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童年情绪虐待对边缘型障碍和抑郁症患者当前社会支持的差异影响:一项横断面研究。

Differential effect of childhood emotional abuse on present social support in borderline disorder and depression: a cross-sectional study.

机构信息

Klinik Für Psychiatrie Und Psychotherapie, Universität Zu Lübeck, Lübeck, Germany.

RehaCentrum Alt-Osterholz, Fachklinik Für Suchterkrankungen Bremen, Bremen, Germany.

出版信息

Eur J Psychotraumatol. 2021 Oct 5;12(1):1968612. doi: 10.1080/20008198.2021.1968612. eCollection 2021.

DOI:10.1080/20008198.2021.1968612
PMID:34868477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8635563/
Abstract

BACKGROUND

Perceived social support (PSS) is a crucial factor in physical and mental health. Previous studies found a negative association between childhood maltreatment (CM) and current PSS.

OBJECTIVE

In this paper, we investigate whether psychopathology moderates this association in a sample of patients with Depressive Disorder (DD) and Borderline Personality Disorder (BPD).

METHOD

Sixty-nine patients with DD and 110 patients with BPD were recruited to inpatient/day clinic treatment programmes for either DD or BPD. All participants completed the Childhood Trauma Questionnaire (CTQ) and the Social Support Questionnaire (F-SozU). Our hypothesis was tested with a moderator analysis in a multiple linear regression model.

RESULTS

We found a significant interaction between diagnosis and CM for the CTQ total score and the emotional abuse subscale. Post hoc analyses revealed a significant negative correlation between CM and PSS only for patients suffering from BPD and not for patients with DD.

CONCLUSION

Our results suggest that the negative association between CM and PSS might be more pronounced in certain patient groups, particularly patients with BPD.

摘要

背景

感知到的社会支持(PSS)是身心健康的一个关键因素。先前的研究发现,童年期虐待(CM)与当前的 PSS 呈负相关。

目的

在本研究中,我们调查了在患有抑郁障碍(DD)和边缘型人格障碍(BPD)的患者样本中,精神病理学是否调节了这种关联。

方法

共招募了 69 名 DD 患者和 110 名 BPD 患者,参加 DD 或 BPD 的住院/日间诊所治疗计划。所有参与者都完成了童年创伤问卷(CTQ)和社会支持问卷(F-SozU)。我们通过多元线性回归模型中的一个调节分析来检验我们的假设。

结果

我们发现,在 CTQ 总分和情感虐待子量表上,诊断和 CM 之间存在显著的交互作用。事后分析显示,仅在患有 BPD 的患者中,CM 与 PSS 之间存在显著的负相关,而在患有 DD 的患者中则没有。

结论

我们的结果表明,CM 与 PSS 之间的负相关在某些患者群体中可能更为明显,特别是患有 BPD 的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc97/8635563/bd4d6e67918b/ZEPT_A_1968612_F0003_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc97/8635563/828ae0eb8702/ZEPT_A_1968612_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc97/8635563/9ccf193d87bc/ZEPT_A_1968612_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc97/8635563/bd4d6e67918b/ZEPT_A_1968612_F0003_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc97/8635563/828ae0eb8702/ZEPT_A_1968612_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc97/8635563/9ccf193d87bc/ZEPT_A_1968612_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc97/8635563/bd4d6e67918b/ZEPT_A_1968612_F0003_B.jpg

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Interpersonal Problems in Borderline Personality Disorder: Associations With Mentalizing, Emotion Regulation, and Impulsiveness.边缘型人格障碍中的人际问题:与心理化、情绪调节和冲动的关联。
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Difficulties with being socially accepted: An experimental study in borderline personality disorder.
难以被社会接纳:边缘型人格障碍的实验研究。
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