背景:儿童虐待(CM)与不良结局有关,包括边缘性人格障碍(BPD)和增加的冒犯行为倾向。然而,考虑到澳大利亚CM的高患病率,关于BPD在两者之间发挥的特定作用的研究是有限且高度相关的。
目的:本研究旨在调查(1)CM与随后的犯罪行为之间的关系,(2)BPD是否调解了CM和犯罪行为之间的关系,和(3)哪种类型的CM(物理,性,情感虐待,疏忽,遭受家庭暴力,多类型的虐待)预测BPD。
方法:样本包括106名自我鉴定的澳大利亚女性幸存者,他们患有人际暴力犯罪。
方法:参与者完成了一项由儿童不良事件问卷组成的在线调查,BPD的McLean筛查仪,和一个自我创建的问卷来衡量冒犯行为。回归,调解分析,并进行逻辑回归。
结果:CM显著预测了冒犯行为(路径c,B=1.39,p<。001),其中BPD部分中介关系(路径c\',B=1.04,95%CI[0.31,1.77],p=.006;路径a,B=0.47,95%CI[0.12,0.83],p=.009,路径b,B=0.34,95%CI[0.07,0.61],p=.014)。情绪虐待和多类型暴露被确定为BPD症状发展的预测因子(OR=9.42,95%CIOR[2.58,34.40];OR=3.81,95%CIOR[1.41;10.28],分别)。
结论:这些发现表明早期干预措施的必要性,特别关注情感虐待和暴露于一种以上的虐待,以降低发展为BPD症状的风险并减轻未来的犯罪行为。
BACKGROUND: Childhood Maltreatment (CM) is linked to adverse outcomes, including Borderline Personality Disorder (BPD) and increased propensity for offending behaviors. However, research on the specific role that BPD plays between the two is limited and highly relevant given the high prevalence of CM in Australia.
OBJECTIVE: The present study aimed to investigate (1) the relationship between CM and subsequent offending behaviors, (2) whether BPD mediates the relation between CM and offending behaviors, and (3) which type of CM (physical, sexual, emotional abuse, neglect, exposure to domestic violence, multitype maltreatment) predicts BPD.
METHODS: The sample comprised 106 self-identified Australian female survivors of interpersonal violent crimes.
METHODS: Participants completed an online survey consisting of the Adverse Childhood Events Questionnaire, the McLean Screening Instrument for BPD, and a self-created questionnaire to measure offending behaviors. Regression, mediation analysis, and logistic regression were conducted.
RESULTS: CM significantly predicted offending behaviors (path c, B = 1.39, p <. 001) with BPD partially mediating the relationship (path c\', B = 1.04, 95 % CI [0.31, 1.77], p = .006; path a, B = 0.47, 95 % CI [0.12, 0.83], p = .009, path b, B = 0.34, 95 % CI [0.07, 0.61], p = .014). Emotional abuse and multitype exposure were identified as predictors of BPD symptom development (OR = 9.42, 95 % CI OR [2.58, 34.40]; OR = 3.81, 95 % CI OR [1.41; 10.28], respectively).
CONCLUSIONS: These findings indicate the necessity of early interventions addressing CM, with a particular focus on emotional abuse and exposure to more than one type of maltreatment, to reduce the risk of developing BPD symptomatology and mitigate future offending behaviors.