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未解决的依恋中介了童年创伤与青少年时期人格功能障碍的关系。

Unresolved Attachment Mediates the Relationship Between Childhood Trauma and Impaired Personality Functioning in Adolescence.

机构信息

Department of Child and Adolescent Psychiatry, Medical University of Innsbruck, Austria.

Institute of Psychology, University of Innsbruck.

出版信息

J Pers Disord. 2020 Sep;34(Suppl B):84-103. doi: 10.1521/pedi_2020_34_468. Epub 2020 Jan 28.

DOI:10.1521/pedi_2020_34_468
PMID:31990614
Abstract

The present study investigates the mediating effect of attachment trauma on the relationship between childhood maltreatment and personality functioning in 199 adolescents (12-18 years) using a novel approach of an in-depth analysis of attachment-related traumatic contents during an attachment interview (AAP). Our findings demonstrate that adolescents with a high amount of traumatic attachment-related material show a lower resilience when facing traumatic childhood experiences, resulting in a greater severity of personality dysfunction. In particular, the associations between emotional abuse and neglect and the domains of identity, empathy, self-direction, and intimacy were mediated by the severity of attachment trauma. These results advance our understanding of the different nuances of attachment-related traumatic material and how they might shape personality structure in an adolescent age group.

摘要

本研究采用 Attachment 访谈(AAP)中深入分析与依恋相关的创伤内容的新方法,调查了依恋创伤在儿童期虐待与人格功能之间关系中的中介作用,共纳入 199 名青少年(12-18 岁)。研究结果表明,在面对创伤性童年经历时,具有大量创伤性依恋相关材料的青少年表现出较低的适应力,导致人格功能障碍更加严重。特别是,情感虐待和忽视与身份认同、同理心、自我导向和亲密关系等领域之间的关联受到依恋创伤严重程度的中介。这些结果加深了我们对与依恋相关的创伤性材料的不同细微差别以及它们如何在青少年时期塑造人格结构的理解。

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