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儿童期虐待、人格脆弱特征与青少年边缘型人格障碍症状。

Childhood maltreatment, personality vulnerability profiles, and borderline personality disorder symptoms in adolescents.

机构信息

Department of Psychological, Health and Territorial Sciences, 'G. d'Annunzio' University of Chieti-Pescara, Chieti, Italy.

Department of Educational Sciences, Psychology, Communication, University of Bari, Bari, Italy.

出版信息

Dev Psychopathol. 2022 Aug;34(3):1163-1176. doi: 10.1017/S0954579420002151. Epub 2021 Jan 26.

Abstract

Adverse childhood experiences are significant risk factors in the development of adolescent borderline personality disorder symptoms (BPDs). Theorists have posited that two personality vulnerabilities factors, self-criticism and dependency, may inform our understanding of this relationship. However, no research has examined the associations between early negative experiences, personality vulnerabilities, and adolescent BPDs. The current study aimed to identify profiles of dependency and self-criticism to examine the associations of these profiles with cumulative forms of childhood maltreatment (CM) and BPDs as well as to explore the mediating and moderating role of vulnerable personality profiles in the relationship between cumulative CM and BPDs. Two hundred and forty-one nonclinical and clinical adolescents participated in the study ( = 16.37, = 1.84). The findings indicated three different profiles: average dependent profile, dependent and self-critical profile, and self-critical profile. Individuals in the average dependent profile presented lower levels of CM and BPDs. Mediation analyses showed that relative to the average dependent profile, a higher cumulative CM history predicted a higher probability of belonging in the dependent and self-critical profile or the self-critical profile and, in turn, this was associated with higher levels of BPDs. No moderating effects of profiles of dependency and self-criticism were found.

摘要

童年逆境是青少年边缘型人格障碍症状(BPD)发展的重要风险因素。理论家们假设,两种人格脆弱性因素,自我批评和依赖性,可能有助于我们理解这种关系。然而,目前还没有研究探讨早期负面经历、人格脆弱性与青少年 BPD 之间的关联。本研究旨在确定依赖性和自我批评的特征,以检验这些特征与累积形式的儿童虐待(CM)和 BPD 之间的关系,并探讨易损人格特征在累积 CM 与 BPD 之间关系中的中介和调节作用。241 名非临床和临床青少年参与了这项研究(=16.37,=1.84)。研究结果表明存在三种不同的特征:平均依赖性特征、依赖性和自我批评特征、自我批评特征。平均依赖性特征个体的 CM 和 BPD 水平较低。中介分析表明,与平均依赖性特征相比,较高的累积 CM 史预示着更高的可能性属于依赖性和自我批评特征或自我批评特征,进而与较高的 BPD 水平相关。未发现依赖性和自我批评特征的调节作用。

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