童年创伤经历与人格功能:德国和智利横断面样本中身体联系的影响。

IF 4 2区 医学 Q1 PSYCHIATRY
Katja Bertsch, Isabelle Göhre, Marianne Cottin, Max Zettl, Carolin Wienrich, Sarah N Back
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引用次数: 0

摘要

背景:童年的创伤经历是日后罹患精神障碍的一个主要风险因素。在《精神疾病诊断与统计手册》5 第三部分引入 "人格障碍替代模式 "后,研究人员在过去十年中开始研究早期创伤在人格功能障碍中的作用。尽管第一批研究能够通过经验证明早期创伤与人格功能受损之间存在重要联系,但人们对其背后的机制却知之甚少。其中一个可能的机制是身体联系,因为它参与了自我调节过程,并与早期创伤和人格(功能)障碍都有联系:在当前的研究中,我们调查了身体联系(包括对自身身体信号的意识、整合和利用)是否会介导童年创伤与人格功能之间的关系:在德国和智利共招募了 1,313 名成年参与者,他们通过在线调查匿名提供了自我报告数据:自我报告数据包括童年创伤问卷简表(CTQ-SF)、身体联系量表(SBC)、人格功能水平量表简表(LPFS-BF 2.0)以及人口统计学数据(年龄、性别、教育程度、临床诊断):结果:童年创伤经历解释了人格功能障碍差异的 27.2%。有趣的是,60.5%的影响是由身体联系(尤其是身体分离)解释的。额外的探索性分析表明,身体解离和身体意识(在较小程度上)占自我功能差异的 64.41%,占童年创伤所解释的人际功能差异的 55.75%:身体联系似乎是早期创伤与人格功能受损之间关系的一个重要中介因素,这突出表明有必要采取干预措施,专门针对童年创伤患者对来自自身身体信号的回避和忽视。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Traumatic childhood experiences and personality functioning: effect of body connection in a cross-sectional German and Chilean sample.

Background: Traumatic childhood experiences are a major risk factor for developing mental disorders later in life. Over the past decade, researchers have begun to investigate the role of early trauma in impairments in personality functioning following the introduction of the Alternative Model of Personality Disorders in Section III of the Diagnostic and Statistical Manual for Mental Disorders 5. Although first studies were able to empirically demonstrate a significant link between early trauma and impairments in personality functioning, only little is known about the underlying mechanisms. One possible mechanism is body connection due to its involvement in self-regulatory processes and its link to both early trauma and personality (dys)functioning.

Objective: In the current study, we investigated whether body connection, which encompasses the awareness, integration, and utilization of one's own bodily signals, mediates the relationship between childhood trauma and personality functioning.

Participants and setting: A total of 1,313 adult participants recruited in Germany and Chile anonymously provided self-report data in an online survey.

Methods: Self-report data included the short form of the Childhood Trauma Questionnaire (CTQ-SF), the Scale of Body Connection (SBC), and the brief form of the Levels of Personality Functioning Scale (LPFS-BF 2.0) as well as demographic data (age, sex, education, clinical diagnoses).

Results: Traumatic childhood experiences explained 27.2% of the variance in impairments in personality functioning. Interestingly, 60.5% of this effect was explained by body connection, particularly body dissociation. Additional exploratory analyses revealed that body dissociation and, to a much lesser extent, body awareness, accounted for 64.41% of the variance in self functioning and 55.75% of the variance in interpersonal functioning explained by childhood trauma.

Conclusion: Body connection appears to be an important mediator in the association between early trauma and impaired personality functioning, underscoring the need for interventions specifically targeting the avoidance and ignorance of signals from one's own body in individuals with traumatic childhood trauma.

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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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