Temperament, childhood environment and psychopathology as risk factors for avoidant and borderline personality disorders
Temperament, childhood environment and psychopathology as risk factors for avoidant and borderline personality disorders
复制标题
DOI：
10.1111/j.1440-1614.2003.01263.x
复制
发表时间：
2003-12-01
影响因子：
4.6
通讯作者：
Cloninger, CR
中科院分区：
文献类型：
--
作者：
Joyce, PR;McKenzie, JM;Cloninger, CR
目的：目的：探讨儿童期经历（忽视和虐待）、气质、儿童期和青少年期精神病理对抑郁症患者回避型和边缘型人格障碍的影响。儿童期虐待的危险因素，父母的照顾，气质，行为障碍症状，儿童和青少年焦虑症，抑郁发作，轻躁狂症和酒精和药物依赖通过问卷调查和interviews.Results获得：回避型人格障碍可以概念化的高伤害回避（害羞，焦虑），儿童和青少年焦虑症和父母忽视的组合。边缘型人格障碍可以被表述为由儿童期虐待和/或忽视的组合引起的，（高新奇寻求和高伤害回避），和儿童和青少年抑郁症，轻躁狂，品行障碍和酒精和药物依赖。来自气质三个领域的风险因素组合，童年经历和童年及青少年精神病理学对回避型和边缘型人格障碍的发展起着重要作用。
Objective: To evaluate childhood experiences (neglect and abuse), temperament and childhood and adolescent psychopathology as risk factors for avoidant and borderline personality disorders in depressed outpatients.Method: One hundred and eighty depressed outpatients were evaluated for personality disorders. Risk factors of childhood abuse, parental care, temperament, conduct disorder symptoms, childhood and adolescent anxiety disorders, depressive episodes, hypomania and alcohol and drug dependence were obtained by questionnaires and interviews.Results: Avoidant personality disorder can be conceptualized as arising from a combination of high harm avoidance (shy, anxious), childhood and adolescent anxiety disorders and parental neglect. Borderline personality disorder can be formulated as arising from a combination of childhood abuse and/or neglect, a borderline temperament (high novelty seeking and high harm avoidance), and childhood and adolescent depression, hypomania, conduct disorder and alcohol and drug dependence.Conclusions: Combinations of risk factors from the three domains of temperament, childhood experiences and childhood and adolescent psychopathology make major contributions to the development of avoidant and borderline personality disorders.