 24(1), 506. 10.4081/ripppo.2021.506
  • Battle, C. L., Shea, M. T., Johnson, D. M., Yen, S., Zlotnick, C., Zanarini, M. C., Sanislow, C.A., Skodol, A.E., Gunderson, J.G., Grilo, C.M., McGlashan, T.H. & Morey, L. C. (2004). Childhood maltreatment associated with adult personality disorders: Findings from the collaborative longitudinal personality disorders study. Journal of Personality Disorders, 18(2), 193–211. https://doi.org/10.1521/pedi.18.2.193.32777
  • Baumeister, R.F., & Leary, M.R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529 https://doi.org//10.1037/0033-2909.117.3.497
  • Berber Çelik, Ç., & Odacı, H. (2019). Does child abuse have an impact on self-esteem, depression, anxiety and stress conditions of individuals? International Journal of Social Psychiatry, 66(2),171–178. https://doi.org/10.1177/0020764019894618
  • Bernstein, D. P., Fink, L., Handelsman, L., Foote, J., Lovejoy, M., Wenzel, K., Sapareto, E., & Ruggiero, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. The American Journal of Psychiatry, 151(8), 1132-1136. https://doi.org/10.1176/ajp.151.8.1132
  • Bögels, S. M., Knappe, S., & Clark, L. A. (2013). Adult separation anxiety disorder in DSM-5. Clinical Psychology Review, 33(5), 663–674. https://doi.org/10.1016/j.cpr.2013.03.006
  • Bowlby, J. (1960). Separation anxiety: A critical review of the literature. Journal of Child Psychology Psychiatry, 1(4), 251–269. https://doi.org/10.1111/j.1469-7610.1960.tb01999.x
  • Bradley, S. J. (1979). The relationship of early maternal separation to borderline personality in children and adolescents: A pilot study. American Journal of Psychiatry, 136(4A), 424-426. https://doi.org/10.1176/ajp.1979.136.4a.424
  • Brownridge, D. A., & Tyler, K. A. (2022). Borderline personality and dating violence among college students: A path analysis. Journal of Aggression, Maltreatment & Trauma, 32(5), 784-802. https://doi.org/10.1080/10926771.2022.2089865
  • Butler, N., Quigg, Z., & Bellis, M. A. (2020). Cycles of violence in England and Wales: the contribution of childhood abuse to risk of violence revictimisation in adulthood. BMC Medicine, 18, 1-13. https://doi.org/10.1186/s12916-020-01788-3
  • Çakmak, B., (2016). Çocukluk çağı travmaları ile yetişkin ayrılma anksiyetesi arasındaki ilişki, (Tez No. 441617) [Master Thesis, Üsküdar University]. YÖK National Center of Thesis.
  • Cantürk, M., Faraji H. & Tezcan A.E. (2021). The relationship between childhood trauma and crime in male prisoners, Alpha Psychiatry, 22(1), 56-60. https://doi.org/10.5455/apd.111825
  • Capaldi, D.M., Knoble, N.B., Shortt, J.W., Kim, H.K. (2012). A systematic review of risk factors for intimate partner violence. Partner Abuse, 3(2), 231–280. https://doi.org/10.1891/1946-6560.3.2.231
  • Carotta, C.L., Bonomi, A.E., Lee, M.A., Terrell, L.A. (2018). It's (Not) over: relationship instability and recovery between victims and detained domestic abusers. Journal of Interpersonal Violence, 33 (10), 1679–1699. https://doi.org/10.1177/0886260515619171
  • Carr, C. P., Martins, C. M., Stingel, A. M., Lemgruber, V. B, & Juruena, M. F. (2013). The role of early life stress in adult psychiatric disorders: A systematic review according to childhood trauma subtypes. Journal of Nervous and Mental Disease,201(12),1007-20. https://doi.org/10.1097/NMD.0000000000000049
  • Ceylan, V. (2017). Borderline Kişilik Ölçeği (Türkçe BPQ): Geçerlik, güvenirliği, faktör yapısı. (Tez No. 454194) [Master Thesis, Çukurova University]. YÖK National Center of Thesis.
