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母亲与青少年之间消极关系的边缘特征和儿童虐待的代际传递。

The borderline feature of negative relationships and the intergenerational transmission of child maltreatment between mothers and adolescents.

机构信息

Department of Psychology, The University of Tennessee, Knoxville.

出版信息

Personal Disord. 2020 Sep;11(5):321-327. doi: 10.1037/per0000397. Epub 2020 Mar 19.

DOI:10.1037/per0000397
PMID:32191067
Abstract

The current study examined the intergenerational transmission of child maltreatment in the context of maternal self-reported borderline features (affective instability, negative relationships, identity disturbance, and self-harm/impulsivity) and a maternal borderline personality disorder (BPD) diagnosis. We sampled 41 adolescents of 14 to 18 years of age and their mothers. A total of 19 mothers had a diagnosis of BPD, and 22 mothers were comparisons without the disorder. Results revealed that a maternal diagnosis of BPD was associated with physical abuse, physical neglect, emotional abuse, emotional neglect, and sexual abuse, but not supervisory neglect. Maternal BPD features were associated with emotional abuse, sexual abuse, and physical neglect, but not physical abuse, emotional neglect, or supervisory neglect. Results indicated that families whose mother had BPD experienced more intergenerational transmission of child maltreatment (regardless of perpetrator) between mothers and their adolescent offspring than did offspring of normative comparisons. Further, the borderline feature of negative relationships most strongly predicted transmission to the next generation. Neglect and overall maltreatment transmitted from mother to adolescent, whereas sexual abuse and physical abuse did not. Results are discussed in terms of the cascading impact of maltreatment across generations, particularly in families of mothers with BPD. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

本研究考察了在母亲自报告的边缘特征(情感不稳定、负面关系、身份障碍和自我伤害/冲动)和母亲边缘型人格障碍(BPD)诊断的背景下,儿童虐待的代际传递。我们抽取了 41 名 14 至 18 岁的青少年及其母亲。共有 19 位母亲被诊断为 BPD,22 位母亲为无该障碍的对照组。结果表明,母亲的 BPD 诊断与身体虐待、身体忽视、情感虐待、情感忽视和性虐待有关,但与监督忽视无关。母亲的 BPD 特征与情感虐待、性虐待和身体忽视有关,但与身体虐待、情感忽视或监督忽视无关。结果表明,与正常对照组的后代相比,母亲患有 BPD 的家庭中,母亲和青少年子女之间的代际儿童虐待(无论施害者是谁)传递更多。此外,负面关系的边缘特征最强烈地预测了向下一代的传递。忽视和整体虐待从母亲传递给青少年,而性虐待和身体虐待则没有。研究结果从代际虐待的级联影响的角度进行了讨论,特别是在母亲患有 BPD 的家庭中。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。

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