Perfil de trauma na infância em uma amostra clínica: transtorno de personalidade de Borderline e transtorno de humor são diferentes?r

Abstract

Aim: To evaluate retrospectively the association of BD and BPD with childhood trauma scores considering sociodemographic and clinical variables. Method: Cross-sectional study, included 535 patients were evaluated 18 to 60 years. Sociodemographic variables were obtained through a questionnaire, information on substance were observed through Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), the Axis I psychiatric disorders were assessed using the Mini International Neuropsychiatric Interview - Plus version (MINI Plus), personality disorders were identified from the Millon Clinical Multiaxial Inventory-III (MCMI III) and the childhood trauma by childhood Trauma Questionnaire (CTQ). Linear regression was used to determine the independent association of clinical and sociodemographic variables with CTQ scores. Results: The bivariate analysis showed that being female (p = 0.038), having three or more siblings (p = 0.005), had less than eight years of study (p = 0.039) education, belonging to the age group of 40 to 60 years (p = 0.014) abuse / dependence hypnotics (p = 0.001), another for Axis I disorders (p = 0.008), with no other personality disorders BPD (p = 0.049) and BPD (p <0.001) were associated with total scores of the CTQ. Shortly after the analysis adjusted data, the significant variables for the CTQ total scores were as follows: higher number of siblings (p <0.001), presence of alcohol abuse / alcohol dependence (p = 0.020), absence of alcohol abuse / dependence on hypnotics and indicative of BPD (p <0.001). The domains of the CTQ, referring to emotional neglect were associated with higher age (p = 0.043), presence of alcohol abuse / alcohol dependence (p = 0.013) and indicative of other personality disorders that do not include the BPD. The emotional neglect was associated with higher number of siblings (p = 0.041), absence of abuse / alcohol dependence (p = 0.016) and indicative of TPB. The physical abuse was associated with higher number of siblings (p = 0.021), presence of alcohol abuse / dependence on hypnotics (p = 0.023). Emotional abuse was associated with higher number of siblings (p = 0.029) and indicative of BPD (p <0.001). The sexual abuse was not associated with any of the variables investigated. Conclusions: Early trauma scores are not associated with BD in a clinical population. Emotional abuse and neglect are indicators of BPD in this population. The child maltreatment prevention, mainly in large families, and detection of child victims of abuse and neglect is intended to lessen the impact of childhood trauma in adulthood.