Borderline personality disorder symptoms and severity of sexual abuse.
Borderline personality disorder symptoms and severity of sexual abuse.
复制标题
边缘性人格障碍症状和性虐待的严重程度。
DOI：
10.1176/ajp.152.7.1059
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Lohr Ne
中科院分区：
文献类型：
--
作者：
K. Silk;S. Lee;Hill Em;Lohr Ne
客观化
本研究探讨了边缘性人格障碍的特殊症状与儿童期性虐待严重程度维度的关系。
方法
对41例在家庭经历访谈中回顾儿童期性虐待病史的边缘型人格障碍患者进行了研究。《边缘患者诊断性访谈》(DIB)中的六个条目是基于它们与作者和他们的研究团队开发的性虐待严重程度量表的单变量(卡方)关联而选择的。这六个DIB项目均以Logistic回归进行建模。预测变量是性虐待三个维度中最严重的经历：1)犯罪者(父母的性虐待)，2)持续时间(正在进行的性虐待)，以及3)类型(涉及渗透的性虐待)。
结果
严重程度维度最常被发现是6个DIB项目总和的显著预测因子，以及DIB总分的持续时间维度。持续的性虐待也预示着副自杀行为。
结论
持续的性虐待可能是交界性人格障碍患者中发现的人际行为和功能紊乱的特定方面的强烈决定因素。认为世界是一个空洞的、充满恶意的地方的期望，可能部分源于童年时反复发生的性虐待经历。这种对边缘人格障碍患者的恶意预期可能会通过倒退和疏远的行为在心理治疗中表现出来。
OBJECTIVE
This study explored the relationship of specific symptoms of borderline personality disorder to dimensions of severity of sexual abuse experiences in childhood.
METHOD
A group of 41 patients with borderline personality disorder who retrospectively reported a childhood history of sexual abuse on the Familial Experiences Interview were studied. Six items from the Diagnostic Interview for Borderline Patients (DIB) were chosen on the basis of their univariate (chi-square) association with a sexual abuse severity scale that was developed by the authors and their research team. These six DIB items were each modeled in a logistic regression. Predictor variables were the most severe experience within each of three dimensions of sexual abuse: 1) perpetrator (sexual abuse by a parent), 2) duration (sexual abuse that was ongoing), and 3) type (sexual abuse that involved penetration).
RESULTS
The severity dimension that was most frequently found to be a significant predictor of the sum of the six DIB items as well as the total scaled DIB score was the duration dimension. Ongoing sexual abuse predicted parasuicidal behavior as well.
CONCLUSIONS
Ongoing sexual abuse may be a strong determinant of specific aspects of the disordered interpersonal behavior and functioning found in patients with borderline personality disorder. The expectation that the world is an empty, malevolent place may have some of its roots in the repetition of sexual abuse experiences in childhood. This expectation of malevolence among patients with borderline personality disorder may manifest itself in psychotherapy through regressive and distancing behavior.