Carvalho Fernando Silvia, Beblo Thomas, Schlosser Nicole, Terfehr Kirsten, Otte Christian, Löwe Bernd, Wolf Oliver Tobias, Spitzer Carsten, Driessen Martin, Wingenfeld Katja
a Department of Research, Clinic of Psychiatry and Psychotherapy Bethel , Ev. Hospital Bielefeld , Bielefeld , Germany.
J Trauma Dissociation. 2014;15(4):384-401. doi: 10.1080/15299732.2013.863262.
Early life stress is said to play a critical role in the development of borderline personality disorder (BPD) and major depressive disorder (MDD), but the underlying mediating factors remain uncertain. This study aimed to investigate self-reported childhood trauma, emotion regulation difficulties, and their associations in a sample of BPD (n = 49) and MDD (n = 48) patients and healthy control participants (n = 63). Multiple regressions were used to evaluate the impact of the quality and severity of self-reported childhood trauma on self-reported emotion regulation. The results supported an association between self-reported maltreatment experiences, especially emotional abuse and neglect, and emotion regulation difficulties. Additional analyses showed that emotion regulation difficulties influence the association between self-reported emotional abuse and acute symptomatology in the BPD subgroup. Emotion regulation difficulties may be 1 pathway through which early life stress, particularly emotional abuse, increases the risk for developing BPD symptomatology.
早年生活压力被认为在边缘性人格障碍（BPD）和重度抑郁症（MDD）的发展中起关键作用，但潜在的中介因素仍不明确。本研究旨在调查BPD患者（n = 49）、MDD患者（n = 48）和健康对照参与者（n = 63）样本中自我报告的童年创伤、情绪调节困难及其关联。采用多元回归来评估自我报告的童年创伤的质量和严重程度对自我报告的情绪调节的影响。结果支持了自我报告的虐待经历，尤其是情感虐待和忽视，与情绪调节困难之间的关联。进一步分析表明，情绪调节困难影响BPD亚组中自我报告的情感虐待与急性症状之间的关联。情绪调节困难可能是早年生活压力，尤其是情感虐待，增加BPD症状发生风险的一条途径。
