Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience

Abstract Background Although childhood abuse is considered to be related to borderline personality disorder (BPD), few studies have elaborated on the mediating role of self-esteem and resilience in it. Thus, the present study aimed to explore the potential mediating role of resilience and self-estee...

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Main Authors: Guo-Die Xie, Jun-Jie Chang, Meng-Yuan Yuan, Geng-Fu Wang, Yang He, Shan-Shan Chen, Pu-Yu Su
Format: Article
Language:English
Published: BMC 2021-07-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-021-03332-w
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author Guo-Die Xie
Jun-Jie Chang
Meng-Yuan Yuan
Geng-Fu Wang
Yang He
Shan-Shan Chen
Pu-Yu Su
author_facet Guo-Die Xie
Jun-Jie Chang
Meng-Yuan Yuan
Geng-Fu Wang
Yang He
Shan-Shan Chen
Pu-Yu Su
author_sort Guo-Die Xie
collection DOAJ
description Abstract Background Although childhood abuse is considered to be related to borderline personality disorder (BPD), few studies have elaborated on the mediating role of self-esteem and resilience in it. Thus, the present study aimed to explore the potential mediating role of resilience and self-esteem between childhood abuse and BPD. Methods This cross-sectional study was conducted with 4034 college students in Anhui Province, China. Participants were asked to complete Chinese versions of the following instruments: Childhood Trauma Questionnaire–Short Form (CTQ-SF), Mclean Screening Instrument for Borderline Personality Disorder (MSI-BPD), Connor-Davidson Resilience Scale (CD-RISC), and Rosenberg Self-Esteem Scale (RSES). Structural equation modeling (SEM) was used to test the mediation effects. Results Resilience and self-esteem were found to be mediators of all three types of childhood abuse (emotional abuse, physical abuse and sexual abuse) when the types were examined separately; however, when all three types of childhood abuse were entered into the model simultaneously, neither the indirect effects nor direct effects of physical abuse or sexual abuse were found to be significant, only the association between emotional abuse and BPD features was partially mediated by resilience and self-esteem. Conclusions Self-esteem and resilience mediate the links between childhood abuse and BPD features, and emotional abuse is uniquely associated with BPD features.
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spelling doaj.art-38254c90c2e1411499ce6dcd74e3f5dd2022-12-21T22:52:43ZengBMCBMC Psychiatry1471-244X2021-07-012111910.1186/s12888-021-03332-wChildhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilienceGuo-Die Xie0Jun-Jie Chang1Meng-Yuan Yuan2Geng-Fu Wang3Yang He4Shan-Shan Chen5Pu-Yu Su6Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityAbstract Background Although childhood abuse is considered to be related to borderline personality disorder (BPD), few studies have elaborated on the mediating role of self-esteem and resilience in it. Thus, the present study aimed to explore the potential mediating role of resilience and self-esteem between childhood abuse and BPD. Methods This cross-sectional study was conducted with 4034 college students in Anhui Province, China. Participants were asked to complete Chinese versions of the following instruments: Childhood Trauma Questionnaire–Short Form (CTQ-SF), Mclean Screening Instrument for Borderline Personality Disorder (MSI-BPD), Connor-Davidson Resilience Scale (CD-RISC), and Rosenberg Self-Esteem Scale (RSES). Structural equation modeling (SEM) was used to test the mediation effects. Results Resilience and self-esteem were found to be mediators of all three types of childhood abuse (emotional abuse, physical abuse and sexual abuse) when the types were examined separately; however, when all three types of childhood abuse were entered into the model simultaneously, neither the indirect effects nor direct effects of physical abuse or sexual abuse were found to be significant, only the association between emotional abuse and BPD features was partially mediated by resilience and self-esteem. Conclusions Self-esteem and resilience mediate the links between childhood abuse and BPD features, and emotional abuse is uniquely associated with BPD features.https://doi.org/10.1186/s12888-021-03332-wChildhood abuseSelf-esteemResilienceBorderline personality disorderMediation effectsStructural equation model
spellingShingle Guo-Die Xie
Jun-Jie Chang
Meng-Yuan Yuan
Geng-Fu Wang
Yang He
Shan-Shan Chen
Pu-Yu Su
Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience
BMC Psychiatry
Childhood abuse
Self-esteem
Resilience
Borderline personality disorder
Mediation effects
Structural equation model
title Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience
title_full Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience
title_fullStr Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience
title_full_unstemmed Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience
title_short Childhood abuse and borderline personality disorder features in Chinese undergraduates: the role of self-esteem and resilience
title_sort childhood abuse and borderline personality disorder features in chinese undergraduates the role of self esteem and resilience
topic Childhood abuse
Self-esteem
Resilience
Borderline personality disorder
Mediation effects
Structural equation model
url https://doi.org/10.1186/s12888-021-03332-w
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