Department of Neuroscience, Psychiatry, Uppsala University, Akademiska sjukhuset, Uppsala, Sweden.
Department for Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Nord J Psychiatry. 2024 Jan;78(1):79-86. doi: 10.1080/08039488.2023.2267041. Epub 2024 Jan 8.
The aim of this study was to investigate if temperament and experience of childhood trauma differed between young psychiatric patients with borderline personality disorder (BPD), bipolar disorder (BD) and attention-deficit/hyperactivity disorder (ADHD).
Diagnoses were based on the Structured Clinical Interview for DSM Axis I and Axis II. Temperament was assessed by the Temperament and Character Inventory (TCI) and childhood trauma by the Early Trauma Inventory-Self Report-Short Form (ETI-SR-SF). Temperament and childhood trauma were compared between the BPD group ( = 19) and the non-BPD group (BD/ADHD) ( = 95). Interactions between trauma and temperament were evaluated using a logistic regression model with a BPD diagnosis as outcome variable.
Participants in the BPD group showed higher novelty seeking (NS) and harm avoidance (HA). Traumatic experiences in childhood were common but the BPD group differed very little from the others in this regard. The interaction between temperament and trauma had low explanatory power for a BPD diagnosis in this sample.
Temperament might be useful to distinguish BPD when symptoms of impulsivity and affective instability are evaluated in psychiatric patients. The results from the interaction analysis support the multifactorial background to BPD.
本研究旨在探讨年轻的边缘型人格障碍（BPD）、双相情感障碍（BD）和注意缺陷多动障碍（ADHD）精神病患者的气质和童年创伤经历是否存在差异。
诊断基于DSM 轴 I 和轴 II 的结构临床访谈。气质通过气质和性格问卷（TCI）评估，童年创伤通过早期创伤清单-自我报告-短式（ETI-SR-SF）评估。在 BPD 组（n=19）和非 BPD 组（BD/ADHD）（n=95）之间比较气质和童年创伤。使用逻辑回归模型评估创伤与气质之间的相互作用，以 BPD 诊断为结果变量。
BPD 组的参与者表现出更高的新奇寻求（NS）和回避伤害（HA）。童年创伤经历很常见，但 BPD 组在这方面与其他组几乎没有差异。在这个样本中，气质与创伤之间的相互作用对 BPD 诊断的解释力较低。
在评估精神病患者的冲动和情感不稳定症状时，气质可能有助于区分 BPD。交互分析的结果支持 BPD 的多因素背景。
