Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, 230032, Anhui, China.
Anhui Provincial Center for Disease Control and Prevention, No.12560 Fanhua Avenue, Hefei, 230601, Anhui, China.
BMC Psychiatry. 2021 Jul 1;21(1):326. doi: 10.1186/s12888-021-03332-w.
Although childhood abuse is considered to be related to borderline personality disorder (BPD), few studies have elaborated on the mediating role of self-esteem and resilience in it. Thus, the present study aimed to explore the potential mediating role of resilience and self-esteem between childhood abuse and BPD.
This cross-sectional study was conducted with 4034 college students in Anhui Province, China. Participants were asked to complete Chinese versions of the following instruments: Childhood Trauma Questionnaire-Short Form (CTQ-SF), Mclean Screening Instrument for Borderline Personality Disorder (MSI-BPD), Connor-Davidson Resilience Scale (CD-RISC), and Rosenberg Self-Esteem Scale (RSES). Structural equation modeling (SEM) was used to test the mediation effects.
Resilience and self-esteem were found to be mediators of all three types of childhood abuse (emotional abuse, physical abuse and sexual abuse) when the types were examined separately; however, when all three types of childhood abuse were entered into the model simultaneously, neither the indirect effects nor direct effects of physical abuse or sexual abuse were found to be significant, only the association between emotional abuse and BPD features was partially mediated by resilience and self-esteem.
Self-esteem and resilience mediate the links between childhood abuse and BPD features, and emotional abuse is uniquely associated with BPD features.
尽管童年虐待被认为与边缘型人格障碍（BPD）有关，但很少有研究详细阐述自尊和韧性在其中的中介作用。因此，本研究旨在探讨韧性和自尊在童年虐待与 BPD 之间的潜在中介作用。
本横断面研究在中国安徽省对 4034 名大学生进行了调查。参与者被要求完成中文版的以下工具：童年创伤问卷-短式（CTQ-SF）、麦克林边缘人格障碍筛查工具（MSI-BPD）、Connor-Davidson 韧性量表（CD-RISC）和罗森伯格自尊量表（RSES）。结构方程模型（SEM）用于测试中介效应。
当分别检查三种类型的童年虐待（情感虐待、身体虐待和性虐待）时，发现韧性和自尊是所有三种类型的童年虐待的中介因素；然而，当同时将三种类型的童年虐待纳入模型时，身体虐待或性虐待的间接效应或直接效应均不显著，只有情感虐待与 BPD 特征之间的关联部分通过韧性和自尊来介导。
自尊和韧性中介了童年虐待与 BPD 特征之间的联系，情感虐待与 BPD 特征有独特的关联。
