Briere John, Rickards Shannae
Department of Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
J Nerv Ment Dis. 2007 Jun;195(6):497-503. doi: 10.1097/NMD.0b013e31803044e2.
This study examined abuse and trauma exposure as it predicted identity problems, affect dysregulation, and relational disturbance in 620 individuals from the general population. Multivariate analyses indicated that maternal (but not paternal) emotional abuse was uniquely associated with elevations on all 7 scales of the Inventory of Altered Self-Capacities (IASC): Interpersonal Conflicts, Idealization-Disillusionment, Abandonment Concerns, Identity Impairment, Susceptibility to Influence, Affect Dysregulation, and Tension Reduction Activities. Low paternal (but not low maternal) emotional support was associated with Interpersonal Conflicts, Abandonment Concerns, and Tension Reduction Behaviors. Paternal emotional support did not significantly decrease the negative effects of maternal emotional abuse. Sexual abuse was predictive of all IASC scales except for Interpersonal Conflicts and Identity Impairment. Noninterpersonal traumas and adult traumas were typically unrelated to IASC scales. Childhood emotional and sexual maltreatment--perhaps especially maternal emotional abuse--may be critical factors in the development of disturbed self-capacities.
本研究调查了虐待和创伤暴露情况,因为它预测了来自普通人群的620名个体的身份认同问题、情感失调和关系紊乱。多变量分析表明,母亲(而非父亲)的情感虐待与自我能力改变量表(IASC)的所有7个量表得分升高存在独特关联:人际冲突、理想化-幻灭、被抛弃担忧、身份认同损害、易受影响性、情感失调和减压活动。父亲(而非母亲)的低情感支持与人际冲突、被抛弃担忧和减压行为有关。父亲的情感支持并未显著降低母亲情感虐待的负面影响。性虐待可预测IASC的所有量表,但人际冲突和身份认同损害除外。非人际创伤和成人创伤通常与IASC量表无关。童年期的情感和性虐待——或许尤其是母亲的情感虐待——可能是自我能力紊乱发展的关键因素。