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	Institution: CLOCKSS  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 4 No. 5, May 1995   Archives  •  Online Features Original Contributions  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal The Prevalence of Trauma and Its Relationship to Borderline Personality Symptoms and Self-destructive Behaviors in a Primary Care Setting Randy A. Sansone, MD; Lori A. Sansone, MD; Michael Wiederman, PhD Arch Fam Med. 1995;4(5):439-442. Abstract Objective To determine the prevalence of five types of trauma and their relationship to borderline personality symptoms and self-destructive behaviors in female subjects recruited from a primary care setting. Design Consecutive sample. Method Subjects completed a lengthy research booklet. Setting Primary care, outpatient, health maintenance organization setting. Patients One hundred fifty-two consecutive women, aged 18 to 45 years, who were scheduled for routine gynecological care by a female family physician. Main Outcome Measures Measures included a demographic questionnaire, a trauma questionnaire (ie, sexual, physical, and emotional abuse, physical neglect, and witnessing of violence), the Borderline Personality Scale of the Personality Diagnostic Questionnaire^Revised; and the Self-Harm Inventory. Results Traumatic experiences were reported by 70.7% of the subjects (25.8%, sexual abuse; 36.4%, physical abuse; 43.7%, emotional abuse; 9.3%, physical neglect; and 43.0%, witnessing of violence). There was a significant correlation between the acknowledged number of abuse categories and borderline personality symptoms (r=.36, P=.01) as well as self-destructive behaviors (r=.43, P=.01). Sexual abuse and witnessing of violence were most associated with borderline personality symptoms; sexual abuse, physical abuse, and witnessing of violence were most associated with self-destructive behaviors. Conclusions This study provides further evidence that abuse is a nonspecific but contributory factor to psychopathologic processes, in particular borderline personality symptoms and self-destructive behaviors. Author Affiliations From the Departments of Psychiatry (Dr R. Sansone) and Family Practice (Dr L. Sansone), the University of Oklahoma College of Medicine, Tulsa; the Medical Care Associates of Tulsa (Dr L. Sansone); and the Department of Psychiatry and Behavioral Sciences, the University of Kansas School of Medicine, Wichita (Dr Wiederman). THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Preliminary Evidence for Sensitive Periods in the Effect of Childhood Sexual Abuse on Regional Brain Development Andersen et al. J. Neuropsychiatry Clin. Neurosi. 2008;20:292-301. ABSTRACT | FULL TEXT   Guilt and shame: experiences of parents of self-harming adolescents McDonald et al. J Child Health Care 2007;11:298-310. ABSTRACT   Psychosocial Characteristics Discriminating Between Battered Women and Other Women Psychiatric Inpatients Poirier J Am Psychiatr Nurses Assoc 2000;6:144-151. ABSTRACT   Prevalence of sexualized violence among women: A population-based study in a primary healthcare district Risberg et al. Scand J Public Health 1999;27:247-253. ABSTRACT   Trauma, Borderline Personality, and Self-harm Behaviors Sansone et al. Arch Fam Med 1995;4:1000-1001. ABSTRACT   Trauma, Borderline Personality, and Self-harm Behaviors-Reply Candib Arch Fam Med 1995;4:1001-1002. ABSTRACT   Trauma, Borderline Personality, and Self-Harm JWatch Psychiatry 1995;1995:14-14. FULL TEXT   Moving on to Strengths Candib Arch Fam Med 1995;4:397-400. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1995 American Medical Association. All Rights Reserved.