Yuan Yan, Lee Hyunji, Eack Shaun M, Newhill Christina E
School of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania.
University of Pittsburgh, Pittsburgh, Pennsylvania.
J Pers Disord. 2023 Feb;37(1):16-35. doi: 10.1521/pedi.2023.37.1.16.
Borderline personality disorder (BPD) is a debilitating clinical disorder associated with adverse impacts on multiple levels. While a high prevalence of childhood trauma has been noted, the ways such trauma impacts the development of BPD symptomatology remain unclear. In this systematic review, the authors examine the literature from 2000 to 2020, focusing on the association between trauma and BPD, and offer a comprehensive synthesis of possible etiological implications related to either one specific or multiple trauma types. In addition, results are analyzed based on commonly tested trauma parameters, including repeated exposure, polytrauma, onset, perpetrators, and gender. The authors also note some limitations in areas of sampling, measurement, causal inference methods, and data analyses. Results of this review point to several parameters of trauma that can be used to inform training for practitioners as well as enhance current interventions.
边缘型人格障碍（BPD）是一种使人衰弱的临床疾病，会在多个层面产生不利影响。虽然已注意到童年创伤的高发生率，但这种创伤影响BPD症状发展的方式仍不明确。在这项系统评价中，作者检索了2000年至2020年的文献，重点关注创伤与BPD之间的关联，并对与一种特定或多种创伤类型相关的可能病因学意义进行了全面综述。此外，根据常用的创伤参数（包括反复暴露、多重创伤、发病、肇事者和性别）对结果进行了分析。作者还指出了在抽样、测量、因果推断方法和数据分析等方面的一些局限性。本综述结果指出了一些创伤参数，可用于指导从业者培训并加强当前的干预措施。
