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童年期虐待与防御模式:与成年早期人格功能的关联

Profiles of Childhood Maltreatment and Defenses: Associations with Personality Functioning in Emerging Adulthood.

作者信息

Tracchegiani Jacopo, Fontana Andrea, Benzi Ilaria Maria Antonietta, Muzi Laura, Carone Nicola

机构信息

Department of Brain and Behavioral Sciences, University of Pavia, Piazza Botta 11, 27100 Pavia, Italy.

Department of Human Science, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.

出版信息

J Child Adolesc Trauma. 2025 May 6;18(3):653-667. doi: 10.1007/s40653-025-00710-4. eCollection 2025 Sep.

Abstract

Childhood maltreatment and maladaptive emotion regulation processes are two interrelated risk factors for impaired personality functioning in emerging adults. However, the impact of the co-occurrence of different childhood maltreatment experiences and maladaptive defensive functioning on personality functioning remains underexplored. This study aimed to identify distinct profiles of maltreatment and defenses while examining their association with self- and interpersonal personality functioning impairments. A community sample of 1,315 cisgender emerging adults ( = 24.33,  = 2.75; 75.06% assigned female at birth; 76.43% heterosexual) completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Defense Mechanisms Rating Scales-Self-Report-30 (DMRS-SR-30), and the Level of Personality Functioning Scale-Brief Form (LPFS-BF). Latent profile analysis suggested two profiles: (HT/MD) and (LT/AD). The first profile was characterized by higher exposure to childhood maltreatment and greater reliance on maladaptive defenses, while the second profile exhibited lower maltreatment exposure and greater reliance on adaptive defenses. Additionally, individuals in the HT/MD profile reported significantly greater impairments in self- and interpersonal personality functioning compared to those in the LT/AD group. These findings suggest that co-occurrence of maltreatment is linked to higher maladaptive defenses, underscoring their impact on personality functioning impairments. Clinically, interventions targeting defensive functioning may help maltreated emerging adults develop healthier self- and interpersonal functioning, facilitating their adaptation to adulthood.

摘要

童年期受虐和适应不良的情绪调节过程是新兴成年人个性功能受损的两个相互关联的风险因素。然而,不同童年期受虐经历与适应不良防御功能的共同出现对个性功能的影响仍未得到充分研究。本研究旨在识别受虐和防御的不同特征,同时考察它们与自我和人际个性功能受损之间的关联。一个由1315名顺性别新兴成年人组成的社区样本(平均年龄=24.33岁,标准差=2.75岁;75.06%出生时被指定为女性;76.43%为异性恋)完成了儿童创伤问卷简表(CTQ-SF)、防御机制评定量表-自我报告-30(DMRS-SR-30)和个性功能水平量表简表(LPFS-BF)。潜在剖面分析显示出两种特征:(高童年期受虐/适应不良防御)和(低童年期受虐/适应性防御)。第一种特征的特点是童年期受虐暴露程度较高且更依赖适应不良防御,而第二种特征则表现出较低的受虐暴露程度且更依赖适应性防御。此外,与低童年期受虐/适应性防御组相比,高童年期受虐/适应不良防御特征组的个体在自我和人际个性功能方面的受损程度显著更高。这些发现表明,受虐的共同出现与更高的适应不良防御有关,强调了它们对个性功能受损的影响。临床上,针对防御功能的干预可能有助于受虐的新兴成年人发展更健康的自我和人际功能,促进他们适应成年期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2835/12433429/6c6f3d9eca94/40653_2025_710_Fig1_HTML.jpg

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