Temes Christina M, Magni Laura R, Fitzmaurice Garrett M, Aguirre Blaise A, Goodman Marianne, Zanarini Mary C
McLean Hospital, Belmont, MA, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Personal Ment Health. 2017 Aug;11(3):171-178. doi: 10.1002/pmh.1387.
Existing research has demonstrated that both adolescents and adults with borderline personality disorder (BPD) report higher rates of childhood adversity than their same-age peers; no studies have examined if adolescents and adults with BPD differ based on the extent of these experiences. In the present study, we compared the prevalence rates and severity of multiple forms of abuse and neglect in adolescents and adults with BPD and in psychiatrically healthy adolescents.
Participants included 104 adolescent (aged 13-17 years) inpatients with BPD, 60 age-matched, psychiatrically healthy adolescents, and 290 adult inpatients with BPD. All participants completed an interview that assessed the presence and severity of multiple forms of childhood abuse and neglect.
A significantly higher percentage of adolescents with BPD reported 5 of 12 pathological childhood experiences and described more severe abusive experiences than their psychiatrically healthy peers. In comparison with adolescents with BPD, a significantly higher percentage of adults with BPD reported nearly all forms of childhood adversity and rated these experiences as more severe.
Taken together, these results suggest that adults with BPD report more severe profiles of abuse and neglect than adolescents with the disorder, even though adolescents with BPD differ from healthy peers. Copyright © 2017 John Wiley & Sons, Ltd.
现有研究表明，患有边缘型人格障碍（BPD）的青少年和成年人报告的童年逆境发生率高于同龄人；尚无研究探讨患有BPD的青少年和成年人在这些经历的程度上是否存在差异。在本研究中，我们比较了患有BPD的青少年和成年人以及心理健康的青少年中多种形式虐待和忽视的患病率及严重程度。
参与者包括104名患有BPD的青少年（年龄在13 - 17岁）住院患者、60名年龄匹配的心理健康青少年以及290名患有BPD的成年住院患者。所有参与者均完成了一项访谈，该访谈评估了多种形式童年虐待和忽视的存在情况及严重程度。
与心理健康的同龄人相比，患有BPD的青少年中有显著更高比例的人报告了12种病理性童年经历中的5种，并描述了更严重的虐待经历。与患有BPD的青少年相比，患有BPD的成年人中有显著更高比例的人报告了几乎所有形式的童年逆境，并将这些经历评为更严重。
总体而言，这些结果表明，患有BPD的成年人报告的虐待和忽视情况比患有该障碍的青少年更严重，尽管患有BPD的青少年与健康同龄人存在差异。版权所有© 2017约翰·威利父子有限公司。
