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

Relationship between childhood trauma,impulsivity and suicide ideation in patients with borderline personality disorder

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。

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 I 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 l lth 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 I〉 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.