Childhood family structure and personality disorders in adulthood.
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.
Kantojärvi
L
L
Department of Psychiatry, Oulu University, Oulu University Hospital, P.O. Box 26, FIN 90029 OYS, Oulu, Finland. liisa.kantojarvi@oulu.fi
Joukamaa
M
M
Miettunen
J
J
Läksy
K
K
Herva
A
A
Karvonen
J T
JT
Taanila
A
A
Veijola
J
J
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005191:Family Characteristics; D005260:Female; D005387:Finland; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009863:Only Child / Q000523:psychology / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D011446:Prospective Studies; D012307:Risk Factors; D020954:Single-Parent Family / Q000523:psychology / Q000706:statistics & numerical data; D012923:Social Class; D013223:Statistics as Topic