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Unanswered Questions Remain

Arch Gen Psychiatry. 1999;56:607-608.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN THIS issue of the ARCHIVES, Johnson et al¹ present the findings of a longitudinal study demonstrating that abused and neglected children are more likely than nonvictims to develop personality disorders in young adulthood. This article has many strengths: a prospective longitudinal design, a representative community sample, a definition of childhood abuse and neglect based on documented cases, a comprehensive assessment of personality disorders, and statistical controls for age, gender, childhood temperament, and parental psychopathology. The authors' finding that childhood maltreatment is associated with increased risk for personality disorders in young adulthood is particularly impressive, given the relatively small number of documented cases of child maltreatment (31 of a total sample of 639) and even smaller numbers of cases of specific types of abuse and neglect (for example, there were 4 documented cases of sexual abuse).

The study raises important questions that await answers. For example, documented child maltreatment was . . . [Full Text of this Article]

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