{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:29:32Z","timestamp":1790260172231,"version":"4.1.0"},"reference-count":57,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:00:00Z","timestamp":1688342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100019274","name":"National Institute of Mental Health and Neurosciences","doi-asserted-by":"publisher","award":["R01MH080086"],"award-info":[{"award-number":["R01MH080086"]}],"id":[{"id":"10.13039\/100019274","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Two primary limitations of research on the association between adverse childhood experiences (ACEs) and personality disorder (PD) are (1) failure to consider mechanisms of association and (2) inconsistent results due, in part, to inconsistent approaches to quantifying ACE exposure. The current study will address these limitations by examining the cross\u2010sectional mediating role of self\u2010 and interpersonal dysfunction on the association between ACE and three PDs (antisocial, schizotypal, and borderline) using three quantifications of ACE exposure (cumulative, individual, and unique risk). Participants were 149 current or recent psychiatric patients, and data analyses were performed through estimation of a series of cross\u2010sectional mediation models. Taken together, results suggest that (1) the association between ACE and PD is moderate, (2) self\u2010 and interpersonal dysfunction cross\u2010sectionally mediate this association, (3) after accounting for variance shared among ACEs, associations between specific ACE subtypes and PD were negligible, (4) much of the association between ACE and PD is accounted for by general processes impacted by all forms of ACE and implicated in all forms of PD, and (5) emotional neglect may uniquely contribute to self\u2010 and interpersonal dysfunction and thereby, PD risk.<\/jats:p>","DOI":"10.1002\/pmh.1588","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T07:44:11Z","timestamp":1688370251000},"page":"259-271","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Do self and interpersonal dysfunction cross\u2010sectionally mediate the association between adverse childhood experiences and personality pathology?"],"prefix":"10.1002","volume":"17","author":[{"given":"Chloe M.","family":"Evans","sequence":"first","affiliation":[{"name":"Department of Psychology University at Buffalo  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8081-380X","authenticated-orcid":false,"given":"Leonard J.","family":"Simms","sequence":"additional","affiliation":[{"name":"Department of Psychology University at Buffalo  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2010.11.008"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(98)00152-1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2003.07.008"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.18.2.193.32777"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2011.583808"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.117.3.502"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.schbul.a006985"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4603(98)00072-0"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(02)00541-0"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852900019118"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0954579409990174"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2016.11.024"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.11.016"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1365"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.57.102904.190200"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2013.10.036"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2008.03.005"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2004.01.008"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(98)00017-8"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1995.9.2.83"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2008.22.1.4"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1999.13.3.268"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.15.6.505.19194"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.09.050"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2002.02303.x"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2004.00218.x"},{"key":"e_1_2_10_29_1","series-title":"Methodology in the Social Sciences","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression\u2013based approach","author":"Hayes A. F.","year":"2018"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000644"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1022841215113"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2015_29_186"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1053\/comp.2001.19755"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452231655.n15"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2000.14.2.171"},{"key":"e_1_2_10_36_1","unstructured":"Kelley K.(2020).MBESS: The MBESS R package. R package version 4.8.0.https:\/\/cran.r-project.org\/package=MBESS"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797613502676"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/met0000165"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2011.25.4.448"},{"key":"e_1_2_10_40_1","volume-title":"Child maltreatment surveillance: Uniform definitions for public health and recommended data elements, version 1.0","author":"Leeb R. T.","year":"2008"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291799008570"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.103.1.6"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2010.24.3.285"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1997.11.1.19"},{"key":"e_1_2_10_45_1","volume-title":"The life story interview","author":"McAdams D. P.","year":"2008"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.147.8.1008"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1997.11.1.34"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0022658"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CHI.0000070250.24125.5F"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12621"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1997.11.1.4"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2011.577475"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2008.12.005"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2009.10.001"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.08.025"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2007.10.017"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.61.6.1068"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2013.27.2.244"}],"container-title":["Personality and Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.1588","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T07:09:46Z","timestamp":1693292986000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmh.1588"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,3]]},"references-count":57,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1002\/pmh.1588"],"URL":"https:\/\/doi.org\/10.1002\/pmh.1588","archive":["Portico"],"relation":{},"ISSN":["1932-8621","1932-863X"],"issn-type":[{"value":"1932-8621","type":"print"},{"value":"1932-863X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,3]]},"assertion":[{"value":"2022-03-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}