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首页> 外文学位 >The relationship between early childhood sexual abuse and the adult diagnoses of borderline personality disorder and complex posttraumatic stress disorder: Diagnostic implications.
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The relationship between early childhood sexual abuse and the adult diagnoses of borderline personality disorder and complex posttraumatic stress disorder: Diagnostic implications.

机译：幼儿期性虐待与边缘性人格障碍和复杂的创伤后应激障碍的成人诊断之间的关系：诊断意义。

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摘要

Over the past decade, there has been a dramatic increase in interest in the etiologic primacy of childhood sexual abuse to adult psychopathology and diagnoses. A body of empirical literature points to the association of severe childhood trauma with both Borderline Personality Disorder (BPD) and Complex PTSD (CP). The goal of this study was to determine if borderline psychopathology can be seen primarily as resulting from early onset (i.e., ≤12 years of age) sexual abuse vs. late onset (i.e., ≥13 years of age) sexual abuse in a subset of women who met diagnostic criteria for both BPD and CP. The consideration of the diagnosis of CP for a subset of borderline patients informs treatment. Sixty-five women (≥18 years) comprised a convenience sample from three mental health outpatient clinics in a large metropolitan city: Thirty-eight were selected because they presented with a history of early onset sexual abuse, while 27 were selected because they presented with a history of late onset. Each participant was administered the Revised Diagnostic Interview for Borderlines, the Traumatic Antecedent Questionnaire, the Modified PTSD Symptom Scale, and the Structured Interview for Disorders of Extreme Stress. Furthermore, five qualitative questions generated additional information regarding sexual revictimization, attachment, dissociation, and the impact of trauma. Trauma variables including chronic duration of abuse, incest, bi-parental neglect, and sexual revictimization were significantly higher in women reporting early onset of sexual abuse than women reporting late onset of sexual abuse. Moreover, the diagnoses of BPD, lifetime and current CP, and both BPD and CP were significantly higher in women reporting early onset of sexual abuse as opposed to late onset abuse. The predictor variables sexual abuse and intrafamilial (paternal incest) were found to be significant in the prediction of BPD and both BPD and CP. Discriminant analysis showed the strongest relationship with sexual abuse in the prediction of current and lifetime CP. Two other predictor variables were found to be similarly strong, namely, bi-parental neglect and emotional abuse. The results suggest that a subset of women with a history of childhood sexual abuse who meet diagnostic criteria for BPD may be subsumed under the diagnostic category of CP.
机译：在过去的十年中，对儿童期性虐待对成人心理病理学和诊断的病因学重要性的兴趣急剧增加。大量的经验文献指出，严重的儿童期创伤与边缘性人格障碍（BPD）和复杂性PTSD（CP）相关。这项研究的目的是确定是否可以将边缘性精神病理学主要看成是由早期发作（即≤12岁）的性虐待相对于晚期发作（即≥13岁）的性虐待造成的。符合BPD和CP诊断标准的女性。对部分边缘患者的CP诊断的考虑有助于治疗。六十五名妇女（≥18岁）来自一个大城市的三家心理健康门诊诊所的便民样本：选择三十八名是因为她们有早期性虐待史，而选择了27名是因为她们有性虐待史。迟发病史。每位参与者都接受了经修订的《界线诊断性访谈》，《创伤前问卷》，《经修订的PTSD症状量表》和《结构性访谈》，以应对极端应激障碍。此外，五个定性问题产生了有关性复兴，依恋，分离和创伤影响的更多信息。报告早期性虐待的妇女的创伤变量，包括长期性虐待，乱伦，双亲疏忽和性重新受害，明显高于晚期性虐待妇女。此外，在报告性虐待较早发作的女性中，BPD，终生和当前CP以及BPD和CP的诊断显着高于晚期发作。发现性虐待和家族内（父亲乱伦）的预测变量在预测BPD以及BPD和CP方面均具有重要意义。判别分析显示，在预测当前和终生CP时，与性虐待之间的关系最密切。发现其他两个预测变量也具有相似的强度，即双亲忽视和情感虐待。结果表明，符合BPD诊断标准的具有童年性虐待史的女性子集可归为CP诊断类别。

著录项

  • 作者

    McLean, Linda Margaret.;

  • 作者单位

    Fielding Graduate Institute.;

  • 授予单位 Fielding Graduate Institute.;
  • 学科 Psychology Clinical.;Psychology Developmental.;Psychology Personality.
  • 学位 Ph.D.
  • 年度 2001
  • 页码 236 p.
  • 总页数 236
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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