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<p>Childhood traumatic experiences have been implicated in the development of personality disorders (PDs), but research within the recent ICD-11 PD framework is still lacking. We aimed to explore the effects of various types of early trauma on the ICD-11 PD severity and maladaptive personality domains. In this cross-sectional study, 398 adult psychiatric patients (57% females; 32% PD) filled out the following self-report instruments: the ICD-11 Personality Disorder Severity Scale, the Personality Assessment Questionnaire for ICD-11, and the Childhood Trauma Questionnaire - Short Form. PD patients had significantly higher scores on all five childhood trauma subscales compared to non-PD patients. Childhood emotional traumas were more strongly associated with PD severity and maladaptive domains compared to physical/sexual traumas. Emotional abuse was an independent predictor of PD severity. Further, emotional abuse was uniquely predictive of personality domains Negative affectivity and Disinhibition, emotional neglect was a unique predictor of domain Detachment, while physical abuse was uniquely predictive of domain Anankastia. These regressions were controlled for the influence of sociodemographic factors. Our findings highlight a particularly high occurrence of early adversity in PD patients, and offer new insights into the specific role of various childhood traumata in ICD-11 PD severity and maladaptive personality domains.</p>

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Childhood Traumatic Experiences and ICD-11 Model of Personality Disorders: a Study Among Croatian Psychiatric Patients

  • 期刊论文

  • 发表日期：

    2026年4月7日

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  • Nenad Jakšić,
  • Ivona Šimunović Filipčić,
  • Marina Šagud,
  • Jasmina Grubišin,
  • Zoran Madžarac,
  • Eva Podolski,
  • Bjanka Vuksan-Ćusa,
  • Igor Filipčić,
  • Darko Marčinko

摘要

Childhood traumatic experiences have been implicated in the development of personality disorders (PDs), but research within the recent ICD-11 PD framework is still lacking. We aimed to explore the effects of various types of early trauma on the ICD-11 PD severity and maladaptive personality domains. In this cross-sectional study, 398 adult psychiatric patients (57% females; 32% PD) filled out the following self-report instruments: the ICD-11 Personality Disorder Severity Scale, the Personality Assessment Questionnaire for ICD-11, and the Childhood Trauma Questionnaire - Short Form. PD patients had significantly higher scores on all five childhood trauma subscales compared to non-PD patients. Childhood emotional traumas were more strongly associated with PD severity and maladaptive domains compared to physical/sexual traumas. Emotional abuse was an independent predictor of PD severity. Further, emotional abuse was uniquely predictive of personality domains Negative affectivity and Disinhibition, emotional neglect was a unique predictor of domain Detachment, while physical abuse was uniquely predictive of domain Anankastia. These regressions were controlled for the influence of sociodemographic factors. Our findings highlight a particularly high occurrence of early adversity in PD patients, and offer new insights into the specific role of various childhood traumata in ICD-11 PD severity and maladaptive personality domains.