Zlotnick C
Department of Psychiatry and Human Behavior, Brown University, Providence, RI 02906, USA.
J Pers Disord. 1999 Spring;13(1):90-5. doi: 10.1521/pedi.1999.13.1.90.
The aim of this study was to examine the role of affect dysregulation and childhood abuse in antisocial personality disorder (ASPD), using a sample of incarcerated women. Subjects for this study were 85 incarcerated women who were administered structured interviews to assess for ASPD, borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), childhood trauma, and affect dysregulation. Using a series of logistic regressions, this study found that a greater degree of affect dysregulation--in particular, poor anger modulation--was significantly related to ASPD, controlling for BPD and PTSD in women prisoners. After controlling for BPD, recent self mutilation was not significantly related to ASPD. Likewise, a history of childhood abuse was not significantly associated with ASPD.
本研究旨在通过对一批被监禁女性进行抽样，探讨情感失调和童年期受虐经历在反社会人格障碍（ASPD）中的作用。本研究的对象是85名被监禁女性，她们接受了结构化访谈，以评估是否患有反社会人格障碍、边缘型人格障碍（BPD）、创伤后应激障碍（PTSD）、童年期创伤以及情感失调。通过一系列逻辑回归分析，本研究发现，在控制女性囚犯的边缘型人格障碍和创伤后应激障碍后，情感失调程度越高，尤其是愤怒调节能力差，与反社会人格障碍显著相关。在控制边缘型人格障碍后，近期的自我伤害行为与反社会人格障碍无显著关联。同样，童年期受虐史与反社会人格障碍也无显著关联。
