Childhood verbal abuse and risk for personality disorders during adolescence and early adulthood
Childhood verbal abuse and risk for personality disorders during adolescence and early adulthood
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DOI：
10.1053/comp.2001.19755
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发表时间：
2001-01-01
影响因子：
7.3
通讯作者：
Oldham, JM
中科院分区：
文献类型：
--
作者：
Johnson, JG;Cohen, P;Oldham, JM
一项基于社区的纵向研究的数据被用来调查儿童语言虐待是否会增加青春期和成年早期人格障碍（pd）的风险。在1975年、1983年、1985年至1986年和1991年至1993年，分别对来自纽约州两个县的793名母亲及其后代进行了精神病学和社会心理访谈，当时后代的平均年龄分别为5岁、14岁、16岁和22岁。关于儿童虐待和忽视的数据来自社会心理访谈和纽约州官方记录。童年经历过母亲言语虐待的后代在青春期或成年早期患边缘型、自恋型、强迫性和偏执型人格障碍的可能性是没有经历过言语虐待的后代的三倍多。在对后代性情、童年身体虐待、性虐待、忽视、童年体罚、父母教育、父母精神病理和共同发生的精神疾病进行统计控制后，这些关联仍然显著。此外，在协变量被考虑后，经历过童年言语虐待的青少年在青春期和成年早期的边缘型、自恋型、偏执型、精神分裂型和分裂型PD症状水平升高。这些发现表明，童年言语虐待可能导致某些类型pd的发展，与后代气质、童年身体虐待、性虐待、忽视、童年体罚、父母教育、父母精神病理和共发精神障碍无关。W.B. Saunders Company版权所有(C) 2001。
Data from a community-based longitudinal study were used to investigate whether childhood verbal abuse increases risk for personality disorders (PDs) during adolescence and early adulthood. Psychiatric and psychosocial interviews were administered to a representative community sample of 793 mothers and their offspring from two New York State counties in 1975, 1983, 1985 to 1986, and 1991 to 1993, when the mean ages of the offspring were 5, 14, 16, and 22 years, respectively. Data regarding childhood abuse and neglect were obtained from the psychosocial interviews and from official New York State records. Offspring who experienced maternal verbal abuse during childhood were more than three times as likely as those who did not experience verbal abuse to have borderline, narcissistic, obsessive-compulsive, and paranoid PDs during adolescence or early adulthood. These associations remained significant after off-spring temperament, childhood physical abuse, sexual abuse, neglect, physical punishment during childhood,parental education, parental psychopathology, and co-occurring psychiatric disorders were controlled statistically. In addition, youths who experienced childhood verbal abuse had elevated borderline, narcissistic, paranoid, schizoid, and schizotypal PD symptom levels during adolescence and early adulthood after the covariates were accounted for. These findings suggest that childhood verbal abuse may contribute to the development of some types of PDs, independent of offspring temperament, childhood physical abuse, sexual abuse, neglect, physical punishment during childhood, parental education, parental psychopathology, and co-occurring psychiatric disorders. Copyright (C) 2001 by W.B. Saunders Company.