[边缘型人格障碍中的童年创伤、解离与非自杀性自伤行为]
[Childhood traumatization, dissociation and nonsuicidal self-injurious behavior in borderline personality disorder].
作者信息
Merza Katalin, Harmatta János, Papp Gábor, Kuritárné Szabó Ildikó
机构信息
Magatartástudományi Intézet, Klinikai és Egészségpszichológiai Tanszék, Debreceni Egyetem, Népegészségügyi Kar Debrecen, Nagyerdei krt. 98., 4032.
Tündérhegyi Pszichoszomatikus és Pszichoterápiás-rehabilitációs Osztály, Országos Orvosi Rehabilitációs Intézet Budapest.
出版信息
Orv Hetil. 2017 May;158(19):740-747. doi: 10.1556/650.2017.30745.
INTRODUCTION
Childhood traumatization plays a significant role in the etiology of borderline personality disorder. Studies found a significant association between childhood traumatization, dissociation, and nonsuicidal self-injurious behavior.
AIM
The aim of our study was to assess dissociation and nonsuicidal self-injury among borderline inpatients and to reveal the association between childhood traumatization, dissociation, and self-injurious behavior.
METHOD
The sample consisted of 80 borderline inpatients and 73 depressed control patients. Childhood traumatization, dissociation and self-injurious behavior were assessed by questionnaires.
RESULTS
Borderline patients reported severe and multiplex childhood traumatization. Cumulative trauma score and sexual abuse were the strongest predictors of dissociation. Furthermore, we have found that cumulative trauma score and dissociation were highly predictive of self-injurious behavior.
CONCLUSION
Our results suggest that self-injurious behavior and dissociation in borderline patients can be regarded as indicators of childhood traumatization. Orv Hetil. 2017; 158(19): 740-747.
引言
童年创伤在边缘型人格障碍的病因中起着重要作用。研究发现童年创伤、解离和非自杀性自伤行为之间存在显著关联。
目的
我们研究的目的是评估边缘型住院患者的解离和非自杀性自伤情况，并揭示童年创伤、解离和自伤行为之间的关联。
方法
样本包括80名边缘型住院患者和73名抑郁症对照患者。通过问卷评估童年创伤、解离和自伤行为。
结果
边缘型患者报告了严重且多样的童年创伤。累积创伤评分和性虐待是解离的最强预测因素。此外，我们发现累积创伤评分和解离对自伤行为具有高度预测性。
结论
我们的结果表明，边缘型患者的自伤行为和解离可被视为童年创伤的指标。《匈牙利医学周报》。2017年；158(19)：740 - 747。
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