Venta Amanda, Kenkel-Mikelonis Robyn, Sharp Carla
The University of Houston, Houston, TX 77024, USA.
Bull Menninger Clin. 2012 Spring;76(2):130-46. doi: 10.1521/bumc.2012.76.2.130.
The relation between trauma and borderline personality disorder (BPD) has been studied in great detail with adults, but few studies have examined this link in adolescents. Furthermore, virtually nothing is known about how different aspects of trauma relate to BPD and whether trauma symptoms reflect actual trauma history in adolescents diagnosed with BPD. Using a sample of 147 adolescent psychiatric inpatients, the authors examined the concurrent link between trauma symptoms, trauma history, and BPD. Findings suggest that adolescents with BPD are more likely than their non-BPD counterparts to have a history of sexual trauma and to report sexual concerns. However, the link between BPD and sexual concerns is not completely explained by increased sexual trauma history in the BPD group, indicating that there is some relation between BPD and sexual concerns independent of trauma history. These findings are discussed within an attachment framework. The preliminary nature of this study is noted and used as the basis for encouraging future research in the area.
创伤与边缘型人格障碍（BPD）之间的关系在成年人中已得到详细研究，但很少有研究探讨青少年中的这种联系。此外，对于创伤的不同方面如何与BPD相关，以及创伤症状是否反映了被诊断为BPD的青少年的实际创伤史，几乎一无所知。作者使用147名青少年精神科住院患者的样本，研究了创伤症状、创伤史和BPD之间的并发联系。研究结果表明，与非BPD青少年相比，患有BPD的青少年更有可能有性创伤史并报告性方面的担忧。然而，BPD组中增加的性创伤史并不能完全解释BPD与性方面担忧之间的联系，这表明BPD与性方面担忧之间存在一些独立于创伤史的关系。这些发现将在依恋框架内进行讨论。本研究的初步性质被指出，并作为鼓励该领域未来研究的基础。
