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Specific Pathways From Adverse Experiences to BPD in Adolescence: A Criteria-Based Approach of Trauma.
Journal of Personality Disorders ( IF 2.1 ) Pub Date : 2021-05-17 , DOI: 10.1521/pedi_2021_35_523
Marion Robin 1, 2 , Marie Douniol 3 , Alexandra Pham-Scottez 4 , Ludovic Gicquel 5 , Veronique Delvenne 6 , Sylvie Nezelof 7 , Mario Speranza 8, 9 , Bruno Falissard 9, 10 , Jerôme Silva 1 , Maurice Corcos 1, 2
Affiliation  

Within the European Research Network on BPD (EURNET-BPD; n = 85 BPD adolescents, n = 84 healthy controls, aged 13-19), this study explored the combination of three types of adversity-maltreatment, stressful life events (early separation from parents, parental suicide attempt, parental chronic disease) and parental bonding-as predictors of BPD, on a criteria-based approach. Results indicated that cumulative traumatic experiences largely characterize borderline adolescent's history; and, in the multivariate regression models, all adversity experiences were likely to contribute to BPD symptoms. The role of emotional abuse, parental suicide attempt, and a decrease in paternal level of care were particularly prominent. Moreover, adversities combinations were different for each criterion, suggesting that specific sets of traumatic experiences are leading to BPD. These findings argue for a further criteria-based exploration of trauma in borderline patients, as well as a more accurate and efficient prevention.

中文翻译:

从不良经历到青春期 BPD 的特定途径:基于标准的创伤方法。

在欧洲 BPD 研究网络(EURNET-BPD;n = 85 BPD 青少年,n = 84 名健康对照者,年龄在 13-19父母、父母的自杀企图、父母的慢性病)和父母的纽带——作为 BPD 的预测因素,基于标准的方法。结果表明,累积的创伤经历在很大程度上表征了边缘青少年的历史;并且,在多元回归模型中,所有逆境经历都可能导致 BPD 症状。情绪虐待、父母自杀未遂和父亲照顾水平下降的作用尤为突出。此外,每个标准的逆境组合都不同,表明特定的创伤经历导致了 BPD。这些发现支持对边缘患者的创伤进行进一步的基于标准的探索,以及更准确和有效的预防。
更新日期:2021-05-17
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