Department of Psychology.
Columbia Center for Eating Disorders.
Personal Disord. 2018 Nov;9(6):590-594. doi: 10.1037/per0000294. Epub 2018 Aug 9.
In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services project, we examined the role of emotion dysregulation as a mediator between childhood abuse and borderline personality disorder (BPD) feature severity among a sample of 964 adults presenting for treatment at an outpatient clinic. A structural equation model suggested that emotional abuse relates to BPD features both directly and through difficulties with emotion regulation, whereas physical abuse showed only a weak indirect relation with BPD features. There was no link between sexual abuse and BPD feature severity in the model. Results add specificity to etiological theories of BPD and suggest that future research in treatment should focus on developing and strengthening emotion regulation strategies in clinical populations with a history of emotional abuse. Clinicians should be sure to assess the presence of childhood emotional abuse in addition to sexual and physical abuse. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
在罗德岛改善诊断评估和服务项目的这份报告中，我们研究了情绪失调在 964 名接受门诊治疗的成年人样本中作为儿童期虐待与边缘型人格障碍（BPD）特征严重程度之间的中介作用。结构方程模型表明，情绪虐待与 BPD 特征既存在直接联系，也通过情绪调节困难存在间接联系，而身体虐待与 BPD 特征仅存在微弱的间接关系。在该模型中，性虐待与 BPD 特征严重程度之间没有联系。研究结果为 BPD 的病因理论提供了特异性，并表明未来的治疗研究应侧重于为有情绪虐待史的临床人群开发和加强情绪调节策略。临床医生应确保评估儿童时期的情绪虐待、性虐待和身体虐待的存在。（APA，2018，所有权利保留）。
