边缘型人格障碍患者创伤与分离体验的相关性研究

Research on Relationship Between Trauma and Dissociation Experience with Patients Suffering from Borderline Personality Disorder

目的:探讨边缘型人格障碍患者的儿童期创伤与其成人期分离体验之间的相关性。方法:将随机抽取的诊断为边缘型人格障碍的患者与普通人群分别施测儿童期创伤问卷(CTQ)和分离体验量表(DES)。结果:研究组边缘型人格障碍的儿童期创伤总分和各个分量表的分数与普通对照组相比均有显著性差异,均高于普通人群(P<0.05);研究组边缘型人格障碍的成年期分离体验的发生率比对照组普通人群高,存在显著性差异(P<0.01);研究组边缘型人格障碍的儿童期创伤经历总分和各个分量表均与成人期分离体验存在相关性(r为0.309～0.504)。结论:儿童期创伤可以使边缘型人格障碍的分离症状加重,形成了边缘型人格障碍的很多核心症状。

Objective： To explore the relationship of the traumatic experience in childhood and the dissociation experience in adulthood of the patients with borderline personality disorder.Methods： 30 patients diagnosed as borderline personality disorder were randomly chosen as the research group and another 30 normal subjects from a college as normal control.They all completed measures： Childhood Trauma Questionnaire（CTQ） and Dissociation Experience Scale（DES）.Results： The total score and scores of five subscales of CTQ of patients with borderline personality disorder were all obviously higher than those of the controlled normal,and there was a significant difference in the two groups（P〈0.05）;The patients of borderline personality disorder had higher scores in DES than the normal ones（P〈0.01）;In the research group,the total score and the scores of subscales of CTQ correlated with the DES score（r： 0.309～0.504）.Conclusion： Childhood trauma makes adulthood dissociation experience severe and leads to many core symptoms in patients suffering from borderline personality disorder.