Leiden University, The Netherlands.
Leiden Institute for Brain and Cognition, The Netherlands.
J Interpers Violence. 2021 Jul;36(13-14):6693-6721. doi: 10.1177/0886260518817782. Epub 2018 Dec 31.
Intimate partner violence (IPV) is a serious mental and physical health concern worldwide. Although previous research suggests that childhood maltreatment increases the risk for IPV, the underlying psychological mechanisms of this relationship are not yet entirely understood. Borderline personality (BP) features may play an important role in the cycle of violence, being associated with interpersonal violence in both childhood and adult relationships. The present study investigated whether BP features mediate the relationship between childhood maltreatment and IPV, differentiating between perpetration and victimization, and taking maladaptive stress coping and gender into account. Self-reports on IPV, childhood trauma, BP features, and maladaptive stress coping were collected in a mixed (nonclinical and clinical) sample of 703 adults ( = 537 female, = 166 male), using an online survey. A serial mediation analysis (PROCESS) was performed to quantify the direct effect of childhood maltreatment on IPV and its indirect effects through BP features and maladaptive coping. Childhood maltreatment severity significantly positively predicted IPV perpetration as well as victimization. BP features, but not coping, partially mediated this relationship. Follow-up analyses suggest that affective instability and interpersonal disturbances (e.g., separation concerns) play an important role in IPV perpetration, while interpersonal and identity disturbances may mediate the effect of childhood maltreatment on IPV victimization. In clinical practice, attention should be paid not only to histories of childhood abuse and neglect but also to BP features, which may be possible risk factors for IPV.
亲密伴侣暴力(IPV)是一个严重的心理健康问题。虽然以前的研究表明,童年期虐待会增加 IPV 的风险,但这种关系的潜在心理机制尚未完全了解。边缘型人格(BP)特征可能在暴力循环中起着重要作用,与儿童期和成年期的人际关系暴力有关。本研究调查了 BP 特征是否在童年期虐待和 IPV 之间的关系中起中介作用,区分了施暴者和受害者,并考虑了适应不良的应激应对和性别。使用在线调查,在一个混合(非临床和临床)的 703 名成年人样本(=537 名女性,=166 名男性)中收集了关于 IPV、童年创伤、BP 特征和适应不良应激应对的自我报告。采用序列中介分析(PROCESS)来量化童年期虐待对 IPV 的直接影响及其通过 BP 特征和适应不良应对的间接影响。童年期虐待的严重程度显著正向预测 IPV 的施暴和受害。BP 特征,但不是应对方式,部分中介了这种关系。后续分析表明,情感不稳定和人际关系障碍(如分离焦虑)在 IPV 施暴中起着重要作用,而人际关系和身份障碍可能在童年期虐待对 IPV 受害的影响中起中介作用。在临床实践中,不仅要关注童年期虐待和忽视的历史,还要关注 BP 特征,这些特征可能是 IPV 的潜在风险因素。