使用ICD-11分类系统确定童年创伤史和人格障碍之间的关系
Jordan Lock1, Min Yang2,3, Peter Tyrer4,5
1University of Lincoln, Lincoln, UK.
Personality and mental health
|November 29, 2024
概括
童年性创伤与成年人的ICD-11人格障碍有着显著的联系. 这种关联比其他创伤类型更强大,突出显示了它对成年人格地位的影响.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康 心理健康
背景情况:
- 童年创伤是成年人精神病理学的已知危险因素.
- 国际疾病分类,第11次修订 (ICD-11) 为分类人格障碍提供了一个框架.
- 了解创伤类型和人格障碍之间的具体联系对于有效治疗至关重要.
研究的目的:
- 根据ICD-11分类定义,研究童年创伤和人格状态之间的时间关系.
- 评估具有童年创伤史的成年人中人格障碍的患病率.
- 确定与ICD-11个性严重程度和领域相关的特定类型的童年创伤.
主要方法:
- 招募了75名成年人 (19-72岁),他们患有全方位的人格障碍.
- 用童年创伤事件量表 (过去和最近的版本) 评估创伤史.
- 用人格障碍严重程度-ICD-11 (PDS-ICD-11) 和人格评估问卷-11 (PAQ-11) 评估人格状态.
主要成果:
- 59.3%的参与者表现出一些人格障碍,22.7%的参与者表现出中度或重度的人格障碍 (ICD-11).
- 儿童性创伤与ICD-11个性严重程度有显著的关联 (p=0.005).
- PAQ-11的负情感域与童年性创伤有关 (p=0.003),而身体疾病与人格障碍严重程度有关.
结论:
- 童年性创伤与成年期ICD-11人格障碍的严重程度有显著的关联.
- 这种关联比其他形式的童年创伤更为明显.
- 早期的身体疾病也显示出与人格障碍严重程度的联系.
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