Westbrook John, Berenbaum Howard
University of Illinois at Urbana-Champaign.
J Clin Psychol. 2017 Jul;73(7):910-921. doi: 10.1002/jclp.22389. Epub 2016 Oct 4.
To examine pathways to borderline personality disorder (BPD), focusing on childhood abuse and emotional attention and clarity.
Among 293 community residents (mean age = 43.1; 53.9% female), measured associations between the BPD symptom factors of disturbed relatedness, affective dysregulation, and behavioral dysregulation and (a) childhood abuse (emotional, physical, and sexual); (b) emotional attention and clarity; and (c) negative affect, using structured interviews, the Schedule for Non-Adaptive and Adaptive Personality-2, the Trait Meta Mood Scale, and the Positive and Negative Affect Scale, respectively.
All forms of childhood abuse were associated with BPD symptom factors. Emotional attention and clarity moderated the effects of childhood physical and emotional abuse on behavioral dysregulation and disturbed relatedness. All results held when controlling for negative affect.
The relations between childhood abuse and BPD are robust. Emotional attention and clarity may help elucidate the links between childhood abuse and BPD.
探讨边缘型人格障碍（BPD）的发病途径，重点关注童年期虐待以及情感关注与清晰度。
在293名社区居民（平均年龄 = 43.1岁；53.9%为女性）中，分别使用结构化访谈、《非适应性与适应性人格量表-2》、《特质元情绪量表》以及《正负性情绪量表》，测量边缘型人格障碍的关系紊乱、情感失调和行为失调等症状因素与以下方面的关联：（a）童年期虐待（情感、身体和性虐待）；（b）情感关注与清晰度；（c）负性情绪。
所有形式的童年期虐待均与边缘型人格障碍症状因素相关。情感关注与清晰度调节了童年期身体和情感虐待对行为失调和关系紊乱的影响。在控制负性情绪后，所有结果依然成立。
童年期虐待与边缘型人格障碍之间的关系较为稳固。情感关注与清晰度可能有助于阐明童年期虐待与边缘型人格障碍之间的联系。
