Department Psychiatry, Wright State University School of Medicine, Dayton, OH, USA.
Int J Psychiatry Clin Pract. 2011 Nov;15(4):275-9. doi: 10.3109/13651501.2011.593263. Epub 2011 Sep 13.
In this study, we examined relationships between five types of childhood trauma and two measures of borderline personality symptomatology in a non-psychiatric clinical population in order to assess a potential association between these variables in a non-psychiatric-treatment-seeking population.
Using a cross-sectional sample and a survey approach in 250 consecutive patients presenting for cardiac stress testing, we explored self-reported histories of five types of childhood trauma (i.e. witnessing violence, physical neglect, emotional abuse, physical abuse, sexual abuse), several aspects of past mental healthcare, and borderline personality symptomatology using two self-report measures (the borderline personality disorder scale of the Personality Diagnostic Questionnaire-4 and the Self-Harm Inventory).
All relationships between the individual forms of trauma and total number of childhood traumas, and measures of borderline personality symptomatology, attained statistical significance. Using multiple regression analysis, sexual abuse in childhood was an independent predictor for borderline personality symptomatology in addition to past psychiatric/counseling care, with the latter finding suggesting some inter-drift of psychiatric patients into this cardiac stress test sample.
In this non-psychiatric-treatment-seeking population, there appear to be relationships between various forms of trauma (especially sexual abuse) and borderline personality symptomatology, reinforcing the role of childhood trauma in borderline personality disorder.
本研究旨在检查五种类型的儿童创伤与两种边缘性人格症状学测量指标在非精神科临床人群中的关系，以评估这些变量在非精神科治疗人群中的潜在关联。
在 250 名连续接受心脏应激测试的患者中，我们采用横断面样本和问卷调查方法，探讨了自我报告的五种类型的儿童创伤史（即目睹暴力、身体忽视、情感虐待、身体虐待、性虐待）、过去心理健康护理的几个方面以及使用两种自我报告措施（人格诊断问卷-4 的边缘性人格障碍量表和自我伤害量表）测量的边缘性人格症状学。
所有形式的创伤与童年创伤总数以及边缘性人格症状学测量指标之间的关系均具有统计学意义。使用多元回归分析，儿童时期的性虐待除了过去的精神科/咨询护理外，也是边缘性人格症状学的独立预测因素，后者表明一些精神科患者可能会混入这个心脏应激测试样本。
在这个非精神科治疗人群中，各种形式的创伤（尤其是性虐待）与边缘性人格症状学之间似乎存在关联，这进一步证实了儿童创伤在边缘性人格障碍中的作用。
