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(年轻)女性离开家庭安置后的经历:通过虐待儿童的视角考察人格障碍症状。

Experiences of (young) women after out of home placement: An examination of personality disorder symptoms through the lens of child maltreatment.

机构信息

University of Amsterdam, the Netherlands.

University of Amsterdam, the Netherlands.

出版信息

Child Abuse Negl. 2019 Jun;92:116-125. doi: 10.1016/j.chiabu.2019.03.022. Epub 2019 Apr 8.

Abstract

BACKGROUND

Child maltreatment has been associated with the development of various mental health problems, including the development of personality disorders.

OBJECTIVE

This study investigated the association between child maltreatment and personality disorder symptoms in 125 women who transitioned out of residential care.

METHOD

The Child Trauma Questionnaire was used for the measurement of child maltreatment, and Personality disorder symptoms were measured using the Personality Diagnostic Questionnaire 4 + . The Psychological Distress Index was used to control for symptoms of distress.

RESULTS

A Stepwise regression analysis showed that the majority of the associations were found between self-reported emotional abuse, neglect and personality disorder symptoms. Emotional abuse was significantly related to the Paranoid (β = .42, p<0.001), Schizoid (β = .18, p <0.05), Schizotypal (β = .18, p<0.05), Histrionic (β = .22, p<0.05), Avoidant (β = .31, p <  .001), Dependent (β = 0.31, p <  .001), Obsessive Compulsive (β = 0.29, p = .001), Passive Aggressive (β = 0.23, p<0.01) and the Depressive personality disorder (β = .38, p <  .001). Emotional neglect was significantly associated to the Borderline Personality Disorder (β = .32, p<0.001) and the Paranoid Personality Disorder (β =-0.22, p<0.05).

CONCLUSIONS

The current study underlines the detrimental effects of childhood maltreatment, and in particular the effects of emotional abuse and neglect.

摘要

背景

儿童虐待与各种心理健康问题的发展有关,包括人格障碍的发展。

目的

本研究调查了 125 名从住宿照料中过渡出来的女性中,儿童虐待与人格障碍症状之间的关系。

方法

使用儿童创伤问卷测量儿童虐待,使用人格诊断问卷 4+测量人格障碍症状。使用心理困扰指数来控制困扰症状。

结果

逐步回归分析显示,大多数关联是在自我报告的情感虐待、忽视与人格障碍症状之间发现的。情感虐待与偏执型(β=0.42,p<0.001)、分裂样型(β=0.18,p <0.05)、分裂型(β=0.18,p<0.05)、表演型(β=0.22,p<0.05)、回避型(β=0.31,p <0.001)、依赖型(β=0.31,p <0.001)、强迫型(β=0.29,p=0.001)、被动攻击型(β=0.23,p<0.01)和抑郁型人格障碍(β=0.38,p<0.001)显著相关。情感忽视与边缘型人格障碍(β=0.32,p<0.001)和偏执型人格障碍(β=-0.22,p<0.05)显著相关。

结论

本研究强调了儿童虐待的有害影响,特别是情感虐待和忽视的影响。

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