不利的童年经历与人格障碍有关:一项前性的长度研究
Rosalie Broekhof1, Hans M Nordahl2,3, Ingeborg Ulltveit-Moe Eikenæs4
1Namsos Hospital, Nord-Trøndelag Hospital Trust, Namsos, Norway.
Journal of personality disorders
|February 7, 2024
概括
童年不良经历 (ACE) 显著增加了成人发展人格障碍 (PD) 的风险. 情绪虐待是关键预测因素,突出了在PD诊断和治疗期间评估ACEs的必要性.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 流行病学 流行病学
背景情况:
- 将不良童年经历 (ACE) 与人格障碍 (PD) 联系起来的前性研究很少.
- 童年逆境是各种心理健康状况的已知风险因素.
- 了解ACE对人格发展的长期影响至关重要.
研究的目的:
- 为了前性地研究童年不良经历 (ACE) 和随后发展的人格障碍 (PD) 之间的关联.
- 确定与PD风险最强烈相关的特定类型的ACE.
- 通过强调童年逆境的作用,为PD的诊断和治疗策略提供信息.
主要方法:
- 长度研究设计涉及8,199名青少年.
- 儿童不良经历 (ACE) 的初步评估.
- 在14年的随访后,与挪威患者登记处进行人格障碍 (PD) 诊断的联系.
- 后勤回归分析以确定风险和预测因素.
主要成果:
- 任何类型的不良童年经历 (ACE) 都与患有人格障碍 (PD) 的风险增加了3.8倍.
- 情绪虐待成为PD的特别强烈预测因素.
- 大约90%的患有PD的青少年报告了ACEs的病史.
结论:
- 不良的童年经历 (ACE),包括虐待,忽视和家庭功能障碍,与人格障碍 (PD) 的风险增加有显著联系.
- 这些发现强调了在PD患者的临床评估和治疗干预中评估ACE的重要性.
- 对ACE的早期鉴定和干预可能在预防或减轻PD发展方面发挥着至关重要的作用.
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