Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland.
J Pers Disord. 2012 Oct;26(5):751-62. doi: 10.1521/pedi.2012.26.5.751.
We have previously shown that the temporary separation of Finnish children from both parents during World War II predicted any serious mental, substance use, and personality disorders in adulthood. Here we examine if parental separation is a specific vulnerability factor for any- and dramatic personality disorders relative to other mental disorders. We extracted information on separations from the Finnish National Archives and psychiatric diagnoses from the national Hospital Discharge and Causes of Death-Registers. Of the 12,734 Helsinki Birth Cohort Study participants, 1,717 were separated, 1,487 had any mental, 194 any personality, and 77 dramatic personality disorders. In those who were separated, the risk of any serious personality disorders was significantly higher also among individuals with any serious mental disorders. The increased risks of any serious and dramatic personality disorders were particularly characteristic of individuals separated before the age of five, and that of dramatic personality disorder of separated men. Parental separation may thus be a specific vulnerability factor for serious personality disorders.
我们之前曾表明，在第二次世界大战期间芬兰儿童与父母暂时分离，这预示着他们成年后会出现任何严重的精神、物质使用和人格障碍。在这里，我们研究了父母分离是否是任何严重人格障碍的特定脆弱性因素，相对于其他精神障碍。我们从芬兰国家档案馆提取了分离信息，从国家医院出院和死因登记册提取了精神科诊断信息。在 12734 名赫尔辛基出生队列研究参与者中，有 1717 人被分离，1487 人患有任何精神疾病，194 人患有任何人格障碍，77 人患有戏剧性人格障碍。在那些被分离的人中，即使是那些患有任何严重精神障碍的个体，患任何严重人格障碍的风险也显著更高。任何严重和戏剧性人格障碍的风险增加，在五岁之前就被分离的个体中尤其明显，而戏剧性人格障碍则在被分离的男性中更为明显。因此，父母分离可能是严重人格障碍的特定脆弱性因素。
