Global research landscape, knowledge structure, and emerging trends in adverse childhood experiences and personality disorders: a bibliometric analysis - Report - MDSpire

Global research landscape, knowledge structure, and emerging trends in adverse childhood experiences and personality disorders: a bibliometric analysis

  • By

  • Liuyin Jin

  • Hua Xia

  • Lulu Sun

  • June 24, 2026

  • 0 min

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Clinical Report: Analyzing the Global Research Framework on ACEs and PDs

Overview

This bibliometric study characterizes trends and knowledge dynamics in the research linking adverse childhood experiences (ACEs) and personality disorders (PDs). It highlights a significant increase in publications post-2000, with the United States leading in output and collaboration.

Background

The relationship between ACEs and PDs is critical in understanding mental health outcomes. Previous research has primarily focused on epidemiological associations and specific diagnoses, but there is a lack of comprehensive bibliometric analysis in this field.

Data Highlights

YearPublications
200050
20215,084

Key Findings

  • ACEs–PDs research has shown sustained growth, particularly after 2000.
  • The United States is the leading country in terms of publication output and citation impact.
  • Key contributors include Zanarini M, Fonagy P, and Schmahl C.
  • Core themes identified include childhood adversity, borderline personality disorder, and emotion dysregulation.
  • Hotspots of research have expanded to include non-suicidal self-injury and early intervention.

Clinical Implications

The findings suggest a shift in research focus from simple exposure–outcome studies to more complex interactions involving comorbidity and neurobiological mechanisms. Clinicians should consider these evolving themes in their assessments and interventions.

Conclusion

This study provides a comprehensive mapping of ACEs–PDs research, indicating a need for future studies to explore longitudinal and cross-cultural aspects of these relationships.

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  4. Personality disorders | The British Journal of Psychiatry | Cambridge Core
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