Childhood maltreatment increases risk for personality disorders during early adulthood
Childhood maltreatment increases risk for personality disorders during early adulthood
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DOI：
10.1001/archpsyc.56.7.600
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发表时间：
1999-07-01
影响因子：
--
通讯作者：
Bernstein, DP
中科院分区：
文献类型：
--
作者：
Johnson, JG;Cohen, P;Bernstein, DP
背景资料：来自一项以社区为基础的纵向研究的数据被用来调查儿童期虐待和忽视是否会增加成年早期人格障碍（PD）的风险。1975、1983、1985至1986年，对来自纽约两个县的639名青年及其母亲进行了社会心理和精神病学访谈，1991年至1993年。儿童期身体虐待、性虐待和忽视的证据来自纽约州的记录和1991年至1993年他们年轻时的子女自我报告。结果：在年龄、父母教育程度、父母精神疾病等因素的控制下，有儿童期虐待或忽视记录的儿童在成年早期被诊断为PD的可能性是无儿童期虐待或忽视记录的儿童的4倍以上。在其他类型的儿童期虐待被统计学控制后，儿童期身体虐待、性虐待和忽视均与成年早期PD症状水平升高相关。在12类DSM-KI PD症状中，有10类与儿童期虐待或忽视有关。不同类型的儿童期虐待与成年早期特定PD的症状相关。结论：社区中经历过儿童期虐待或忽视的人比那些没有被虐待或忽视的人更有可能在成年早期患有PD和PD症状水平升高。儿童期虐待和忽视可能导致某些PD的发生。
Background: Data from a community-based longitudinal study were used to investigate whether childhood abuse and neglect increases risk for personality disorders (PDs) during early adulthood.Methods: Psychosocial and psychiatric interviews were administered to a representative community sample of 639 youths and their mothers from 2 counties in the state of New York in 1975, 1983, 1985 to 1986, and 1991 to 1993. Evidence of childhood physical abuse, sexual abuse, and neglect was obtained from New York State records and from offspring self-reports in 1991 to 1993 when they were young adults. Offspring PDs were assessed in 1991 to 1993.Results: Persons with documented childhood abuse or neglect were more than 4 times as likely as those who were not abused or neglected to be diagnosed with PDs during early adulthood after age, parental education, and parental psychiatric disorders were controlled statistically.. Childhood physical abuse, sexual abuse, and neglect were each associated with elevated PD symptom levels during early adulthood after other types of childhood maltreatment were controlled statistically. Of the 12 categories of DSM-KI PD symptoms, 10 were associated with childhood abuse or neglect. Different types of childhood maltreatment were associated with symptoms of specific PDs during early adulthood.bConclusions: Persons in the community who have experienced childhood abuse or neglect are considerably more likely than these who were not abused or neglected to have PDs and elevated PD symptom levels during early adulthood. Childhood abuse and neglect may contribute to the onset of some PDs.