  • Chang, J.J., Ji, Y., Li, Y.H., Yuan, M.Y., & Su, P.Y. (2021). Childhood trauma and depression in college students: Mediating and moderating effects of psychological resilience. Asian Journal of Psychiatry, 65, 102824. https://doi.org/10.1016/j.ajp.2021.102824
  • Cirasola, A., Hillman, S., Fonagy, P., & Chiesa, M. (2017). Mapping the road from childhood adversity to personality disorder: The role of unresolved states of mind. Personality and Mental Health, 11(2), 77–90. https://doi.org/10.1002/pmh.1365
  • Cohen, P., Chen, H., Gordon, K., Johnson, J., Brook, J., & Kasen, S. (2008). Socioeconomic background and the developmental course of schizotypal and borderline personality disorder symptoms. Development and psychopathology, 20(2), 633-650.
  • Coolidge, F.L., Anderson, L.W., (2002). Personality profiles of women in multiple abusive relationships. J. Fam. Violence, 17 (2), 117–131.
  • Cyr, M., McDuff, P., & Wright, J. (2006). Prevalence and predictors of dating violence among adolescent female victims of child sexual abuse. Journal of Interpersonal Violence, 21(8), 1000–1017. https://doi.org/10.1177/0886260506290201
  • Daley, S. E., Burge, D., & Hammen, C. (2000). Borderline personality disorder symptoms as predictors of 4-year romantic relationship dysfunction in young women: Addressing issues of specificity. Journal of Abnormal Psychology, 109(3), 451-460. https://doi.org/10.1037/0021-843X.109.3.451
  • Diriöz, M., Alkin, T., Yemez, B., Onur, E., & Eminağaoğlu, P. N. (2012). Ayrılma anksiyetesi belirti envanteri ile yetişkin ayrılma anksiyetesi anketinin Türkçe versiyonunun geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 23(2), 108-116.
  • Downey, C., & Crummy, A. (2022). The impact of childhood trauma on children's wellbeing and adult behavior. European Journal of Trauma & Dissociation, 6(1), 100237.
  • Faraji, H & Tezcan A.E. (2022). Borderline Kişilik Bozukluğu. Nobel Academic Publications.
  • Faraji, H. (2021). Borderline kişilik bozukluğunun ergenlik döneminde belirlenmesine dair bir değerlendirme. OPUS Toplum Araştırmaları Dergisi, 18(43), 7141-7166. https://doi.org/10.26466/opus.898571
  • Faraji, H., Özen, Z. D. (2022). Yetişkin ayrılık anksiyetesinin, ayrılık anksiyetesi ile beliren yetişkinlikte bireyleşme düzeyi arasındaki aracı rolü, Mavi Atlas, 10(1), 47-69.
