The relationship between childhood trauma, emotion dysregulation, dissociative psychopathology, and aggression in patients with borderline personality disorder (BPD) and attention-deficit/hyperactivity disorder (ADHD)

This study investigated the relationship between childhood trauma, emotion dysregulation, dissociative psychopathology, and aggression in adult female ADHD and BPD patients. The study aimed to determine whether childhood maltreatment predicted aggression and if emotion dysregulation and dissociation mediated this relationship. Methods: The study included eighty-six women (n=29 patients with BPD, n=28 patients with ADHD; and n=29 healthy controls, HC) recruited from the Department of Psychiatry and Psychotherapy at the Central Institute of Mental Health in Mannheim, Germany. Childhood trauma was measured using the Childhood Trauma Questionnaire (CTQ), which assessed various forms of abuse and neglect. Aggression was measured using the Buss Perry Aggression Questionnaire (AQ), which assessed physical aggression, verbal aggression, anger, and hostility. Emotion dysregulation was assessed using the Difficulties in Emotion Regulation Scale (DERS), which measured six dimensions of emotion...Show moreThis study investigated the relationship between childhood trauma, emotion dysregulation, dissociative psychopathology, and aggression in adult female ADHD and BPD patients. The study aimed to determine whether childhood maltreatment predicted aggression and if emotion dysregulation and dissociation mediated this relationship. Methods: The study included eighty-six women (n=29 patients with BPD, n=28 patients with ADHD; and n=29 healthy controls, HC) recruited from the Department of Psychiatry and Psychotherapy at the Central Institute of Mental Health in Mannheim, Germany. Childhood trauma was measured using the Childhood Trauma Questionnaire (CTQ), which assessed various forms of abuse and neglect. Aggression was measured using the Buss Perry Aggression Questionnaire (AQ), which assessed physical aggression, verbal aggression, anger, and hostility. Emotion dysregulation was assessed using the Difficulties in Emotion Regulation Scale (DERS), which measured six dimensions of emotion regulation difficulties. Dissociation was measured using the Dissociative Experience Scale (DES), which assessed various aspects of dissociative psychopathology. Results: The results revealed that childhood maltreatment had a significant effect on aggression, mediated by emotion dysregulation but not dissociation. Furthermore, scores for aggression, emotion dysregulation, and dissociation were higher in the ADHD and BPD groups compared to healthy controls. These findings suggest a need for clinical emphasis on trauma-informed care and emotion regulation strategies. Additionally, the study highlighted the necessity of future research on gender differences in these relationships, providing an impetus for personalised treatment strategies. Conclusion: This study emphasises the crucial role of childhood trauma and emotion dysregulation in managing aggression in female ADHD and BPD patients.Show less

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The relationship between childhood trauma, emotion dysregulation, dissociative psychopathology, and aggression in patients with borderline personality disorder (BPD) and attention-deficit/hyperactivity disorder (ADHD)