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Childhood Family Structure and Personality Disorders in Adulthood

Published online by Cambridge University Press:  06 March 2008

L. Kantojärvi ,
M. Joukamaa ,
J. Miettunen ,
K. Läksy ,
A. Herva ,
J.T. Karvonen ,
A. Taanila  and
J. Veijola
L. Kantojärvi*
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
M. Joukamaa
Affiliation:
Department of Social Psychiatry, School of Public Health, University of Tampere, Finland Department of Psychiatry, Tampere University Hospital, Tampere, Finland
J. Miettunen
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
K. Läksy
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
A. Herva
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
J.T. Karvonen
Affiliation:
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029OYS, Oulu, Finland
A. Taanila
Affiliation:
Department of Public Health Science and General Practice, University of Oulu, Finland
J. Veijola
Affiliation:
Department of Psychiatry, University of Oulu, Finland
*
∗Corresponding author. Tel.: +358 8 3154050; fax: +358 8 336168. E-mail address: [email protected] (L. Kantojärvi).
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Abstract

Background.

The association between childhood family structure and sociodemographic characteristics and personality disorders (PDs) in a general population sample was studied.

Methods.

This study is a substudy of the prospective Northern Finland 1966 Birth Cohort Project with 1588 young adult subjects. The case-finding methods according to the DSM-III-R criteria for PDs were: (1) Structured Clinical Interview for DSM-III-R (SCID) for 321 cases who participated in a 2-phase field study, (2) Finnish Hospital Discharge Register data, and (3) analysis of the patient records in public outpatient care in 1982–1997. Statistical analyses were performed on the association between PDs and family background factors.

Results.

Altogether 110 (7.0%) of the subjects had at least one probable or definite PD. After adjusting for confounders (gender, parental social class and parental psychiatric disorder) the results indicated that single-parent family type in childhood was associated with cluster B PDs in adulthood. Being an only child in childhood was associated with cluster A PDs. No special childhood risk factors were found for cluster C PDs.

Conclusions.

Results suggest that single-parent family type at birth and being an only child in the 1960s are associated with PD in adulthood. Further studies are needed to explore the psychosocial aspects of family environment which may nowadays promote vulnerability to PDs in adulthood.

Keywords

Personality disorderCohort studyFamilySingle mothersDivorce
Type
Original article
Information
European Psychiatry , Volume 23 , Issue 3 , April 2008 , pp. 205 - 211
Copyright
Copyright © European Psychiatric Association 2008

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