边缘型人格障碍患者儿童期虐待、冲动及与自杀意念的关系

摘要

Objective:To investigate the relationship between childhood trauma,impulsivity and suicide ideation in patients with borderline personality disorder( BPD). Method:BPD patients were screened out from 1 864 prisoners by personality diagnostic questionnaire 4th edition(PDQ-4). Then they were assessed by childhood trauma questionaire-28 item short form(CTQ-SF),barratt impulsiveness scale 11th edition(BIS-11) and self-rating idea of suicide scale(SIOSS). Results:Total 163 BPD patients were screened out,and 90 of them had suicide ideation(SIOSS≥12). Structural equation model indicated that childhood emotional neglect demonstrated positively direct effect on suicide ideation and had an indirect effect on suicide ideation through childhood nonplanning impulsivity. Attentional impulsivity had a mediating effect between emotional abuse and suicide ideation. Conclusion:Suicide ideation in patients with BPD are associated with childhood traumas and impulsivity.%目的：探讨边缘型人格障碍（BPD）患者儿童期虐待、冲动与自杀意念的关系。方法：对1864名服刑人员应用人格障碍诊断问卷第4版（PDQ-4）进行评估，对筛选出的 BPD 患者应用儿童期虐待问卷（CTQ-SF）、Barratt 冲动性量表第11版（BIS-11）和自杀意念自评量表（SIOSS）进行问卷调查。结果：共有163名服刑人员符合 BPD；其中90人有自杀意念（SIOSS≥12分）。结构方程模型显示，儿童期情感忽视对自杀意念具有直接效应，并通过无计划冲动对自杀意念产生间接效应；儿童期情感虐待通过注意力冲动对自杀意念产生间接效应。结论：BPD 患者自杀意念的形成与儿童期虐待、冲动性的部分因子相关。