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边缘型人格障碍男性在押人员的分离症状以及自我报告的童年和当前创伤——伊朗一项小型横断面研究的结果

Dissociative Symptoms and Self-Reported Childhood and Current Trauma in Male Incarcerated People with Borderline Personality Disorder - Results from a Small Cross-Sectional Study in Iran.

作者信息

Golshani Sanobar, Ghanbari Sahel, Firoozabadi Ali, Shakeri Jalal, Hookari Sarah, Rahami Bahareh, Sadeghi Bahmani Dena, Brand Serge

机构信息

Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Research Center for Psychiatry and Behavioral Sciences, Department of Psychiatry, Hafez Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Neuropsychiatr Dis Treat. 2020 Oct 21;16:2407-2417. doi: 10.2147/NDT.S266016. eCollection 2020.

Abstract

BACKGROUND

There is evidence that incarcerated people show higher rates of symptoms of psychopathology. In the present study, we assessed male Iranian incarcerated people with borderline personality disorders (BPD) and investigated the occurrence of past and current trauma and their associations with dissociative experiences.

METHODS

A total of 69 male Iranian incarcerated people (mean age: 33.76 years) diagnosed with PBD completed questionnaires covering sociodemographic information, dissociative experiences, and past and current traumatic events.

RESULTS

Participants reporting the occurrence of childhood trauma also reported the occurrence of adulthood trauma. Dissociation and adulthood trauma were associated in a U-shaped, non-linear fashion: Low and high adulthood trauma were associated with higher dissociation. Younger age, the presence of childhood trauma, and being single or divorced predicted adulthood trauma.

CONCLUSION

The pattern of results suggests that both childhood and adulthood trauma are highly prevalent among male incarcerated people, while the association between adulthood trauma and dissociation appeared to be more complex. When treating male incarcerated people, a complex interplay between past and current traumas and dissociation should be considered.

摘要

背景

有证据表明,被监禁者出现精神病理学症状的比例较高。在本研究中,我们评估了患有边缘型人格障碍(BPD)的伊朗男性被监禁者,并调查了过去和当前创伤的发生情况及其与分离体验的关联。

方法

共有69名被诊断为PBD的伊朗男性被监禁者(平均年龄:33.76岁)完成了涵盖社会人口学信息、分离体验以及过去和当前创伤事件的问卷调查。

结果

报告童年创伤发生的参与者也报告了成年期创伤的发生。分离与成年期创伤呈U形非线性关联:低水平和高水平的成年期创伤与较高的分离程度相关。年龄较小、存在童年创伤以及单身或离异是成年期创伤的预测因素。

结论

结果模式表明,童年和成年期创伤在男性被监禁者中都非常普遍,而成年期创伤与分离之间的关联似乎更为复杂。在治疗男性被监禁者时,应考虑过去和当前创伤与分离之间的复杂相互作用。

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