DISENTANGLING THE RELATIONSHIP BETWEEN DIFFERENT TYPES OF CHILDHOOD MALTREATMENT AND PERSONALITY DISORDERS

DISENTANGLING THE RELATIONSHIP BETWEEN DIFFERENT TYPES OF CHILDHOOD MALTREATMENT AND PERSONALITY DISORDERS
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DOI:
10.1521/pedi.2010.24.3.285
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发表时间:
2010-06-01
影响因子:
2.3
通讯作者:
Bernstein, David P.
Bernstein, David P.
中科院分区:
医学2区
文献类型:
--
作者:
Lobbestael, Jill;Arntz, Arnold;Bernstein, David P.

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这项研究调查了五种形式的儿童虐待(性虐待、身体虐待和情感虐待、情感和身体忽视)与 10 种人格障碍 (PD) 之间的关系。 PD 通过 SCID II 进行评估,并通过童年创伤事件访谈对儿童虐待进行回顾性测量。 PD 和儿童虐待都持续表达,并通过结构方程模型对 409 名参与者的样本进行了评估。结果表明,性虐待与偏执型、分裂型、边缘型和回避型帕金森病症状相关。身体虐待导致反社会人格障碍;情感虐待与偏执。精神分裂的。边缘型和簇型 C PD;以及情感忽视,伴有表演性和边缘性人格障碍。没有发现身体忽视与帕金森病之间存在独立关系。这些研究结果提供了明确的(尽管是回顾性的)证据,表明不同形式的儿童虐待对帕金森病的病理学有不同的影响。
This study investigated the relationship between five forms of childhood maltreatment (sexual, physical and emotional abuse, emotional and physical neglect) and 10 personality disorders (PDs). PDs were assessed by means of SCID II, and childhood maltreatment was retrospectively measured with the Interview for Traumatic Events in Childhood. Both PDs and childhood maltreatment were expressed continuously, and relations were assessed by means of structural equation modelling in a sample of 409 participants. Results indicated that sexual abuse was associated with symptoms of paranoid, schizoid, borderline, and avoidant PD; physical abuse with antisocial PD; emotional abuse with paranoid. schizotypal. borderline, and cluster C PD; and emotional neglect with histrionic and borderline PD. No independent relationships between physical neglect and PDs were found The findings provide clear, albeit retrospective, evidence that different forms of childhood maltreatment have differential effects on PD pathology.