  • Frias, S. M., & Angel, R. J. (2005). The risk of partner violence among low‐income Hispanic subgroups. Journal of Marriage and Family, 67(3), 552-564. https://doi.org/10.1111/j.1741-3737.2005.00153.x
  • Gabbard, G. O. (2011). Uzun süreli psikodinamik terapi. (Trans. H. Atalay). Publications. (First publication date: 2005)
  • Gürbüz, S., & Bayık, M. E. (2021). Aracılık Modellerinin Analizinde Yeni Yaklaşım: Baron ve Kenny'nin Yöntemi Hâlâ Geçerli mi?. Turkish Journal of Psychology/Turk Psikoloji Dergisi, 37(88), 1-14. https://doi.org/10.31828/tpd1300443320191125m000031
  • Hahs-Vaughn, D.L.& Lomax, R.G. (2020), Multiple linear regression. In Statistical Concepts, 527–599 https://doi.org/10.4324/9780429277825-8
  • Helvacı Çelik, F. G., & Hocaoğlu, Ç. (2018). Çocukluk çağı travmaları: Bir gözden geçirme. Sakarya Tıp Dergisi, 8(4), 695-711. https://doi.org/10.31832/smj.454535
  • Hepp, J., Lane, S. P., Carpenter, R. W., Niedtfeld, I., Brown, W. C., & Trull, T. J. (2017). Interpersonal problems and negative affect in borderline personality and depressive disorders in daily life. Clinical Psychological Science, 5(3), 470–484. https://doi.org/10.1177/2167702616677312
  • Hepp, J., Lane, S. P., Wycoff, A. M., Carpenter, R. W., & Trull, T. J. (2018). Interpersonal stressors and negative affect in individuals with borderline personality disorder and community adults in daily life: A replication and extension. Journal of Abnormal Psychology, 127(2), 183–189. https://doi.org/10.1037/abn0000318
  • Houben, M., Claes, L., Sleuwaegen, E., Berens, A., & Vansteelandt, K. (2018). Emotional reactivity to appraisals in patients with a borderline personality disorder: A daily life study. Borderline Personality Disorder and Emotion Dysregulation, 5(1). https://doi.org/10.1186/s40479-018-0095-7
  • Ibrahim, J., Cosgrave, N., & Woolgar, M. (2018). Childhood maltreatment and its link to borderline personality disorder features in children: A systematic review approach. Clin Child Psychol Psychiatry, 23(1),57–76. https://doi.org/10.1177/1359104517712778
  • Igarashi, H., Hasui, C., Uji, M., Shono, M., Nagata, T., & Kitamura, T. (2010). Effects of child abuse history on borderline personality traits, negative life events, and depression: A study among a university student population in Japan. Psychiatry Research, 180(2-3), 120–125. https://doi.org/10.1016/j.psychres.2010.04.029
  • Karaytuğ, M. O., Tamam, L., Demirkol, M. E., Namlı, Z., Gürbüz, M., & Yeşiloğlu, C. (2023). Impact of childhood trauma and adult separation anxiety disorder on quality of life in ındividuals with schizophrenia. Neuropsychiatric Disease and Treatment, 19,181-196. https://doi.org/10.2147/NDT.S391897
  • Kayha, Y., & Taskale, N. (2019). Difficulties in emotion regulation, separation anxiety, and impulsivity as predictors of women's intimate partner violence experiences. Dusunen Adam-Journal Of Psychıatry And Neurologıcal Scıences, 32(2), 101-112. https://doi.org/10.14744/dajpns.2019.00016
  • Kılınçer, A. S., & Tuzgöl Dost, M. (2013). Romantik İlişkiyi Değerlendirme Ölçeği’nin geliştirilmesi. Eğitimde ve Psikolojide Ölçme ve Değerlendirme Dergisi, 4(1), 15-32.
  • Kutlu, A. M. (2018). Borderline kişilik bozukluğu: Bir gözden geçirme. Medeniyet Araştırmaları Dergisi, 3(5),11-20.
