Paris J, Zweig-Frank H, Guzder J
Institute of Community and Family Psychiatry, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Quebec, Canada.
J Nerv Ment Dis. 1994 Jul;182(7):375-80. doi: 10.1097/00005053-199407000-00002.
The purpose of the study was to examine the role of several psychological risk factors--childhood sexual abuse (CSA) and its parameters, childhood physical abuse and its parameters, early separation or loss, and abnormal parental bonding--in male patients with borderline personality disorder (BPD). Subjects with personality disorders were divided into BPD (N = 61) and non-BPD (N = 60) groups. The risk factors were measured by a developmental interview and the Parental Bonding Index. The BPD group had a higher frequency of CSA, more severe CSA, a longer duration of physical abuse, increased rates of early separation or loss, and a higher paternal control score on the Parental Bonding Index. CSA and separation or loss were significant in the multivariate analysis. The risk factors suggest that trauma and loss, as well as problems with fathers, are important for the development of BPD in males.
该研究的目的是探讨几种心理风险因素——童年期性虐待（CSA）及其参数、童年期身体虐待及其参数、早期分离或丧失以及异常的父母依恋——在边缘型人格障碍（BPD）男性患者中的作用。患有精神障碍的受试者被分为BPD组（N = 61）和非BPD组（N = 60）。通过发育访谈和父母依恋指数来测量风险因素。BPD组的CSA发生率更高、CSA更严重、身体虐待持续时间更长、早期分离或丧失率增加，并且在父母依恋指数上的父亲控制得分更高。在多变量分析中，CSA以及分离或丧失具有显著性。这些风险因素表明，创伤和丧失以及与父亲有关的问题对于男性BPD的发展很重要。
