Adverse Childhood Events, Personality Disorders, and Multimorbidity in Older Adults: Exploring the Connections.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-04-09 DOI:10.1080/07317115.2025.2487673

Semmy Op den Camp, Julie Schulkens, Sebastiaan van Alphen, Ellen Gielkens, Silvan Licher, Therèse van Amelsvoort, Sjacko Sobczak

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引用次数: 0

Abstract

Objectives: We investigated the association between adverse childhood events, personality disorders and multimorbidity in older adults.

Methods: This is a cross-sectional analysis in a population of older adults including 40 people with a personality disorder and 75 healthy controls. The Childhood Traumatic Events Scale was used to assess adverse childhood events. Multimorbidity was defined as the presence of 2 or more predetermined chronic somatic and psychiatric disorders. Logistic regression analysis was used to assess the association between adverse childhood events, personality disorders and multimorbidity.

Results: No significant association was found between adverse childhood events and multimorbidity (OR = 1.03, 95% CI = 0.96-1.09). The presence of a personality disorder was significantly associated with multimorbidity (OR = 12.95, 95% CI = 4.28-39.14).

Conclusions: Overall, we did not find an association between adverse childhood events and multimorbidity in older adults. Multimorbidity was more prevalent in subjects with personality disorders compared to healthy controls.

Clinical implications: The findings suggest that personality disorders are associated with both mental and physical health challenges, underscoring the importance of integrated care approaches to address both aspects in clinical practice.

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儿童期不良事件、人格障碍和老年人多病：探索两者之间的联系。

目的我们调查了老年人童年不良事件、人格障碍和多病症之间的关系：这是一项横断面分析，研究对象为老年人群，包括 40 名人格障碍患者和 75 名健康对照者。童年创伤事件量表用于评估童年不良事件。多病的定义是存在 2 种或 2 种以上预先确定的慢性躯体疾病和精神疾病。逻辑回归分析用于评估童年不良事件、人格障碍和多病之间的关联：结果：童年不良事件与多病之间无明显关联（OR = 1.03，95% CI = 0.96-1.09）。人格障碍与多病症显著相关（OR = 12.95，95% CI = 4.28-39.14）：总体而言，我们没有发现童年不良事件与老年人的多病症之间存在关联。结论：总体而言，我们没有发现童年不良事件与老年人的多病症之间存在关联，与健康对照组相比，人格障碍患者的多病症发生率更高：研究结果表明，人格障碍与精神和身体健康方面的挑战都有关联，强调了在临床实践中采用综合护理方法解决这两方面问题的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.