  • Lelaurain, S., Fonte, D., Giger, J. C., Guignard, S., & Lo Monaco, G. (2021). Legitimizing intimate partner violence: The role of romantic love and the mediating effect of patriarchal ideologies. Journal of Interpersonal Violence, 36(13-14), 6351-6368. https://doi.org/10.1177/0886260518818427
  • Levy, K. N., Kivity, Y., Johnson B. N., & Gooch, C.V. (2018). Adult attachment as a predictor and moderator of psychotherapy outcome: A meta‐analysis. Journal of Clinical Psychology, 74(11),1996-2013. https://doi.org/10.1002/jclp.22685
  • Loas, G., Cormier, J., & Perez-Diaz, F. (2011). Dependent personality disorder and physical abuse. Psychiatry Research, 185(1-2), 167–170. https://doi.org/10.1016/j.psychres.2009.06.011
  • Lochner, C., Seedat, S., Allgulander, C., Kidd, M., Stein, D., & Gerdner, A. (2010). Childhood trauma in adults with social anxiety disorder and panic disorder: A cross-national study. African Journal of Psychiatry, 13(5), 376-381. https://doi.org/ 10.4314/ajpsy.v13i5.63103
  • Manicavasagar, V., & Silove, D. (2016). Why are we still missing adult separation anxiety disorder in clinical practice? Australian & New Zealand Journal of Psychiatry, 50(8), 807–808. https://doi.org/10.1177/0004867416655875
  • Manicavasagar, V., Marnane, C., Pini, S., Abelli, M., Rees, S., Eapen, V., & Silove, D. (2010). Adult: A disorder comes of age. Current Psychiatry Reports, 12(4), 290–297. https://doi.org/10.1007/s11920-010-0131-9
  • Manicavasagar, V., Silove, D., Wagner, R., & Drobny, J. (2003). A self-report questionnaire for measuring separation anxiety in adulthood. Comprehensive Psychiatry, 44(2), 146–153. https://doi.org/10.1053/comp.2003.50024
  • Matthies, S., Schiele, M. A., Koentges, C., Pini, S., Schmahl, C., & Domschke, K. (2018). Please don’t leave me—Separation anxiety and related traits in borderline personality disorder. Current Psychiatry Reports, 20, 1-10.
  • McClure, M. M., & Parmenter, M. (2020). Childhood trauma, trait anxiety, and anxious attachment as predictors of intimate partner violence in college students. Journal of Interpersonal Violence, 35(23-24), 6067-6082.
  • Namlı, Z., Özbay, A., & Tamam, L. (2022). Adult separation anxiety disorder: A review. Psikiyatride Guncel Yaklasimlar, 14(1), 46-56. https://doi.org/10.18863/pgy.940071
  • Nemeroff, C. B. (2016). Paradise Lost: The neurobiological and clinical consequences of child abuse and neglect. Neuron, 89(5),892-909. https://doi.org/10.1016/j.neuron.2016.01.019
  • Newhill, C. E., Eack, S. M., & Mulvey, E. P. (2009). Violent behavior in borderline personality disorder. Journal of Personality Disorders, 23(6), 541–554. https://doi.org/10.1521/pedi.2009.23.6.541
  • Newhill, C. E., Eack, S. M., & Mulvey, E. P. (2012). A growth curve analysis of emotion dysregulation as a mediator for violence in individuals with and without borderline personality disorder. Journal of Personality Disorders, 26(3), 452–467. https://doi.org/10.1521/pedi.2012.26.3.452
  • Osone, A., Takahashi, S. (2006) Possible link between childhood separation anxiety and adulthood personality disorder in patients with anxiety disorders in Japan. Journal of Clinical Psychiatry, 67(9),1451-1457. https://doi.org/10.4088/jcp.v67n0918
  • Öztürk E. (2021). Psikotarih, travma ve dissosiyasyon: Çocukluk çağı travmaları, savaşlar ve dissosiyasyonun anamnezi. (Vol. 1.). Turkey Clinics.
  • Paris, J., & Zweig-Frank, H. (2001). A 27-year follow-up of patients with borderline personality disorder. Comprehensive psychiatry, 42(6), 482-487.
