Associação entre adversidades na infância e personalidade patológica em adultos
DOI:
https://doi.org/10.36482/1809-5267.ARBP2021v73i3p.157-171Abstract
As adversidades na infância são experiências nocivas e recorrentes, fatores de risco para uma série de desfechos negativos na adultez, incluindo transtornos de personalidade. O objetivo principal deste estudo foi examinar a relação entre o escore cumulativo de adversidades e os indicativos potenciais para patologias de personalidade, na amostra total e por grupo com baixo/moderado risco de estresse ou alto risco de estresse devido a eventos do último ano. Participaram 507 pessoas com idades entre 18 e 59 anos (M = 30,5 anos; DP = 10,4). Foi encontrada associação entre o escore cumulativo de adversidades e indicativos potenciais para transtornos de personalidade, sendo o tamanho de efeito maior no grupo com alto risco de estresse. O escore cumulativo de adversidades parece ser um indicador de risco para patologias de personalidade. Salienta-se a necessidade de ações preventivas e de identificação da ocorrência de adversidades, para realização de intervenções.
References
Bornovalova, M. A., Huibregtse, B. M., Hicks, B. M., Keyes, M., McGue, M., & Iacono, W. (2013). Tests of a direct effect of childhood abuse on adult borderline personality disorder traits: A longitudinal discordant twin design. Journal of Abnormal Psychology, 122(1), 180-194. https://doi.org/10.1037/a0028328
Calza, T. Z., Dell’Aglio, D. D., & Sarriera, J. C. (2016). Direitos da criança e do adolescente e maus-tratos: Epidemiologia e notificação. Revista da SPAGESP, 17(1), 14-27. https://doi.org/10.1590/S0103-05822011000200002
Carvalho, L. D. F., Pianowski, G., & Reis, A. M. (2017). Development and diagnostic accuracy of the screening of the dimensional clinical personality inventory. Psicologia: Ciência e Profissão, 37(4), 1011-1024. https://doi.org/10.1590/1982-3703003082016
Chanen, A. M., & Kaess, M. (2012). Developmental pathways to borderline personality disorder. Current Psychiatry Reports, 14(1), 45-53. https://doi.org/10.1007/ s11920-011-0242-y
Clarke, S. (2015). Emotional abuse and emotional neglect in childhood: Subtypes, ecological correlates, and developmental tasks of emerging adulthood (tese de doutorado). University of Minnesota, Minneapolis, MN, USA. Recuperado de http://hdl.handle.net/11299/175399
Claussen, A. H., & Crittenden, P. M. (1991). Physical and psychological maltreatment: Relations among types of maltreatment. Child Abuse & Neglect, 15(1-2), 5-18. https://doi.org/10.1016/0145-2134(91)90085-R
Cohen, P., Crawford, T. N., Johnson, J. G., & Kasen, S. (2005). The children in the community study of developmental course of personality disorder. Journal of Personality Disorders, 19(5), 466-486. https://doi.org/10.1521/pedi.2005.19.5.466
Comijs, H. C., Beekman, A. T., Smit, F., Bremmer, M., Van Tilburg, T., & Deeg, D. J. (2007). Childhood adversity, recent life events and depression in late life. Journal of Affective Disorders, 103(1-3), 243-246. https://doi.org/10.1016/j.jad.2007.01.012
Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., Harkins- Schwarz, M. et al. (2015). Adverse childhood experiences: Expanding the concept of adversity. American Journal of Preventive Medicine, 49(3), 354-361. https://doi.org/10.1016/j.amepre.2015.02.001
Dugal, C., Bigras, N., Godbout, N., & Bélanger, C. (2016). Childhood interpersonal trauma and its repercussions in adulthood: An analysis of psychological and interpersonal sequelae. In G. El-Baalbaki, & C. Fortin (Eds.), A multidimensional approach to post-traumatic stress disorder: From theory to practice. London: IntechOpen.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V. et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245-258. https://doi.org/10.1016/S0749-3797(98)00017-8
Fergusson, D. M., & Horwood, L. J. (2003). Resilience to childhood adversity: Results of a 21-year study. In S. S. Luthar (Ed.), Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 130-155). Cambridge: Cambridge University.
Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2009). Lifetime assessment of poly-victimization in a national sample of children and youth. Child Abuse & Neglect, 33(7), 403-411. https://doi.org/10.1016/j.chiabu.2008.09.012
Glaser, J. P., Van Os, J., Portegijs, P. J., & Myin-Germeys, I. (2006). Childhood trauma and emotional reactivity to daily life stress in adult frequent attenders of general practitioners. Journal of Psychosomatic Research, 61(2), 229-236. https://doi.org/10.1016/j.jpsychores.2006.04.014
Green, J. G., McLaughlin, K. A., Berglund, P. A., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M. et al. (2010). Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67(2), 113-123. https://doi.org/10.1001/archgenpsychiatry.2009.186
Hammen, C., Henry, R., & Daley, S. E. (2000). Depression and sensitization to stressors among young women as a function of childhood adversity. Journal of Consulting and Clinical Psychology, 68(5), 782-787. https://doi.org/10.1037/0022- 006X.68.5.782
Harkonmäki, K., Korkeila, K., Vahtera, J., Kivimäki, M., Suominen, S., Sillanmäki, L. et al. (2007). Childhood adversities as a predictor of disability retirement. Journal of Epidemiology & Community Health, 61(6), 479-484. https://doi.org/10.1136/ jech.2006.052670
Hernandez, A., Arntz, A., Gaviria, A. M., Labad, A., & Gutiérrez-Zotes, J. A. (2012). Relationships between childhood maltreatment, parenting style, and borderline personality disorder criteria. Journal of Personality Disorders, 26(5), 727-736. https://doi.org/10.1521/pedi.2012.26.5.727
Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11(2), 213-218. https://doi.org/10.1016/0022-3999(67)90010-4
Infurna, M. R., Reichl, C., Parzer, P., Schimmenti, A., Bifulco, A., & Kaess, M. (2016). Associations between depression and specific childhood experiences of abuse and neglect: A meta-analysis. Journal of Affective Disorders, 190, 47-55. https://doi.org/10.1016/j.jad.2015.09.006
Jaffee, S. R. (2017). Child maltreatment and risk for psychopathology in childhood and adulthood. Annual review of clinical psychology, 13, 525-551. https://doi.org/10.1146/annurev-clinpsy-032816-045005
Jorm, A. F., & Mulder, R. T. (2018). Prevention of mental disorders requires action on adverse childhood experiences. Australian & New Zealand Journal of Psychiatry, 52(4), 316-319. https://doi.org/10.1177/0004867418761581
Kalmakis, K. A., & Chandler, G. E. (2014). Adverse childhood experiences: Towards a clear conceptual meaning. Journal of Advanced Nursing, 70(7), 1489-1501. https://doi.org/10.1111/jan.12329
Kessler, R. C., McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M. et al. (2010). Childhood adversities and adult psychopathology in the WHO world mental health surveys. The British Journal of Psychiatry, 197(5), 378-385. https://doi.org/10.1192/bjp.bp.110.080499
Kluwe-Schiavon, B., Viola, T. W., & Grassi-Oliveira, R. (2016). Cross-cultural adaptation of the maltreatment and abuse chronology of exposure (MACE) scale to brazilian portuguese. Trends in Psychiatry and Psychotherapy, 38(1), 33-39. https://doi.org/10.1590/2237-6089-2015-0051
Kuo, J. R., Khoury, J. E., Metcalfe, R., Fitzpatrick, S., & Goodwill, A. (2015). An examination of the relationship between childhood emotional abuse and borderline personality disorder features: The role of difficulties with emotion regulation. Child Abuse & Neglect, 39(1), 147-155. https://doi.org/10.1016/j.chiabu.2014.08.008
Lipp, M. E. N. (1984). Stress e suas implicações. Estudos em Psicologia (Campinas), 1(3/4), 5-19.
Mansueto, G., & Faravelli, C. (2017). Recent life events and psychosis: The role of childhood adversities. Psychiatry Research, 256, 111-117. https://doi.org/10.1016/j. psychres.2017.06.042
Marackova, M., Prasko, J., Matousek, S., Latalova, K., Hruby, R., Holubova, M. et al. (2016). The impact of childhood adversities on anxiety and depressive disorders in adulthood. Neuro Endocrinology Letters, 37(7), 478-484.
