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The relationship between childhood trauma and borderline personality symptomatology in a consecutive sample of cardiac stress test patients

机译:连续性心脏压力测试患者样本中儿童创伤与边缘性人格症状的关系

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Objective. In this study, we examined relationships between five types of childhood trauma and two measures of borderline personality symptomatology in a non-psychiatric clinical population in order to assess a potential association between these variables in a non-psychiatric-treatment-seeking population. Method. Using a cross-sectional sample and a survey approach in 250 consecutive patients presenting for cardiac stress testing, we explored self-reported histories of five types of childhood trauma (i.e. witnessing violence, physical neglect, emotional abuse, physical abuse, sexual abuse), several aspects of past mental healthcare, and borderline personality symptomatology using two self-report measures (the borderline personality disorder scale of the Personality Diagnostic Questionnaire-4 and the Self-Harm Inventory). Results. All relationships between the individual forms of trauma and total number of childhood traumas, and measures of borderline personality symptomatology, attained statistical significance. Using multiple regression analysis, sexual abuse in childhood was an independent predictor for borderline personality symptomatology in addition to past psychiatric/counseling care, with the latter finding suggesting some inter-drift of psychiatric patients into this cardiac stress test sample. Conclusions. In this non-psychiatric-treatment-seeking population, there appear to be relationships between various forms of trauma (especially sexual abuse) and borderline personality symptomatology, reinforcing the role of childhood trauma in borderline personality disorder.
机译:目的。在这项研究中,我们检查了非精神科临床人群中五种儿童期创伤与两种临界人格症状学指标之间的关系,以评估非精神科治疗人群中这些变量之间的潜在关联。方法。我们使用横断面样本和对250位连续进行心脏压力测试的患者进行调查的方法,探讨了自我报告的五种童年创伤类型的历史记录(即目睹暴力,身体疏忽,情感虐待,身体虐待,性虐待),过去的心理保健的几个方面,以及使用两种自我报告方法(《人格诊断问卷-4》和《自我防备量表》的人格障碍量表)的人格边界症状学。结果。个体创伤形式与儿童期创伤总数之间的所有关系,以及边缘人格症状学的测量指标,均具有统计学意义。使用多元回归分析,除了过去的精神病/咨询服务外,儿童时期的性虐待是边缘性人格症状学的独立预测因子,后者的发现表明,精神病患者可能会在此心脏压力测试样本中出现一些漂移。结论在这个非精神科治疗人群中,各种形式的创伤(尤其是性虐待)与边缘人格症状之间似乎存在联系,从而加强了儿童创伤在边缘人格障碍中的作用。

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