  • Persano, H. L. (2022). Self-harm. The International Journal of Psychoanalysis, 103(6), 1089-1103. https://doi.org/10.1080/00207578.2022.2133093
  • Pichon, M., Treves-Kagan, S., Stern, E., Kyegombe, N., Stöckl, H., & Buller, A. M. (2020). A mixed-methods systematic review: Infidelity, romantic jealousy and intimate partner violence against women. International Journal of Environmental Research and Public Health, 17(16), 5682. doi: 10.3390/ijerph17165682
  • Poreh, A. M., Rawlings, D., Claridge, G., Freeman, J. L., Faulkner, C., & Shelton, C. (2006). The BPQ: A scale for the assessment of borderline personality based on DSM-IV Criteria. Journal of Personality Disorders, 20(3), 247-260. https://doi.org/10.1521/pedi.2006.20.3.247
  • Quattrini, G., Pini, L., Pievani, M., Magni, L. R., Lanfredi, M., Ferrari, C., Boccardi, M., Bignotti, S., Magnaldi, S., Cobelli, M., Rillosi, L., Beneduce, R., Rossi, G., Frisoni, G., & Rossi, R. (2019). Abnormalities in functional connectivity in borderline personality disorder: Correlations with metacognition and emotion dysregulation. Psychiatry Research: Neuroimaging, 30(283),118-124. https://doi.org/10.1016/j.pscychresns.2018.12.010
  • Reuter, T. R., Sharp, C., Temple, J. R., & Babcock, J. C. (2015). The relation between borderline personality disorder features and teen dating violence. Psychology of Violence, 5(2), 163-173.
  • Salome, G., Vignaud, P., Galia, P., Prieto, N., & Chauliac, N. (2023). Determinants of care pathways for C-PTSD patients in French psychotrauma centers: A qualitative study. International Journal of Environmental Research and Public Health, 20(13), 6278.
  • Sansone, R. A., Reddington, A., Sky, K., & Wiederman, M. W. (2007). Borderline personality symptomatology and history of domestic violence among women in an internal medicine setting. Violence and Victims, 22(1), 120-126. https://doi.org/10.1891/vv-v22i1a008
  • Sansone, R. A., Songer, D. A., & Miller, K. A. (2005). Childhood abuse, mental healthcare utilization, self-harm behavior, and multiple psychiatric diagnoses among inpatients with and without a borderline diagnosis. Comprehensive Psychiatry, 46(2), 117–120. https://doi.org/10.1016/j.comppsych.2004.07.033
  • Şar V, Öztürk E ve İkikardeş E, (2012). Çocukluk Çağı Ruhsal Travma Ölçeğinin Türkçe uyarlamasının geçerlilik güvenilirliği. Türkiye Klinikleri Journal of Medical Sciences, 32(4),1054-1063 https://doi.org/10.5336/medsci.2011-26947
  • Şar, V., Necef, I., Mutluer, T., Fatih P., & Türk-Kurtça, T. (2021). A revised and expanded version of the Turkish Childhood Trauma Questionnaire (CTQ-33): Overprotection-overcontrol as additional factor. Journal of Trauma & Dissociation, 22(1), 35-51. https://doi.org/10.1080/15299732.2020.1760171
  • Silove, D. M., Marnane, C. L., Wagner, R., Manicavasagar, V. L., & Rees, S. (2010) The prevalence and correlates of adult separation anxiety disorder in an anxiety clinic. BMC Psychiatry, 10(21), 2-7. https://doi.org/10.1186/1471-244X-10-21
  • Silove, D. M., Tay, A. K., Tol, W. A., Tam, N., dos Reis, N., da Costa, Z., Soares, C., & Rees, S. (2016). Patterns of separation anxiety symptoms amongst pregnant women in conflict-affected Timor-Leste: Associations with traumatic loss, family conflict, and intimate partner violence. Journal of Affective Disorders, 205, 292–300. https://doi.org/10.1016/j.jad.2016.07.052
  • Sinai, C., Hirvikoski, T., Wiklander, M., Nordström, A. L., Nordström, P., Nilsonne, Å., Wilczek, A., Asberg, M., & Jokinen, J. (2018). Exposure to interpersonal violence and risk of post-traumatic stress disorder among women with borderline personality disorder. Psychiatry Research, 262, 311-315.