McCabe, K. L., Maloney, E. A., Stain, H. J., Loughland, C. M., & Carr, V. J. (2012). Relationship between childhood adversity and clinical and cognitive features in schizophrenia. Journal of Psychiatric Research, 46(5), 600-607. https://doi.org/10.1016/j.jpsychires.2012.01.023
McLaughlin, K. A. (2016). Future directions in childhood adversity and youth psychopathology. Journal of Clinical Child & Adolescent Psychology, 45(3), 361-382. https://doi.org/10.1080/15374416.2015.1110823
Mitchell, K. J., Tynes, B., Umaña-Taylor, A. J., & Williams, D. (2015). Cumulative experiences with life adversity: Identifying critical levels for targeting prevention efforts. Journal of Adolescence, 43(1), 63-71. https://doi.org/10.1016/j.adolescence.2015.05.008
Montez, J. K., & Hayward, M. D. (2014). Cumulative childhood adversity, educational attainment, and active life expectancy among US adults. Demography, 51(2), 413-435. https://doi.org/10.1007/s13524-013-0261-x
Neumann, E. (2017). Emotional abuse in childhood and attachment anxiety in adult romantic relationships as predictors of personality disorders. Journal of Aggression, Maltreatment & Trauma, 26(4), 430-443.
Paris, J. (2018). Childhood adversities and personality disorders. In W. J. Livesley, & R. Larstone (Eds.), Handbook of personality disorders: Theory, research, and treatment (2a ed., pp. 301-308). New York: Guilford.
Raffaelli, M., Santana, J. P., Morais, N. A., Nieto, C. J., & Koller, S. H. (2018). Adverse childhood experiences and adjustment: A longitudinal study of street-involved youth in Brazil. Child Abuse & Neglect, 85, 91-100. https://doi.org/10.1016/j.chiabu.2018.07.032
Seery, M. D., Holman, E. A., & Silver, R. C. (2010). Whatever does not kill us: Cumulative lifetime adversity, vulnerability, and resilience. Journal of Personality and Social Psychology, 99(6), 1025-1041. https://doi.org/10.1037/a0021344
Senra, L. X., Lourenço, L. M., & Pereira, B. O. (2011). Características da relação entre violência doméstica e bullying: Revisão sistemática da literatura. Gerais : Revista Interinstitucional de Psicologia, 4(2), 297-309.
Soares, A. L. G., Howe, L. D., Matijasevich, A., Wehrmeister, F. C., Menezes, A. M., & Gonçalves, H. (2016). Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort. Child Abuse & Neglect, 51, 21-30. https://doi.org/10.1016/j.chiabu.2015.11.017
Tavares, M. D. L. (2004). Abordagem da violência intrafamiliar no programa saúde da família. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Violência faz mal à saúde. Brasília: Ministério da Saúde, 205-17.
Teicher, M. H., & Parigger, A. (2015). The ‘maltreatment and abuse chronology of exposure’ (MACE) scale for the retrospective assessment of abuse and neglect during development. PLoS One, 10(2), 1-37. https://doi.org/10.1371/journal. pone.0117423
Viola, T. W., Salum, G. A., Kluwe-Schiavon, B., Sanvicente-Vieira, B., Levandowski, M. L., & Grassi-Oliveira, R. (2016). The influence of geographical and economic factors in estimates of childhood abuse and neglect using the childhood trauma questionnaire: A worldwide meta-regression analysis. Child Abuse & Neglect, 51, 1-11. https://doi.org/10.1016/j.chiabu.2015.11.019
Warmingham, J. M., Handley, E. D., Rogosch, F. A., Manly, J. T., & Cicchetti, D. (2019). Identifying maltreatment subgroups with patterns of maltreatment subtype and chronicity: A latent class analysis approach. Child Abuse & Neglect, 87, 28-39. https://doi.org/10.1016/j.chiabu.2018.08.013
Waxman, R., Fenton, M. C., Skodol, A. E., Grant, B. F., & Hasin, D. (2014). Childhood maltreatment and personality disorders in the USA: Specificity of effects and the impact of gender. Personality and Mental Health, 8(1), 30-41. https://doi.org/10.1002/pmh.1239
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