Attachment (mal)functioning and a history of childhood trauma (CT) are both considered psychological determinants of personality disorders (PDs). Their interaction, however, remains largely uninvestigated. In this study, the authors assessed adult and childhood attachment style in a sample of patients with diverse PDs (N = 75) and determined the relation with both occurrence and severity of CT. The authors found that the sample was characterized by severe attachment malfunctioning and high levels of CT. Using cross-tabulations and analysis of variance, the authors showed that patients with a fearful or dismissive attachment style experienced more severe CT than patients with a preoccupied attachment style. Patients reporting an affectionless control bonding style to either parent suffered frequent and severe CT. Although temporal causality cannot be determined, these findings stress the necessity to screen for CT in PDs and suggest that attachment-centered psychotherapy for these patients may benefit from preceding or concurrent trauma treatment.

中文翻译：

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人格障碍患者童年创伤与依恋功能的关系

依恋（不良）功能和童年创伤史（CT）都被认为是人格障碍（PD）的心理决定因素。然而，它们之间的相互作用在很大程度上仍未得到调查。在这项研究中，作者评估了具有不同 PD 的患者样本（N = 75）的成人和儿童依恋风格，并确定了与 CT 发生率和严重程度的关系。作者发现该样本的特征是严重的附件故障和高水平的 CT。作者使用交叉表和方差分析表明，恐惧或不屑一顾的依恋类型的患者比全神贯注的依恋类型的患者经历了更严重的 CT。向父母任一方报告无情控制结合方式的患者经常遭受严重的 CT 影响。