人格障碍及其与童年不良事件的关系。

IF 7.5 2区 医学 Q1 PSYCHIATRY Current Opinion in Psychiatry Pub Date : 2024-08-05 DOI:10.1097/YCO.0000000000000959
Ştefania Crişan, Diana Nechita
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引用次数: 0

摘要

综述目的:人格障碍(PDs)的理论模型强调了童年逆境经历(ACEs)在人格病理学的发展和维持中的作用。本综述介绍了有关童年逆境与人格障碍之间关系的最新研究,同时讨论了影响这些关系的机制和因素:研究指出,童年逆境与A群、B群和C群人格病态症之间存在小到中等程度的关联,一些研究表明,童年逆境可能是人格病态症发病和发展的预测因素。大多数研究集中于边缘型人格障碍,而对其他人格障碍的研究有限。总结:ACE 与 PDs 之间的一致关联似乎表明,童年逆境可能是 PDs 的一个跨诊断风险因素,但研究需要进一步的前瞻性调查才能得出因果结论,并呼吁未来的研究更深入地调查潜在的中介因素和调节因素。
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Personality disorders and their association with adverse childhood events.

Purpose of review: Theoretical models of personality disorders (PDs) highlight the role of adverse childhood experiences (ACEs) in the development and maintenance of personality pathology. This review presents recent studies on the associations between childhood adversity and PDs, while discussing mechanisms and factors that impact these relationships.

Recent findings: Studies point to small to moderate associations between childhood adversity and cluster A, cluster B and cluster C PDs, and some research suggests that childhood adversity could be a predictor for the onset and development of personality pathology. Most research focuses on borderline PD, while research on other PDs is limited. Some mechanisms that explain these associations have been proposed, with the literature investigating emotion dysregulation, dissociation, avoidance or psychosocial dysfunction as mediators.

Summary: The consistent associations between ACEs and PDs seems to point that childhood adversity could be a transdiagnostic risk factor for PDs, but research warrants further prospective investigations for causal conclusions, and calls for future research to investigate potential mediators and moderators more thoroughly.

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来源期刊
Current Opinion in Psychiatry
Current Opinion in Psychiatry 医学-精神病学
CiteScore
12.20
自引率
1.40%
发文量
76
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.
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