University of Lincoln, Lincoln, UK.
Faculty of Health, Art and Design, Swinburne University of Technology, Melbourne, Australia.
Personal Ment Health. 2025 Feb;19(1):e1648. doi: 10.1002/pmh.1648.
The temporal relationship between childhood trauma and personality status using the ICD-11 classification was examined in 75 adults (65%F) aged between 19 and 72 selected by constrained procedure to ensure the full range of personality disturbance. Trauma history was assessed using the Childhood Traumatic Events Scale, past and recent versions and personality status using scales to assess the severity and domains of the ICD-11 system, PDS-ICD-11 and PAQ-11. The PDS-ICD-11 findings showed 52 (59.3%) had some personality disturbance with 17 (22.7%) having moderate or severe personality disorder. There was a significant association between childhood sexual trauma and ICD-11 personality severity (p = 0.005) and a lessened association with recent trauma (p = 0.02). Apart from the borderline composite score, the PAQ-11 negative affectivity domain was significantly associated with childhood sexual trauma (p = 0.003), but other domains were not linked. The Anankastia domain was significantly associated with early major physical illness (p = 0.012), and physical illness both in early life (p = 0.005) and recent exposure (p = 0.024) were associated with personality disorder. Other forms of childhood abuse and illness or injury in childhood did not differ with regard to later personality disorder. The results confirm a significant but not overwhelming relationship between childhood sexual trauma and severity of ICD-11 personality disturbance in adult life that is greater than for other classes of trauma.
使用 ICD-11 分类法，研究了 75 名年龄在 19 至 72 岁之间的成年人（65%为女性）的童年创伤与人格状况之间的时间关系，这些成年人是通过受限程序选择的，以确保人格障碍的全面范围。使用儿童创伤事件量表（Childhood Traumatic Events Scale）评估创伤史，过去和最近的版本，并使用评估 ICD-11 系统严重程度和领域的量表评估人格状况，包括 PDS-ICD-11 和 PAQ-11。PDS-ICD-11 的研究结果显示，有 52 人（59.3%）存在某种人格障碍，其中 17 人（22.7%）存在中度或严重人格障碍。童年性创伤与 ICD-11 人格严重程度之间存在显著关联（p=0.005），与近期创伤的关联较小（p=0.02）。除了边缘型综合评分外，PAQ-11 的负性情感领域与童年性创伤显著相关（p=0.003），但其他领域则没有关联。强迫性人格特质与早期主要身体疾病显著相关（p=0.012），早期和近期的身体疾病暴露与人格障碍相关（p=0.005 和 p=0.024）。童年期其他形式的虐待、疾病或伤害与后期人格障碍无关。研究结果证实，童年期性创伤与成人生活中 ICD-11 人格障碍严重程度之间存在显著但非压倒性的关系，这种关系比其他类型的创伤更为明显。
