Psychology Department, Stanford University, Stanford, California.
Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim, Heidelberg University, Germany.
J Pers Disord. 2022 Jun;36(3):264-276. doi: 10.1521/pedi.2022.36.3.264.
Exposure to childhood maltreatment (CM) increases the risk of developing borderline personality disorder (BPD). However, it remains unclear what mechanisms might mediate this link. One candidate of interest is difficulties with emotion regulation. This study aims to examine the pattern of relations among CM, difficulties with emotion regulation, and the risk of developing BPD. A total of 162 individuals diagnosed with current BPD and 162 matched healthy controls completed self-reported questionnaires assessing CM and difficulties with emotion regulation. The authors found high correlations between CM and BPD diagnosis ( = .73, < .001). Difficulties with emotion regulation were found to mediate the link between CM and BPD diagnosis (p < .001). Results suggest that CM may play a key role in the etiology of BPD and that difficulties with emotion regulation might be a mediating component between CM and BPD.
童年期虐待（CM）暴露会增加边缘型人格障碍（BPD）的发病风险。然而，目前尚不清楚哪些机制可能在其中起介导作用。一个值得关注的候选因素是情绪调节困难。本研究旨在探讨 CM、情绪调节困难与 BPD 发病风险之间的关系模式。共有 162 名被诊断为当前 BPD 的个体和 162 名匹配的健康对照者完成了自我报告问卷，评估了 CM 和情绪调节困难。作者发现 CM 与 BPD 诊断之间存在高度相关性（ =.73， <.001）。情绪调节困难被发现中介了 CM 与 BPD 诊断之间的联系（p <.001）。结果表明，CM 可能在 BPD 的发病机制中起关键作用，而情绪调节困难可能是 CM 与 BPD 之间的中介成分。
