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儿童虐待与人格及行为功能的发展轨迹:对人格障碍发展的影响

Child maltreatment and trajectories of personality and behavioral functioning: implications for the development of personality disorder.

作者信息

Kim Jungmeen, Cicchetti Dante, Rogosch Fred A, Manly Jody Todd

机构信息

Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA.

出版信息

Dev Psychopathol. 2009 Summer;21(3):889-912. doi: 10.1017/S0954579409000480.

Abstract

This study investigated the longitudinal impact of maltreatment parameters on personality processes and maladjustment and prospective relationships between personality trajectory classes and subsequent maladjustment outcomes. The sample involved maltreated (n = 249) and nonmaltreated (n = 200) children followed longitudinally between ages 6 and 10. Growth mixture modeling indicated multifinality in personality development depending on the risk status (i.e., maltreated vs. nonmaltreated). Two trajectory classes of ego resiliency were identified for maltreated children: those who showed a declining trajectory exhibited greater maladjustment. In contrast, three trajectory classes of ego control were identified for nonmaltreated children; the subgroups showing increases in ego undercontrol or dramatic changes from high ego undercontrol to high ego overcontrol exhibited poor adjustment. Experiencing multiple maltreatment subtypes and physical/sexual abuse were related to higher levels of ego undercontrol and externalizing symptomatology, whereas early onset of maltreatment was associated with the low and decreasing trajectory of ego resiliency and higher levels of internalizing symptomatology. The findings suggest that ego resiliency and ego control, personality processes related to self-regulation, may be important factors in identifying distinct pathways to later personality disorders as well as pathways to resilient functioning.

摘要

本研究调查了虐待参数对人格过程和适应不良的纵向影响,以及人格轨迹类别与随后的适应不良结果之间的前瞻性关系。样本包括249名受虐待儿童和200名未受虐待儿童,对他们在6至10岁之间进行了纵向跟踪。生长混合模型表明,人格发展存在多种结局,这取决于风险状况(即受虐待与未受虐待)。研究为受虐待儿童确定了两种自我复原力轨迹类别:那些呈现下降轨迹的儿童表现出更大的适应不良。相比之下,为未受虐待儿童确定了三种自我控制轨迹类别;那些自我控制不足增加或从高度自我控制不足急剧转变为高度自我控制过度的亚组表现出较差的适应性。经历多种虐待亚型以及身体/性虐待与更高水平的自我控制不足和外化症状有关,而虐待的早期发作与自我复原力的低水平和下降轨迹以及更高水平的内化症状有关。研究结果表明,自我复原力和自我控制,即与自我调节相关的人格过程,可能是识别后期人格障碍不同路径以及恢复功能路径的重要因素。

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