  • Staebler, K., Helbing, E., Rosenbach, C., & Renneberg B., (2011). Rejection sensitivity and borderline personality disorder. Clinical Psychology and Psychotherapy, 18(4), 275–283. https://doi.org/10.1002/cpp.705
  • Stepp, S. D., Smith, T. D., Morse, J. Q., Hallquist, M. N., & Pilkonis, P. A. (2012). Prospective associations among borderline personality disorder symptoms, interpersonal problems, and aggressive behaviors. Journal of Interpersonal Violence, 27(1), 103-124. https://doi.org/10.1177/0886260511416468
  • Taillieu, T. L., Brownridge, D. A., Sareen, J., & Afifi, T. O. (2016). Childhood emotional maltreatment and mental disorders: Results from a nationally representative adult sample from the United States. Child Abuse & Neglect, 59, 1–12. https://doi.org/10.1016/j.chiabu.2016.07.005
  • Tekin, M. (2021). Borderline kişilik bozukluğunun nedensellik ve psikolojik kuramlar açısından değerlendirilmesine dair bir gözden geçirme. Balkan ve Yakın Doğu Sosyal Bilimler Dergisi, 07(04), 100-105
  • van der Kolk, B. A. (1989). The compulsion to repeat the trauma: Reenactment, revictimization, and masochism. Psychiatry Clinics of North America, 12(2), 389-411. https://doi.org/10.1016/S0193-953X(18)30439-8
  • Vanwoerden, S., Leavitt, J., Gallagher, M. W., Temple, J. R., & Sharp, C. (2019). Dating violence victimization and borderline personality pathology: Temporal associations from late adolescence to early adulthood. Personality Disorders: Theory, Research, and Treatment, 10(2), 132 –142. https://doi.org/10.1037/per0000324
  • Westphal, M., Olfson, M., Bravova, M., Gameroff, M. J., Gross, R., Wickramaratne, P., Pilowsky, D.J., Neugebauer, R., Shea, S., Lantigua, R., Weissman, M., & Neria, Y. (2013). Borderline personality disorder, exposure to interpersonal trauma, and psychiatric comorbidity in urban primary care patients. Psychiatry: Interpersonal and Biological Processes, 76(4), 365–380. https://doi.org/10.1521/psyc.2013.76.4.365
  • Widom, C. S., Czaja, S. J., & Paris, J. (2009). A prospective investigation of borderline personality disorder in abused and neglected children followed up into adulthood. Journal of Personality Disorders, 23(5), 433–446. https://doi.org/10.1521/pedi.2009.23.5.433
  • Wojciechowski, T. (2019). Borderline personality disorder symptoms and exposure to violence as risk factors for opioid use in adulthood. Psychiatry Research, 281, 112549. https://doi.org/10.1016/j.psychres.2019.112549
  • World Health Organization. (2021). Violence against women prevalence estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Executive summary. World Health Organization.
  • Xie, G. D., Chang, J. J., Yuan, M. Y., Wang, G. F., He, Y., Chen, S. S., & Su, P. Y. (2021). Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience. BMC Psychiatry, 21(1), 1-9. https://doi.org/10.1186/s12888-021-03332-w
  • Zerubavel, N., Messman-Moore, T. L., DiLillo, D., & Gratz, K. L. (2018). Childhood sexual abuse and fear of abandonment moderate the relation of intimate partner violence to severity of dissociation. Journal of Trauma & Dissociation, 19(1), 9-24. https://doi.org/10.1080/15299732.2017.1289491
Toplam 86 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Travma Psikolojisi
Bölüm Araştırma Makalesi
Yazarlar

Haydeh Faraji 0000-0001-5306-6546

Deniz Senem Demir Bu kişi benim 0000-0001-6914-1977

Erken Görünüm Tarihi 30 Kasım 2023
Yayımlanma Tarihi 30 Kasım 2023
Kabul Tarihi 23 Kasım 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 9 Sayı: 2

Kaynak Göster

APA Faraji, H., & Demir, D. S. (2023). The Mediator Role of Borderline Personality Features and Separation Anxiety in the Relationship between Childhood Traumas and Exposure to Abuse in Romantic Relationships. Current Research in Social Sciences, 9(2), 130-149. https://doi.org/10.30613/curesosc.1168755
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