The association between adverse childhood events and cluster C personality disorders: A meta-analysis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-05-02 DOI:10.1002/cpp.2856

Ştefania Crișan, Maria Stoia, Elena Predescu, Andrei C. Miu, Aurora Szentágotai-Tătar

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Abstract

Introduction

Studies suggest that adverse childhood events (ACEs) may contribute to the onset and development of cluster C personality disorders. However, the association between ACEs and these disorders remains unclear in terms of consistency across studies and effect magnitude, as well as generalizability within cluster C. The current meta-analysis aimed to examine the associations between ACEs and cluster C personality disorders based on the available literature.

Methods

Systematic searches were conducted in PubMed, Scopus, Web of Science and PsychInfo. Forty-eight eligible studies were included in the analyses, and pooled effect sizes were estimated both at the level of cluster C and at the level of each specific disorder. Moderation and meta-regression analyses were also conducted.

Results

ACEs were consistently associated with overall cluster C, as well as each of the specific disorders in this cluster. Sources of heterogeneity included type of instrument used to assess ACEs (questionnaires > interviews) and type of instrument used to assess the personality disorders (clinical interviews > questionnaires, as well as their combination with interview). The associations between ACEs and all cluster C personality disorders decreased with age.

Conclusions

ACEs are consistently associated with all cluster C personality disorders. Future work could approach the mechanisms underlying this association, preferably using longitudinal designs and considering the potential sources of effect variability identified in the present study.

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童年不良事件与 C 群人格障碍之间的关联：荟萃分析

简介研究表明，童年不良事件（ACE）可能会导致C群人格障碍的发生和发展。然而，ACE与这些障碍之间的关联在不同研究之间的一致性、效应大小以及在C群组内的普遍性方面仍不明确。本荟萃分析旨在根据现有文献研究ACE与C群组人格障碍之间的关联：在 PubMed、Scopus、Web of Science 和 PsychInfo 上进行了系统检索。分析中纳入了 48 项符合条件的研究，并在 C 群和每种特定障碍的层面上估算了汇集效应大小。此外，还进行了调节和元回归分析：结果：ACE与整个C群组以及该群组中的每一种特定障碍都有持续的相关性。异质性的来源包括用于评估ACE的工具类型（问卷>访谈）和用于评估人格障碍的工具类型（临床访谈>问卷，以及问卷与访谈的结合）。随着年龄的增长，ACE与所有C类人格障碍之间的关联性降低：结论：ACE与所有C类人格障碍均有关联。今后的工作可以探讨这种关联的内在机制，最好采用纵向设计，并考虑到本研究中发现的影响变异的潜在来源。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.