{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:37:48Z","timestamp":1777714668988,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2008,12,1]],"date-time":"2008-12-01T00:00:00Z","timestamp":1228089600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2008,12]]},"abstract":"\n Objective:<\/jats:title>\n This study was designed to explore the relationship between five forms of childhood trauma and medically self-sabotaging behaviors (i.e., the intentional induction, exaggeration, and\/or exacerbation of medical symptoms).<\/jats:p>\n <\/jats:sec>\n \n Method:<\/jats:title>\n Using a cross-sectional sample of convenience, 120 psychiatric inpatients were surveyed about childhood sexual, physical, and emotional abuses, the witnessing of violence, and physical neglect, as well as 19 medically self-sabotaging behaviors (i.e., intentional behaviors that represent attempts to sabotage medical care).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n As expected, in this sample there were high prevalence rates of trauma (62.5% emotional abuse, 58.3% witnessing of violence, 46.7% physical abuse, 37.5% sexual abuse, 28.3% physical neglect). Simple correlations demonstrated statistically significant relationships between sexual abuse and physical neglect and medically self-sabotaging behaviors. Using multiple regression analysis, only physical neglect remained a unique predictor of medically self-sabotaging behaviors.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n These findings indicate that among psychiatric inpatients there appears to be a relationship between physical neglect in childhood and the generation of medically self-sabotaging behaviors in adulthood. Perhaps physical neglect in childhood contributes to the generation of somatic behaviors in adulthood for the purpose of eliciting caring responses from others.<\/jats:p>\n <\/jats:sec>","DOI":"10.2190\/pm.38.4.f","type":"journal-article","created":{"date-parts":[[2009,4,6]],"date-time":"2009-04-06T21:10:47Z","timestamp":1239052247000},"page":"469-479","source":"Crossref","is-referenced-by-count":4,"title":["The Relationship between Childhood Trauma and Medically Self-Sabotaging Behaviors among Psychiatric Inpatients"],"prefix":"10.1177","volume":"38","author":[{"given":"Randy A.","family":"Sansone","sequence":"first","affiliation":[{"name":"Wright State University, Dayton, Ohio and Kettering Medical Center, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael W.","family":"Wiederman","sequence":"additional","affiliation":[{"name":"Columbia College, South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie S.","family":"McLean","sequence":"additional","affiliation":[{"name":"Wright State University, Dayton, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,4,3]]},"reference":[{"key":"bibr1-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1097\/01.smj.0000191268.48828.3a"},{"key":"bibr2-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1891\/0886-6708.16.1.39"},{"key":"bibr3-PM.38.4.f","first-page":"1499","volume":"132","author":"Weil K","year":"2004","journal-title":"Revista Medica de Chile"},{"key":"bibr4-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000195834.37094.a4"},{"key":"bibr5-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-005-0624-4"},{"key":"bibr6-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(95)71608-5"},{"key":"bibr7-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.43.1.86"},{"key":"bibr8-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1300\/J070v15n03_01"},{"key":"bibr9-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1080\/00048670701881538"},{"key":"bibr10-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.5.899"},{"key":"bibr11-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2003.05.001"},{"key":"bibr12-PM.38.4.f","unstructured":"Sansone RA, McLean JS, Wiederman MW. The relationship between medically self-sabotaging behaviors and borderline personality among psychiatric inpatients. Primary Care Companion (in press)."},{"key":"bibr13-PM.38.4.f","volume-title":"Personality Diagnostic Questionnaire-4","author":"Hyler SE","year":"1994"},{"key":"bibr14-PM.38.4.f","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.6.6.583"},{"key":"bibr15-PM.38.4.f","volume-title":"Borderline personality in the medical setting: Unmasking and managing the difficult patient","author":"Sansone RA","year":"2007"}],"container-title":["The International Journal of Psychiatry in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2190\/PM.38.4.f","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2190\/PM.38.4.f","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:12:37Z","timestamp":1777457557000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.2190\/PM.38.4.f"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,12]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,12]]}},"alternative-id":["10.2190\/PM.38.4.f"],"URL":"https:\/\/doi.org\/10.2190\/pm.38.4.f","relation":{},"ISSN":["0091-2174","1541-3527"],"issn-type":[{"value":"0091-2174","type":"print"},{"value":"1541-3527","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,12]]}}}