Sansone Randy A, Pole Michele, Dakroub Hassan, Butler Melissa
Department of Psychiatry and Internal Medicine, Wright State University School of Medicine Dayton, OH, USA.
Psychosomatics. 2006 Mar-Apr;47(2):158-62. doi: 10.1176/appi.psy.47.2.158.
In the empirical literature, there is support for the idea of a relationship between childhood trauma and various psychophysiological as well as pain disorders, and between borderline personality symptomatology and somatic preoccupation, as well as chronic pain. However, to date, no single study has examined the relationships between childhood trauma and borderline personality symptomatology, and the number of psychophysiological and pain disorders in adulthood. In this study, the authors examined these relationships and found no significant correlation between borderline personality symptomatology and the number of psychophysiological and pain disorders. However, there were positive and significant correlations between childhood physical abuse, emotional abuse, and witnessing violence and the number of psychophysiological and pain disorders in adulthood. Using hierarchical-regression analyses to determine which specific childhood traumas significantly predicted the number of psychophysiological and pain disorders, only witnessing violence emerged, accounting for 12% of the variance. These data suggest that a general factor associated with various forms of trauma predicts number of psychophysiological and pain disorders and that a specific predictor may be witnessing violence in childhood.
在实证文献中,有证据支持童年创伤与各种心理生理及疼痛障碍之间存在关联,以及边缘型人格症状与躯体先占观念及慢性疼痛之间存在关联。然而,迄今为止,尚无单一研究考察童年创伤与边缘型人格症状之间的关系,以及成年期心理生理和疼痛障碍的数量。在本研究中,作者考察了这些关系,发现边缘型人格症状与心理生理和疼痛障碍的数量之间无显著相关性。然而,童年期身体虐待、情感虐待以及目睹暴力与成年期心理生理和疼痛障碍的数量之间存在正相关且显著相关。使用层次回归分析来确定哪些特定的童年创伤能显著预测心理生理和疼痛障碍的数量,结果只有目睹暴力这一因素显现出来,解释了12%的方差变异。这些数据表明,与各种形式创伤相关的一个一般因素可预测心理生理和疼痛障碍的数量,且一个特定的预测因素可能是童年期目睹暴力。