Citation

张, 柳, 王, 周, 滕, 张, 张. J. Clin. Psychol. Med. 2017; 2017(01): 19-21.

Vernacular Title

边缘型人格障碍患者儿童期虐待、冲动及与自杀意念的关系

Copyright

(Copyright © 2017, 臨床精神醫學雜誌編輯部)

DOI

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PMID

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Abstract

OBJECTIVE: To investigate the relationship between childhood trauma, impulsivity and suicide ideation in patients with borderline personality disorder(BPD).

METHOD: BPD patients were screened out from 1 864 prisoners by personality diagnostic questionnaire 4th edition (PDQ-4). Then they were assessed by childhood trauma questionaire-28 item short form(CTQ-SF), Barratt impulsiveness scale 11 th edition(BIS-11)and self-rating idea of suicide scale(SIOSS).

RESULTS: Total 163 BPD patients were screened out,and 90 of them had suicide ideation (SIOSS≥12). Structural equation model indicated that childhood emotional neglect demonstrated positively direct effect on suicide ideation and had an indirect effect on suicide ideation through childhood nonplanning impulsivity. Attentional impulsivity had a mediating effect between emotional abuse and suicide ideation.

CONCLUSION: Suicide ideation in patients with BPD are associated with childhood traumas and impulsivity.

Language: zh

Vernacular Abstract

目的:探讨边缘型人格障碍(BPD)患者儿童期虐待、冲动与自杀意念的关系。方法:对1 864名服刑人员应用人格障碍诊断问卷第4版(PDQ-4)进行评估,对筛选出的BPD患者应用儿童期虐待问卷(CTQ-SF)、Barratt冲动性量表第11版(BIS-11)和自杀意念自评量表(SIOSS)进行问卷调查。结果:共有163名服刑人员符合BPD;其中90人有自杀意念(SIOSS≥12分)。结构方程模型显示,儿童期情感忽视对自杀意念具有直接效应,并通过无计划冲动对自杀意念产生间接效应;儿童期情感虐待通过注意力冲动对自杀意念产生间接效应。结论:BPD患者自杀意念的形成与儿童期虐待、冲动性的部分因子相关。