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澳大利亚女性童年期虐待与后续犯罪行为:探索边缘型人格障碍的作用。

Childhood maltreatment and subsequent offending behaviors in Australian women: Exploring the role of borderline personality disorder.

机构信息

Criminology and Criminal Justice, Bond University, Robina, Australia.

Psychology, Bond University, Robina, Australia.

出版信息

Child Abuse Negl. 2024 Oct;156:107022. doi: 10.1016/j.chiabu.2024.107022. Epub 2024 Sep 6.

DOI:10.1016/j.chiabu.2024.107022
PMID:39243584
Abstract

BACKGROUND

Childhood Maltreatment (CM) is linked to adverse outcomes, including Borderline Personality Disorder (BPD) and increased propensity for offending behaviors. However, research on the specific role that BPD plays between the two is limited and highly relevant given the high prevalence of CM in Australia.

OBJECTIVE

The present study aimed to investigate (1) the relationship between CM and subsequent offending behaviors, (2) whether BPD mediates the relation between CM and offending behaviors, and (3) which type of CM (physical, sexual, emotional abuse, neglect, exposure to domestic violence, multitype maltreatment) predicts BPD.

PARTICIPANTS

The sample comprised 106 self-identified Australian female survivors of interpersonal violent crimes.

METHODS

Participants completed an online survey consisting of the Adverse Childhood Events Questionnaire, the McLean Screening Instrument for BPD, and a self-created questionnaire to measure offending behaviors. Regression, mediation analysis, and logistic regression were conducted.

RESULTS

CM significantly predicted offending behaviors (path c, B = 1.39, p <. 001) with BPD partially mediating the relationship (path c', B = 1.04, 95 % CI [0.31, 1.77], p = .006; path a, B = 0.47, 95 % CI [0.12, 0.83], p = .009, path b, B = 0.34, 95 % CI [0.07, 0.61], p = .014). Emotional abuse and multitype exposure were identified as predictors of BPD symptom development (OR = 9.42, 95 % CI OR [2.58, 34.40]; OR = 3.81, 95 % CI OR [1.41; 10.28], respectively).

CONCLUSION

These findings indicate the necessity of early interventions addressing CM, with a particular focus on emotional abuse and exposure to more than one type of maltreatment, to reduce the risk of developing BPD symptomatology and mitigate future offending behaviors.

摘要

背景

儿童期虐待(CM)与不良后果相关,包括边缘型人格障碍(BPD)和增加的犯罪行为倾向。然而,鉴于澳大利亚 CM 的高患病率,研究 CM 与 BPD 之间的具体关系非常有限且至关重要。

目的

本研究旨在调查:(1)CM 与随后的犯罪行为之间的关系,(2)BPD 是否在 CM 与犯罪行为之间起中介作用,以及(3)哪种类型的 CM(身体、性、情感虐待、忽视、家庭暴力暴露、多种类型的虐待)预测 BPD。

参与者

样本由 106 名自我认同的澳大利亚人际暴力犯罪幸存者组成。

方法

参与者完成了一项在线调查,其中包括不良童年经历问卷、麦克林筛查工具用于 BPD 和自我创建的问卷,以测量犯罪行为。进行了回归、中介分析和逻辑回归。

结果

CM 显著预测犯罪行为(路径 c,B=1.39,p<.001),BPD 部分中介了这种关系(路径 c',B=1.04,95%CI[0.31,1.77],p=.006;路径 a,B=0.47,95%CI[0.12,0.83],p=.009,路径 b,B=0.34,95%CI[0.07,0.61],p=.014)。情感虐待和多种类型的暴露被确定为 BPD 症状发展的预测因素(OR=9.42,95%CI OR[2.58,34.40];OR=3.81,95%CI OR[1.41;10.28])。

结论

这些发现表明,有必要进行早期干预以解决 CM,特别是关注情感虐待和暴露于多种类型的虐待,以降低发展为 BPD 症状的风险并减轻未来的犯罪行为。

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