Bertsch Katja, Göhre Isabelle, Cottin Marianne, Zettl Max, Wienrich Carolin, Back Sarah N
Department of Psychology, Julius-Maximilians-Universität Würzburg, Würzburg, Germany.
German Center for Mental Health (DZPG), Partner Site Munich, Munich, Germany.
Borderline Personal Disord Emot Dysregul. 2024 Aug 27;11(1):20. doi: 10.1186/s40479-024-00266-z.
Traumatic childhood experiences are a major risk factor for developing mental disorders later in life. Over the past decade, researchers have begun to investigate the role of early trauma in impairments in personality functioning following the introduction of the Alternative Model of Personality Disorders in Section III of the Diagnostic and Statistical Manual for Mental Disorders 5. Although first studies were able to empirically demonstrate a significant link between early trauma and impairments in personality functioning, only little is known about the underlying mechanisms. One possible mechanism is body connection due to its involvement in self-regulatory processes and its link to both early trauma and personality (dys)functioning.
In the current study, we investigated whether body connection, which encompasses the awareness, integration, and utilization of one's own bodily signals, mediates the relationship between childhood trauma and personality functioning.
A total of 1,313 adult participants recruited in Germany and Chile anonymously provided self-report data in an online survey.
Self-report data included the short form of the Childhood Trauma Questionnaire (CTQ-SF), the Scale of Body Connection (SBC), and the brief form of the Levels of Personality Functioning Scale (LPFS-BF 2.0) as well as demographic data (age, sex, education, clinical diagnoses).
Traumatic childhood experiences explained 27.2% of the variance in impairments in personality functioning. Interestingly, 60.5% of this effect was explained by body connection, particularly body dissociation. Additional exploratory analyses revealed that body dissociation and, to a much lesser extent, body awareness, accounted for 64.41% of the variance in self functioning and 55.75% of the variance in interpersonal functioning explained by childhood trauma.
Body connection appears to be an important mediator in the association between early trauma and impaired personality functioning, underscoring the need for interventions specifically targeting the avoidance and ignorance of signals from one's own body in individuals with traumatic childhood trauma.
童年创伤经历是日后患精神障碍的主要风险因素。在《精神疾病诊断与统计手册》第5版第三部分引入人格障碍替代模型之后的过去十年里,研究人员开始调查早期创伤在人格功能损害中的作用。尽管首批研究能够通过实证证明早期创伤与人格功能损害之间存在显著联系,但对于潜在机制却知之甚少。一种可能的机制是身体联结,因为它参与自我调节过程,并且与早期创伤和人格(功能)障碍都有关联。
在本研究中,我们调查了身体联结(包括对自身身体信号的觉察、整合和利用)是否介导童年创伤与人格功能之间的关系。
在德国和智利招募的1313名成年参与者通过在线调查匿名提供了自我报告数据。
自我报告数据包括儿童创伤问卷简版(CTQ-SF)、身体联结量表(SBC)、人格功能水平量表简版(LPFS-BF 2.0)以及人口统计学数据(年龄、性别、教育程度、临床诊断)。
童年创伤经历解释了人格功能损害中27.2%的变异。有趣的是,这种效应的60.5%由身体联结,尤其是身体解离来解释。额外的探索性分析表明,身体解离以及在小得多的程度上身体觉察,分别解释了童年创伤所导致的自我功能变异中的64.41%和人际功能变异中的55.75%。
身体联结似乎是早期创伤与人格功能受损之间关联的重要中介,这凸显了针对有童年创伤经历个体中对自身身体信号的回避和忽视进行干预的必要性。