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儿童期虐待、依恋和边缘型人格相关症状:性别特异性结构方程模型。

Childhood maltreatment, attachment, and borderline personality-related symptoms: Gender-specific structural equation models.

机构信息

Department of Sexology.

Department of Psychology.

出版信息

Psychol Trauma. 2019 Jan;11(1):90-98. doi: 10.1037/tra0000403. Epub 2018 Sep 13.

DOI:10.1037/tra0000403
PMID:30211600
Abstract

OBJECTIVES

Survivors of early interpersonal trauma may experience relational problems, anger, impulsive and self-destructive behaviors, identity disturbance, and other difficulties that are associated with borderline personality disorder. Insecure attachment also has been documented in survivors and may be related to borderline personality-related symptoms (BPRS). The goal of the current study was to examine an integrative model of maternal and paternal childhood maltreatment and insecure attachment as they predict BPRS.

METHOD

The sample was composed of 954 participants who completed self-report measures of parental maltreatment during childhood, attachment security, and trauma-related symptoms.

RESULTS

Structural equation modeling suggested differential impacts of maternal and paternal maltreatment on male and female participants. Both maternal and paternal maltreatment were directly associated with BPRS in women, whereas in men, only paternal maltreatment was directly related to BPRS. In women, paternal maltreatment was indirectly associated with BPRS through attachment anxiety but not through attachment avoidance. In men, maternal maltreatment was indirectly associated with BPRS through attachment anxiety but not through attachment avoidance.

CONCLUSION

These findings have implications for the understanding of gender-specific etiologies of borderline personality symptoms and underscore attachment security as an important intervention target. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

摘要

目的

早期人际创伤幸存者可能会经历人际关系问题、愤怒、冲动和自残行为、身份障碍以及其他与边缘型人格障碍相关的困难。不安全依恋也在幸存者中得到了证实,并且可能与边缘型人格相关症状(BPRS)有关。本研究的目的是考察父母童年期虐待和不安全依恋作为预测 BPRS 的综合模型。

方法

该样本由 954 名参与者组成,他们完成了有关父母在童年时期虐待、依恋安全性和与创伤相关症状的自我报告测量。

结果

结构方程模型表明,母亲和父亲的虐待对男性和女性参与者有不同的影响。母亲和父亲的虐待都与女性的 BPRS 直接相关,而在男性中,只有父亲的虐待与 BPRS 直接相关。在女性中,父亲的虐待通过依恋焦虑与 BPRS 间接相关,但不通过依恋回避。在男性中,母亲的虐待通过依恋焦虑与 BPRS 间接相关,但不通过依恋回避。

结论

这些发现对理解边缘型人格症状的性别特定病因学具有启示意义,并强调了依恋安全性作为一个重要的干预目标。(PsycINFO 数据库记录(c)2018 APA,保留所有权利)。

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