Simeon Daphne, Nelson Dorothy, Elias Rachela, Greenberg Jennifer, Hollander Eric
Department of Psychiatry, Mount Sinai School of Medicine, New York, New York, USA.
CNS Spectr. 2003 Oct;8(10):755-62. doi: 10.1017/s109285290001912x.
Dissociation is a prominent feature in some individuals with borderline personality disorder (BPD), yet our understanding of the meanings and implications of prominent dissociation in BPD remains limited. The purpose of this study was to investigate the relationship between dissociation and childhood trauma in BPD and to explore the relationships of dissociation and trauma to various personality features of BPD.
Twenty BPD subjects and 24 healthy comparison subjects of similar age and gender were administered the Dissociative Experiences Scale, the Childhood Trauma Questionnaire-short form, the Tridimensional Personality Questionnaire, the Defense Style Questionnaire, the Relationship Style Questionnaire, and the Schema Questionnaire.
The BPD group exhibited greater dissociation and childhood trauma, as well as greater pathology in most personality variables, compared with the healthy group. Dissociation in BPD was not significantly related to total childhood trauma, but only to emotional neglect, which accounted for 23% of the variance in dissociation scores.
Within the BPD group, dissociation was associated with fearful attachment and immature defenses, while total childhood trauma and emotional neglect were associated with overconnection and disconnection schemata. This is a preliminary study with a small sample size, yet the correlates of dissociation in BPD merit further investigation.
解离是一些边缘型人格障碍（BPD）患者的突出特征，但我们对BPD中显著解离的意义和影响的理解仍然有限。本研究的目的是调查BPD患者中解离与童年创伤之间的关系，并探讨解离和创伤与BPD各种人格特征之间的关系。
对20名BPD受试者和24名年龄和性别相仿的健康对照受试者进行了解离体验量表、儿童创伤问卷简表、三维人格问卷、防御方式问卷、关系风格问卷和图式问卷的测试。
与健康组相比，BPD组表现出更高的解离程度和童年创伤，以及大多数人格变量中更严重的病理特征。BPD中的解离与童年总创伤无显著相关性，仅与情感忽视相关，情感忽视占解离分数变异的23%。
在BPD组中，解离与恐惧依恋和不成熟防御相关，而童年总创伤和情感忽视与过度联结和断连图式相关。这是一项样本量较小的初步研究，但BPD中解离的相关因素值得进一步研究。
