边缘型人格障碍成年住院患者童年创伤与自我污名的结构方程模型。

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychology Research and Behavior Management Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI:10.2147/PRBM.S476768
Marie Ociskova, Jan Prasko, Krystof Kantor, Jakub Vanek, Vlastimil Nesnidal, Kamila Belohradova
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引用次数: 0

摘要

目的:虐待儿童和精神创伤是边缘型人格障碍(BPD)病因学中的重要风险因素。除了影响罹患边缘型人格障碍的风险外,童年的不良经历似乎还会增加边缘型人格障碍的症状和相关残疾。自我污名化是另一个常见问题,对心理健康的影响同样显著。尽管从理论上讲,童年创伤、自我污名和心理健康之间存在联系,但在 BPD 患者中,这些联系尚未得到探讨。本研究旨在为这一研究不足的课题提供第一手资料:这项横断面研究包括 283 名被诊断为 BPD 的住院病人,他们都参加了一个住院跨诊断心理治疗项目。患者完成了几项测量--精神疾病内部化耻辱感量表、童年创伤问卷--简表、临床整体印象--严重程度、贝克抑郁量表-II、贝克焦虑量表、分离体验量表、希恩残疾量表和人口学问卷。使用 IBM SPSS 和 AMOS 26 程序对数据进行了统计分析,并通过双变量相关检验和结构方程模型对假设进行了探讨:结果:回顾性报告的童年创伤与当前的自我成见呈正相关。童年创伤和自我污名还与几项一般精神病理学和残疾指标呈正相关。这些联系的重要性随后得到了结构方程模型的证实,在该模型中,自我污名是童年创伤、一般精神病理学和残疾的部分中介因素:结论:在被诊断为 BPD 的成年患者中,自我污名对童年创伤与特定心理健康症状之间的关系起着重要的中介作用。有必要进行纵向研究,以探讨研究结果的因果关系。治疗和社会为解决童年创伤或自我污名问题所做的努力可能会受益于反映其更广泛的社会心理背景。
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Structural Equation Modeling of Childhood Trauma and Self-Stigma in Adult Inpatients with Borderline Personality Disorder.

Purpose: Child abuse and trauma are significant risk factors in the etiology of borderline personality disorder (BPD). Apart from affecting the risk of developing BPD, adverse childhood experiences seem to increase its symptoms and related disability. Self-stigma presents another common issue with equally prominent consequences for mental health. Despite being theoretically linked, the connections among childhood trauma, self-stigma, and mental health have not been explored in patients with BPD. This study aimed to provide first insights into this understudied topic.

Patients and methods: This cross-sectional study included 283 inpatients diagnosed with BPD participating in a residential transdiagnostic psychotherapeutic program. The patients completed several measurements - the Internalized Stigma of Mental Illness Scale, the Childhood Trauma Questionnaire - Short Form, the Clinical Global Impression - Severity, the Beck Depression Inventory-II, the Beck Anxiety Inventory, the Dissociative Experiences Scale, the Sheehan Disability Scale, and a demographic questionnaire. The data was statistically analyzed using IBM SPSS and AMOS 26 programs, and bivariate correlation tests and structural equation modeling explored the hypotheses.

Results: Retrospectively reported childhood trauma positively correlated with current self-stigma. Both childhood trauma and self-stigma were also positively related to several indicators of general psychopathology and disability. The significance of these connections was subsequently confirmed by structural equation modeling, where self-stigma acted as a partial mediator of childhood trauma, general psychopathology, and disability.

Conclusion: Self-stigma significantly mediates the relationship between childhood trauma and selected mental health symptoms among adult patients diagnosed with BPD. Longitudinal studies are necessary to explore the causality of the findings. Therapeutic and societal efforts to tackle childhood trauma or self-stigma might benefit from reflecting its broader psychosocial context.

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来源期刊
CiteScore
4.50
自引率
4.70%
发文量
341
审稿时长
16 weeks
期刊介绍: Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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