Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System.
Department of Psychology, New Mexico Veterans Affairs Health Care System.
Personal Disord. 2012 Oct;3(4):406-414. doi: 10.1037/a0026184. Epub 2012 Jan 23.
Despite the high prevalence of trauma exposure in female prisoners, few studies have examined the link between psychopathy and posttraumatic stress disorder (PTSD)-or the potential mediating role of borderline personality disorder traits. Using a sample of incarcerated women, we identified differential associations across facets of psychopathy, as assessed via the Psychopathy Checklist-Revised (PCL-R; Hare, 2003), with potentially traumatic events (PTE) and symptoms of PTSD. Specifically, the Interpersonal and Affective facets were unrelated to both PTE and PTSD, while the Lifestyle and Antisocial facets were each associated with PTE and the Antisocial facet was uniquely associated with PTSD symptoms. Borderline personality disorder traits fully accounted for the association between the Antisocial facet and both PTE and PTSD, while the Lifestyle facet contributed incrementally to the prediction of PTE. The findings clarify linkages among psychopathy, trauma, PTSD, and borderline personality disorder traits, and extend our understanding of the clinical presentation of psychopathy in women.
尽管女性囚犯中创伤暴露的发生率很高，但很少有研究探讨精神病态和创伤后应激障碍（PTSD）之间的联系，或边缘型人格障碍特征的潜在中介作用。本研究使用了一组女性囚犯样本，通过使用《精神病态检查表修订版》（PCL-R； Hare，2003）评估了精神病态的不同方面，确定了这些方面与创伤后应激障碍症状和潜在创伤事件（PTE）之间的差异关联。具体来说，人际关系和情感方面与 PTE 和 PTSD 均无关，而生活方式和反社会方面均与 PTE 有关，反社会方面与 PTSD 症状存在独特关联。边缘型人格障碍特征完全解释了反社会方面与 PTE 和 PTSD 之间的关联，而生活方式方面则对 PTE 的预测有额外贡献。这些发现阐明了精神病态、创伤、PTSD 和边缘型人格障碍特征之间的联系，并扩展了我们对女性精神病态临床表现的理解。
