Dubo E D, Zanarini M C, Lewis R E, Williams A A
Department of Psychiatry, Sunnybrook Health Science Centre, North York, Ontario.
Can J Psychiatry. 1997 Feb;42(1):63-9. doi: 10.1177/070674379704200110.
To assess the relationship between lifetime patterns of self-destructive behaviour and various parameters of childhood abuse and neglect in patients with borderline personality disorder (BPD) compared with other personality disorder (OPD) controls.
The subjects were 42 inpatients with the diagnosis of BPD and 17 OPD controls. Lifetime patterns of self-destructive behaviour were assessed using the Lifetime Borderline Symptom Index. Childhood experiences were assessed using a semistructured interview by raters who were blind to diagnosis.
Chronic self-destructive behaviour discriminated patients with BPD from OPD controls. In the borderline group, parental sexual abuse was significantly related to suicidal behaviour and both parental sexual abuse and emotional neglect were significantly related to self-mutilation.
Both parental sexual abuse and emotional neglect appear to play a role in the etiology of self-destructive behaviour in BPD. The results highlight the importance of considering the effects of sexual abuse within its environmental context and suggest that the etiology of borderline symptoms is likely multifactorial.
评估边缘型人格障碍（BPD）患者与其他人格障碍（OPD）对照者的终身自毁行为模式与童年期虐待和忽视的各种参数之间的关系。
受试者为42例诊断为BPD的住院患者和17例OPD对照者。使用终身边缘型症状指数评估终身自毁行为模式。由对诊断不知情的评估者通过半结构化访谈评估童年经历。
慢性自毁行为可将BPD患者与OPD对照者区分开来。在边缘型组中，父母性虐待与自杀行为显著相关，父母性虐待和情感忽视均与自残显著相关。
父母性虐待和情感忽视似乎在BPD自毁行为的病因中均起作用。结果强调了在其环境背景下考虑性虐待影响的重要性，并表明边缘型症状的病因可能是多因素的。
