Frias Alvaro, Palma Carol, Farriols Núria, Gonzalez Laura, Horta Anna
FPCEE Blanquerna, Barcelona, Spain.
Consorci Sanitari del Maresme, Centro de Salud Mental de Adultos de Mataro, Mataro, Spain.
Personal Ment Health. 2016 Nov;10(4):274-284. doi: 10.1002/pmh.1348. Epub 2016 Sep 8.
Childhood trauma has been associated with borderline personality disorder (BPD). However, research has not yet provided conclusive evidence concerning the mediating mechanisms.
Seventy women diagnosed with BPD were compared with other 60 women who met DSM-IV criteria for other personality disorders on measures of childhood trauma and attachment.
Patients with BPD reported higher severity of emotional, physical and sexual abuse than patients with other personality disorders. Moreover, BPD patients also showed greater preoccupied-anxious adult attachment. At model 1, logistic regression analysis revealed that only childhood emotional abuse predicted the occurrence of BPD. At model 2, this association was no longer significant, and the addition of preoccupied-anxious adult attachment was significantly associated with a greater likelihood of BPD diagnosis.
These findings support a specific relationship between childhood emotional abuse and the occurrence of BPD, which may be accounted for by preoccupied-anxious adult attachment. Copyright © 2016 John Wiley & Sons, Ltd.
童年创伤与边缘型人格障碍（BPD）有关。然而，研究尚未提供关于中介机制的确凿证据。
将70名被诊断为BPD的女性与另外60名符合DSM-IV其他人格障碍标准的女性在童年创伤和依恋测量方面进行比较。
BPD患者报告的情感、身体和性虐待严重程度高于其他人格障碍患者。此外，BPD患者还表现出更强烈的专注-焦虑型成人依恋。在模型1中，逻辑回归分析显示只有童年情感虐待可预测BPD的发生。在模型2中，这种关联不再显著，而加入专注-焦虑型成人依恋与BPD诊断可能性增加显著相关。
这些发现支持童年情感虐待与BPD发生之间的特定关系，这可能由专注-焦虑型成人依恋来解释。版权所有© 2016约翰·威利父子有限公司。
