边缘型人格障碍：自我伤害模式、报告的童年创伤及临床结果
Borderline personality disorder: patterns of self-harm, reported childhood trauma and clinical outcome.
作者信息
McFetridge Mark Andrew, Milner Rebecca, Gavin Victoria, Levita Liat
机构信息
, Consultant Clinical Psychologist, The Acorn Programme, The Retreat, Heslington Road, York, UK.
, Lecturer, Department of Psychology, University of York, York, UK.
出版信息
BJPsych Open. 2015 Jul 10;1(1):18-20. doi: 10.1192/bjpo.bp.115.000117. eCollection 2015 Jun.
SUMMARY
Consecutive admissions of 214 women with borderline personality disorder were investigated for patterns of specific forms of self-harm and reported developmental experiences. Systematic examination of clinical notes found that 75% had previously reported a history of childhood sexual abuse. These women were more likely to self-harm, and in specific ways that may reflect their past experiences. Despite this, treatment within a dialectical behaviour therapy-informed therapeutic community leads to relatively greater clinical gains than for those without a reported sexual abuse trauma history. Notably, greater behavioural and self-reported distress and dissociation were not found to predict poor clinical outcome.
DECLARATION OF INTEREST
None.
COPYRIGHT AND USAGE
© The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
摘要
对214例边缘型人格障碍女性患者的连续入院情况进行了调查，以了解特定形式的自我伤害模式及所报告的成长经历。对临床记录的系统检查发现，75%的患者曾报告有童年性虐待史。这些女性更有可能进行自我伤害，且其方式可能反映了她们过去的经历。尽管如此，在以辩证行为疗法为基础的治疗社区中进行治疗，与那些没有报告性虐待创伤史的患者相比，能带来相对更大的临床改善。值得注意的是，未发现更多的行为及自我报告的痛苦和解离预示着临床预后不良。
利益声明
无。
版权与使用
©皇家精神科医学院2015年。本文是一篇开放获取文章，根据知识共享非商业性、无衍生作品（CC BY-NC-ND）许可协议分发。
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